Patient Centered Pain Control Of Elderly People With Dementia

Patient Centered Pain Control in Elderly People with Dementia There is a growing geriatric population of people with dementia (the subpopulation) throughout the world that are living in pain constantly. Because dementia as a condition with multifaceted symptomology manifested by advancing overall decline of cognitive ability, it causes severe and distinctive barriers to pain assessment and pain management in this subpopulation. The existence of multiple comorbidities, polypharmacy and the declining cognition in this subpopulation results in a much more complex pain symptomology. Zwakhalen, Hamers, Abu-Saad, and (replaced with and) Berger, (2006), explain that common behaviors associated with pain may be absent or difficult to interpret in this subpopulation because some dementia symptoms may be an indication of pain, but such behavior, however, might also be incorrectly interpreted as a symptom of dementia. Therefore, pain in this subpopulation is exceptionally challenging to evaluate and manage as a result of this difficulty. Although there have been many improvements in health care, pain in this subpopulation is often undertreated and at times it is not addressed at all. Behavioral expressions of untreated pain in this subpopulation are common and the inappropriate prescription of psychotropic medication to mask the behavioral manifestations of pain instead of addressing the pain causing the behavioral symptoms is the norm (Achterberg et. al., 2013, p. 1479).Show MoreRelatedPatient Centered Pain Control Of Elderly People With Dementia2244 Words   |  9 PagesPatient Centered Pain Control in Elderly People with Dementia There is a growing geriatric population of people with dementia throughout the world that are living in pain constantly. Because dementia as a condition with multifaceted symptomology manifested by advancing overall decline of cognitive ability, it causes severe and distinctive barriers to pain assessment and pain management in this population. The existencee of multiple comorbidities, polypharmacy and the declinining cognition in thisRead MoreAnalgesic and Facilitator Pain Assessment5740 Words   |  23 Pageswritten reference page in APA format †¢ Another format approved by your facilitator Pain Assessment in Persons with Dementia: Relationship Between Self-Report and Behavioral Observation Ann L. Horgas, RN, PhD,ÃÆ' Amanda F. Elliott, ARNP, PhD,w and Michael Marsiske, PhDz OBJECTIVES: To investigate the relationship between self-report and behavioral indicators of pain in cognitively impaired and intact older adults. 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Practitioners can make better health care management possible through improvement of patient emotional and psychological well-being. For example, among patients with the neuropsychiatric symptoms (NPS) of dementia NPS are associated with, â€Å"poor patient and caregiver outcome, including increased health care utilization, excess morbidity and mortality, and earlier nursing home placement, as well as caregiver stress, depressionRead More Medical Sociology Essay3862 Words   |  16 Pagesdistance between health care professionals and patients are only few highlights of this crisis. What is different about our current crisis is the approach that is taken in order to solve these problems. Present discussion of the health care crisis centers around economic and political issues, and moreover, many health care workers and sociologists are concerned that such a discussion has shifted the emphasis away from the people in the system--the patients and the medical staff. 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Due to the current and expected shift in the demographics, late-life depression has become a public health concern and has increased the demand for mental health services for older Americans (CDC National Association of ChronicRead MoreAdvancing Effective Communicationcommunication, Cultural Competence, and Patient- and Family-Centered Care Quality Safety Equity53293 Words   |  214 PagesAdvancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. 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Because dementia as a condition with multifaceted symptomology manifested by advancing overall decline of cognitive ability, it causes severe and distinctive barriers to pain assessment and pain management in this population. The existencee of multiple comorbidities, polypharmacy and the declinining cognition in this population result in a much more complex pain symptomology. Zwakhalen, Hamers, Abu-Saad, Berger, (2006), explain that common behaviors associated with pain may be absent or difficult to interpret in this population because some dementia symptoms may be an indication of pain, but such behavior, however, might also be incorrectly interpreted as a symptom of dementia. Therefore, pain in this population is exceptionally challenging to evaluate and manage as a result of this difficulty. Although there have been many improvements in health care, pain in the elderly people with dementia is often undertreated and at times it is not addressed at all. Behavioral expressions of untreated pain in this population are common and the inappropriate prescription of psychotropic medication to mask the behavioral manifestations of pain instead of addressing the pain causing the behavioral symptoms is the norm (Achterberg et. al., 2013, p. 1479). Untreated pain in this population is also a majorShow MoreRelatedPatient Centered Pain Control Of Elderly People With Dementia6067 Words   |  25 Pagesâ€Æ' Patient Centered Pain Control in Elderly People with Dementia There is a growing geriatric population of people with dementia (the subpopulation) throughout the world that are living in pain constantly. Because dementia as a condition with multifaceted symptomology manifested by advancing overall decline of cognitive ability, it causes severe and distinctive barriers to pain assessment and pain management in this subpopulation. The existence of multiple comorbidities, polypharmacy and the decliningRead MoreAnalgesic and Facilitator Pain Assessment5740 Words   |  23 Pageswritten reference page in APA format †¢ Another format approved by your facilitator Pain Assessment in Persons with Dementia: Relationship Between Self-Report and Behavioral Observation Ann L. Horgas, RN, PhD,ÃÆ' Amanda F. Elliott, ARNP, PhD,w and Michael Marsiske, PhDz OBJECTIVES: To investigate the relationship between self-report and behavioral indicators of pain in cognitively impaired and intact older adults. DESIGN: Quasi-experimental, correlational study of older adultsRead MoreDementia: How and Whom Does It Affect?5576 Words   |  23 PagesRunning Head: DEMENTIA: HOW AND WHOM DOES IT AFFECT? 1 Dementia: How and Whom Does it Affect? Liberty University COUNS 502 B-23LUO Instructor: Dr. Richard Pace Shelly M. Becker March 5, 2013 DEMENTIA: HOW AND WHOM DOES IT AFFECT? 2 Abstract Although dementia is often viewed as an â€Å"old person’s disorder, its effects ripple down in many directions such as family, caregivers, finances, and the healthcare systemRead MoreTotal Care Nursing Home s ( Tcnh ) Rehabilitation Therapy Program3864 Words   |  16 PagesDescription of Organization: Total Care Nursing Home’s (TCNH) rehabilitation therapy program is designed to produce positive outcomes in the restoration of patients’ lives by providing Physical Therapy, Occupational Therapy, and Speech Therapy. TCNH provides treatment specifically tailored to patients’ needs and capabilities. During the admission process TCNH designs a personalized treatment plan by conducting a rehabilitation therapy screening that takes into consideration each patient’s medicalRead MoreAbnormal Psychology Terms9960 Words   |  40 Pagesscores low on extroversion and agreeableness, but high on neuroticism. Looks like schizoid personality disorder to me. the therapist being quoted is using what instrument to make the diagnosis theres nothing out there for me. i cant stand other people, and i cant stand myself, either. I am just really mad right now. such a statement would most likely be made by someone with which personality disorder what is over there? asks the chi ld, pointing to a distant object, Does it belong to you?Read MoreHealthcare Management Practices For Occupational Therapists2234 Words   |  9 Pageshealth care services provided under primary care, which is non-allied health care. Practitioners can make better health care management possible through improvement of patient emotional and psychological well-being. For example, among patients with the neuropsychiatric symptoms (NPS) of dementia NPS are associated with, â€Å"poor patient and caregiver outcome, including increased health care utilization, excess morbidity and mortality, and earlier nursing home placement, as well as caregiver stress, depressionRead More Medical Sociology Essay3862 Words   |  16 Pagesdistance between health care professionals and patients are only few highlights of this crisis. What is different about our current crisis is the approach that is taken in order to solve these problems. Present discussion of the health care crisis centers around economic and political issues, and moreover, many health care workers and sociologists are concerned that such a discussion has shifted the emphasis away from the people in the system--the patients and the medical staff. In response, soc iologistsRead MoreEffects Of Depression On Older Adults6297 Words   |  26 PagesOlder adults are the fastest growing segment of the population and it is projected that by 2030 their size will increase by 7% equaling 20% of the total U.S. population (U.S. Census Bureau, 2014; Center for Disease Control and Prevention [CDC] Merck Foundation, 2007). Due to the current and expected shift in the demographics, late-life depression has become a public health concern and has increased the demand for mental health services for older Americans (CDC National Association of ChronicRead MoreAdvancing Effective Communicationcommunication, Cultural Competence, and Patient- and Family-Centered Care Quality Safety Equity53293 Words   |  214 PagesAdvancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The JointRead MoreNursing Essay41677 Words   |  167 Pagesand do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www