What is included with this book?
Contributors | p. ix |
The anatomy and physiology of pain | p. 1 |
Pain and sensation | p. 2 |
Neural pain pathways | p. 5 |
The pain gate | p. 11 |
Chronic pain | p. 13 |
Central sensitization and A[beta] fibre mediated pain | p. 16 |
Older people | p. 21 |
Conclusion | p. 23 |
Relating socio-economic issues to older people and pain: independence, dignity and choice | p. 27 |
Introduction | p. 27 |
Economics, health, age and independence | p. 28 |
Dignity | p. 38 |
Choice | p. 40 |
Conclusion | p. 42 |
'Creaking joints, a bit of arthritis, and aches and pains': older people's experiences and perceptions of pain | p. 49 |
The study | p. 50 |
Is pain different for older people? | p. 50 |
Equating older age with aches and pains | p. 51 |
Salience of older age linked to whether people experienced pain | p. 52 |
Effect of pain on everyday lives | p. 53 |
Managing the pain | p. 55 |
Keeping a positive attitude | p. 55 |
Others in relation to pain | p. 56 |
Implications for practice | p. 58 |
Case studies | p. 58 |
Summary | p. 61 |
Assessment of pain | p. 65 |
Introduction | p. 55 |
The need for pain assessment | p. 66 |
Behavioural pain assessment tools | p. 74 |
Assessment of pain in terminal care | p. 79 |
Conclusion | p. 80 |
Communication and pain | p. 87 |
Introduction | p. 87 |
Research | p. 90 |
Care workers and mentioning dementia | p. 91 |
Explaining memory loss | p. 93 |
Conclusion | p. 96 |
Summary | p. 96 |
Acute on chronic pain | p. 101 |
Introduction | p. 101 |
What is pain? | p. 102 |
Assessing acute on chronic pain | p. 103 |
Opiophobia and other barriers | p. 109 |
Conclusion | p. 110 |
Cancer pain in elderly people in palliative care settings | p. 115 |
Introduction | p. 115 |
How is cancer pain addressed in palliative care settings? | p. 115 |
What are the issues for older people? | p. 120 |
Management of cancer pain in elderly people in palliative care | p. 121 |
Recommendations for practice | p. 123 |
Conclusion | p. 125 |
Summary | p. 125 |
Care homes and other settings | p. 129 |
Introduction | p. 129 |
Problems with chronic pain in older people | p. 131 |
Comments made by residents when asked to discuss their pain | p. 135 |
Age-related perceptions of pain | p. 137 |
Lack of awareness of potential strategies for dealing with pain | p. 138 |
Cognitive behavioural therapy | p. 140 |
Care-home settings | p. 141 |
Conclusion | p. 143 |
Management of a pain by pharmacological intervention in older adults | p. 149 |
Principles of pharmacology | p. 149 |
Summary | p. 159 |
Normal physiological changes in older adults | p. 159 |
Conclusion | p. 163 |
Complementary approaches | p. 165 |
Introduction | p. 165 |
Why are CAM therapies so appealing? | p. 166 |
What complementary therapies are available? | p. 167 |
CAM and pain | p. 169 |
CAM and older adults | p. 174 |
Review of the research | p. 175 |
Research | p. 179 |
Conclusion | p. 180 |
Function and rehabilitation | p. 185 |
The importance of function | p. 185 |
The role of physiotherapy in rehabilitation | p. 190 |
Conclusion | p. 194 |
Future directions | p. 199 |
Introduction | p. 199 |
Clinical aspects | p. 199 |
Research aspects | p. 201 |
Educational aspects | p. 203 |
Professional aspects | p. 204 |
Report on the European Week Against Pain (EWAP) | p. 204 |
Index | p. 211 |
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