Introduction to Older Adult
Many older adults do not report this as they do not want to be seen as “complainers”
What is pain?
“an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.”
What is Pain?
Nociceptive pain, Somatic pain, Visceral pain and Neuropathic pain.
What is the four categories of pain.
The relief from pain.
What is a goal of pain management.
The Hendrick II Tool.
What is a fall risk screening tool.
Most older Americans have at least one of these and many have multiple of these.
What is chronic conditions?
Pain is only objective.
What is false, pain can also be subjective.
Most common, Localized, Muscle/skeletal, Achy/Sharp, Analgesics, Nonpharmacological can help, most undertreated as think part of getting old.
What is Somatic Pain?
The first action a nurse should take when a patient complains of pain.
What is pain assessment.
Katz Index
What is a measurement tool of the patients ability to perform activities of daily living?
This level is increasing.
What is the educational level of the older population?
No pain to minimal pain to moderate pain to severe pain.
What is the scope of pain.
Deep, Organs/organ surgery, Harder to discern, Referred pain, Intense pressure and squeezing, Can treat with analgesics
What is Visceral Pain?
Over the counter medication for arthritis, throbbing, aching.
Acetaminophen
The Lawton scale
What is a measurement tool of the patients ability to perform activities of daily living?
An older adult has decreased feeling in her lower extremities.
What is neurological change?
The sudden onset clearly linked to a specific event.
What is acute pain.
Burning, Diabetic neuropathy, Numbness, Phantom limb pain, Not easy to treat, Chronic or acute.
What is neuropathic pain?
Take this medication for burning in lower back shooting down lower leg.
Gabapentin
Fulmer SPICES
What is an assessment for "marker conditions."
A person with this diagnosis experiences easy agitation and may be non-verbal.
What is vascular dementia?
Lasting more than 3 months, may last for years. May be from underlying pathology or unknown cause.
What is chronic pain.
The treatment is unpredictable. May require more trials of different or combined approaches.
What is mixed or unspecified pain?
Take this medication for burning, shooting pain.
Amitriptyline
The MoCA
What is Montreal Cognitive Assessment?