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Pain in Older People

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Pain in later life is both quite common and disabling, and it differs significantly in terms of its aetiology, diagnosis and treatment from pain in the general adult population. Older people often have complicated co-morbidities, have a high prevalence of mental health problems (e.g. anxiety, cognitive impairment, and depression) and respond to treatment in different ways compared to younger people. Their specific needs are rarely discussed specifically in more general texts.

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Overview


Pain in later life is both quite common and disabling, and it differs significantly in terms of its aetiology, diagnosis and treatment from pain in the general adult population. Older people often have complicated co-morbidities, have a high prevalence of mental health problems (e.g. anxiety, cognitive impairment, and depression) and respond to treatment in different ways compared to younger people. Their specific needs are rarely discussed specifically in more general texts.

Part of the "Oxford Pain Management Library," this pocketbook will serve as a concise companion for healthcare professionals who manage older patients suffering with pain. Concise chapters will summarize up-to-date reserach literature in a practical style that will have direct relevance to busy clinicians. Introductory chapters will include the epidemiology of pain in older people as well as the proper assessment of older patients with pain conditions. Later chapters will focus on specific painful conditions common in the elderly, including arthritis and rheumatism, osteoporosis, abdominal pain, and cancer.

The book will appeal to a wide variety of health care professionals in both primary care and secondary care services such as geriatric medicine, rheumatology, orthopedics, surgery, pain management and palliative medicine. The book will also be of relevance to nurses, physiotherapists, occupational therapists, clinical psychologists, pharmacists and other health care providers.

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Editorial Reviews

Doody's Review Service
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This multiauthored pocket-sized book on pain in older persons is part of a series of works on pain.
Purpose: Its purpose is to give young physicians and other healthcare professionals a ready guide to assessing and treating pain in older persons.
Audience: The audience includes medical students, house officers, and young physicians. Hospitalists would profit from this book. The authors are all well versed in approaching pain in older persons.
Features: The 14 chapters range from epidemiology of pain to assessment in different settings. There are discussions of how other members of the team —physiotherapists and occupational therapists — come into play. The chapter on depression and pain is excellent. Throughout there are helpful, short clinical vignettes. The ones on demented persons being unable to localize their pain or pain presenting as behavioral changes are particularly good. Glaring in its absence is a discussion of neuropathic pain, considering how common and morbid and difficult to treat this is.
Assessment: This is a wonderful short monograph on pain. The book differentiates the pain patient from the addict: addicts live to use drugs; pain patients use drugs to live. This is so difficult to achieve in practice because of deep unconscious psychological issues. That is why this book, which spells out the approach to pain in older persons so clearly and effectively, deserves wide readership and use.
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Product Details

  • ISBN-13: 9780199212613
  • Publisher: Oxford University Press, USA
  • Publication date: 12/21/2007
  • Series: Oxford Pain Management Library Series
  • Pages: 198
  • Product dimensions: 7.00 (w) x 3.90 (h) x 0.40 (d)

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