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Management of Pain in Older People 226 p. 07(電子版/PDF)2007年刊

Schofield, Patricia. 　著


価格 \15,346（税込）

発行年月	2007年01月
出版社／提供元	John Wiley & Sons, Inc.
出版国	アメリカ合衆国
言語	英語
媒体	EBOOK
ファイル形式	PDF
ページ数／巻数	208 p.
ジャンル	洋書／生命科学・医学／看護学／臨床看護学
ISBN	9780470065488
商品コード	1002947045
本の性格	実務向け
商品URL	https://kw.maruzen.co.jp/ims/itemDetail.html?itmCd=1002947045

内容

This book enables the reader to understand the principles underpinningthe management of pain, with a particular emphasis upon the care of the olderadult. The chapters explore concepts that are recognized to be involved inthe pain experience.
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Chapter 1: Anatomy & Physiology of Pain. Pain & Sensation.Neural Pain Pathways. A Delta fibres. Dorsal Roots. Spinal cord tobrain. Descending tracts & Substantia gelatinosa. The pain gate.Chronic pain. Peripheral sensitisation. Central Senstization. OlderPeople. Chapter 2: Relating socio-economic issues with older people andpain: Independence dignity and choice. Health Economics. Culturalissues in older age. Resources linked with being older and in pain .Policy in health services, economics and older people. Diet and health inolder age, related to economics. Independence. Dignity. Choice.Chapter 3: Creaking joints, a bit of arthritis, and aches and pains': Olderpeople's experiences and perceptions of pain. The Study. Is paindifferent for older people Equating older age with aches and pains.Salience of older age linked to whether people experienced pain. Effect ofpain on everyday lives. Managing the pain Keeping a positive attitude.Others in relation to pain. Implications for practice Exercises. Casestudies. Mr Uddim. Violet Jones. Learning points. Chapter 4:Assessment of Pain. Visual Analogue Scale. Numerical Rating Scale.Verbal Descriptors. Faces Pain Scale. Colour Scale. McGill PainQuestionnaire (MPQ). Sensory Impairment. Learning disability.Cognitive impairment. Perception of Pain. Behavioural Pain AssessmentTools. DS DAT Scale. Checklist of non-verbal Pain Indicators (CNPI).ADD Protocol. DOLOPLUS Scale. The NOPAIN Scale. Pain AssessmentScale for Dementing Elderly (PADE). PAINAD. PACSLAC. Abbey Scale.Terminal Care. Chapter 5 : Communication. Research. Care workers andmentioning dementia. Explaining memory loss. Chapter 6: Acuteversus Chronic Pain. Assessing Acute with Chronic Pain. Treatment forAcute with Treatment for Chronic. Opiophobia and Other Barriers.Chapter 7: Cancer Pain in the elderly in palliative care settings. How iscancer pain addressed in palliative care settings? The total pain concept- the patient experience. Multidimensional assessment. The family inpalliative care. What are the issues for older people Expectations of painin later life. Co-morbidity. Lack of access to specialist palliativecare services. Compliance with pharmacological treatments. Age relatedalterations in drug disposition Management of cancer pain in the elderly inpalliative care. Drugs compliance/concordance. Other treatments.Recommendations for practice Assessment and management Roles of MDT. SPCSintervention. Chapter 8: Care Settings. Problems with Chronic Pain inOlder people. Physiological Changes. Getting used to pain.Assessment. Management. Education. Assets. Research Ongoing.Reluctance to report pain/ an acceptance that being in pain is normal and lowexpectations for help with medical interventions Age related perceptions ofpain. Lack of Awareness of potential strategies for dealing with pain.Multidisciplinary Management. Cognitive Behavioural Therapy. Care HomeSettings.