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Pain in Older Persons

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Editors: Stephen J. Gibson and Debra K. Weiner

publish year: 2005
hardbound, 432 pages
Progress in Pain Research and Management, Volume 35 
ISBN 978-0-931092-59-6

 

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List Price: US$81.00
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As the world's population grows steadily older, medical practitioners, scientists,and educators are beginning to turn more attention to the problem of pain and its undertreatment in older adults. In the nine years since IASP published Pain in the Elderly (B.R. Ferrell and B.A. Ferrell, editors), the field has flourished, learning more about the neurobiology of pain in older adults, discovering new ways to treat pain, and identifying areas whose further development will substantively improve the care of older adult pain patients.

This volume highlights major new accomplishments in such areas as the neurobiology of pain, age-related psychological and cognitive differences in pain perception, and the assessment of pain in cognitively intact and cognitively impaired older persons. Treatments such as oral analgesics, physical therapy techniques, cognitive-behavioral therapy, complementary and alternative medicine applications, and multidisciplinary pain management clinics are discussed, as are low back pain, neuropathic pain, postoperative pain, and end-of-life issues. This volume not only will help to update the field as a whole, but will also stimulate new thinking and development in this critical area.

Table of Contents

Part I  Overview

Epidemiology of Pain in Older Persons  Gareth T. Jones and Gary Macfarlane

Part II  Age Differences in Pain

The Neurobiology of Aging, Nociception, and Pain: An Integration of Animal and Human Experimental Evidence  Lucia Gagliese and Michael J. Farrell

Age-Associated Differences in Pain Perception and Pain Processing  Robert Edwards

Age Differences in Clinical Pain States  Gisele Pickering

Age Differences in Psychological Factors Related to Pain Perception and Report  Stephen J. Gibson

Part III  Pain Assessment in the Older Adult

Pain Assessment in the Older Adult with Verbal Communication Skills  Keela Herr

Assessing Pain in Older Persons with Severe Limitations in Ability to Communicate  Thomas Hadjistavropoulos

Functional Assessment of Older Adults with Chronic Pain  Thomas E. Rudy and Susan J. Lieber

Measuring Mood and Psychosocial Function Associated with Pain in Late Life  Patricia Parmelee

Part IV  Pain Treatment Modalities

Oral Analgesics: Efficacy, Mechanism of Action, Pharmacokinetics, Adverse Effects, Drug Interactions, and Practical Recommendations for Use in Older Adults  Joseph T. Hanlon, David R.P. Guay, and Timothy J. Ives

Physical Therapy Approaches to the Management of Pain in Older Adults  Rhonda Scudds and Roger Scudds

Cognitive-Behavioral Therapy for Pain in Older Adults  Sandra J. Waters, Julia T. Woodward, and Francis J. Keefe

Interventional Pain Management Procedures in Older Patients  Cheryl Bernstein, Bud Lateef, and Perry Fine

Complementary and Alternative Medicine Approaches to Pain in Older Persons  Karen Prestwood

Multidisciplinary Pain Management Clinics for Older Adults  Benny Katz, Sam Scherer, and Stephen J. Gibson

Part V  Common Painful Disorders in Older Adults: Disorder-Specific Approaches to Evaluation and Treatment

Low Back Pain and Its Contributors in Older Adults:A Practical Approach to Evaluation and Treatment  Debra K. Weiner and Danelle Cayea

Clinical Features and Treatment of Postherpetic Neuralgia and Peripheral Neuropathy in Older Adults  Kenneth E. Schmader and Robert H. Dworkin

Postoperative Pain Management in the Older Adult  Chris Pasero, Barbara Rakel, and Margo McCaffery

Cancer Pain and End-of-Life Issues  Linda King and Robert Arnold

Reviews

"Pain in Older Persons is one-stop shopping for researchers and clinicians who want a single up-to-date source of information on a wide variety of topics related to pain in older adults.  I recommend it for the library (and active use) of all pain researchers and clinicians."
Judith A. Turner, PhD, in APS Bulletin, Issue 1, 2007

This comprehensive book, Pain in Older Persons, from IASP sets out to address all the issues associated with pain in older persons, and has sections on age differences in pain (differences in neurobiology, perception, and in the functional and psychological effects of pain), pain assessment that is appropriate for older persons, the range of modalities available for treatment (including multidisciplinary pain clinics), and the management of common painful disorders in older persons.  This book will be a valuable resource for both those who care for the elderly (for whom it will provide a better understanding of pain and its management), and for those involved in pain management who will gain better insight into the biopsychosocial implications of being an older person."
Roger Woodruff in International Assn. for Hospice and Palliative Care e-Newsletter

"Overall, this is a well organized, well written, and comprehensive book that meets the stated goals of the authors.  It will be useful to all healthcare providers involved in caring for older adults and would also make a welcome addition to any academic library.  Additionally, it would be a good reference for academicians who teach advanced courses in pain management and/or geriatric pharmacotherapy."
Carlos Rojas-Fernandez BSc(Pharm) PharmD BCPP, The Annals of Pharmacotherapy, 2006 July/August, Volume 40

"The recurrent message of the book is that aging and pain are not synonymous, although attitudes of patient, carers and, alas, clinicians may incline this way, so that some patients who could be helped by better management may suffer unnecessarily. [...]There are few books, [sic] which focus on the management of pain in older persons.  Despite my initial reservations regarding the repetitive features of the opening chapters, taken as a whole, I would recommend the book as a reference volume on this subject.  It is up to date with references as recent as 2005 and gives pointers towards the modernization of services for the care of pain in the elderly community."
L.E. Shutt in the British Journal of Anaesthesia 96 (5): 671-3 (2006)

"Good relief of pain translates into such great improvement in quality of life that a fundamental understand of pain in the elderly should be in the repertoire of every good geriatrician.  Thus this book will enjoy the wide readership it deserves."
Doody's Review Service©, Reviewed by David O. Staats, MD