Identifying the Minimum Clinically Significant Difference in Acute Pain in the Elderly

2010 ◽  
Vol 56 (5) ◽  
pp. 517-521.e1 ◽  
Author(s):  
Polly E. Bijur ◽  
Andrew K. Chang ◽  
David Esses ◽  
E. John Gallagher
Keyword(s):  
Acute Pain ◽  
The Elderly ◽  
Significant Difference ◽  
Clinically Significant ◽  
Pain In The Elderly

Acute pain in the elderly

2011 ◽  
Author(s):  
Adrian Wagg ◽  
Shashi Gadgil
Keyword(s):  
Pain Management ◽  
Side Effects ◽  
Acute Pain ◽  
Health Care Professionals ◽  
The Elderly ◽  
World Health ◽  
Close Monitoring ◽  
Who Analgesic Ladder ◽  
Co Morbidity ◽  
Pain In The Elderly

Physiological changes that occur with age affect the pharmacokinetics and pharmacodynamics of drugs used in acute pain management. Elderly patients are often reluctant to complain of pain and seek treatment and may sometimes be unable to express pain due to impaired cognition or language. Evidence suggests the elderly as a group that receive inadequate analgesia and are often in pain. Health care professionals are often reluctant to administer sufficient analgesia due to fear of encouraging addiction or inducing side effects. The approach to pain management in this group should follow the World Health Organization (WHO) analgesic ladder with close monitoring for potential side effects and with escalation of treatment till sufficient analgesia is achieved. Choice of drugs and the route of administration should be tailored to the individual patient and should consider the nature of their pain and any disability or co-morbidity that will affect their response to the chosen agent. Non-steroidal anti-inflammatory drugs (NSAIDs) should be used with extreme caution, monitoring for potential gastrointestinal (GI) and renal side effects and long-term use should be avoided if possible. Opioids are effective analgesics and should not be denied to the elderly but their use should be monitored carefully and side effects such as nausea and constipation anticipated and treated.

scholarly journals PEMBERIAN KOMPRES JAHE DALAM MENGURANGI NYERI SENDI PADA LANSIA DI UPT PSTW KHUSNUL KHOTIMAH PEKANBARU

1970 ◽  
Vol 6 (02) ◽  
pp. 13-16
Author(s):  
Tri Siwi KN
Keyword(s):  
Joint Pain ◽  
Research Result ◽  
The Elderly ◽  
Pain Scale ◽  
P Value ◽  
Average Intensity ◽  
Significant Difference ◽  
Before And After ◽  
Scale Test ◽  
Pain In The Elderly

Gout and rheumatoid arthritis is a disease that is often encountered in the community, one of them on the elderly (the elderly) are characterized by pain that occurs repeatedly in the joints. Ginger compress can be used as a nonpharmacological measures to deal with the pain. This study aims to determine the effectiveness of ginger compress in reducing joint pain in the elderly in UPT PSTW Khusnul Khotimah Pekanbaru. This design of research is a quasi experiment with sampling total sampling with 16 respondents. Data collection tool using pain scale test pre and post administration of ginger compress. The research result shows that the average intensity of joint pain before and after the ginger compress is 2.500. The test results obtained statistical p value = 0.000 where p <α 0:05. this means that there are differences in average significant difference between the intensity of joint pain in the elderly before and after the ginger compress. Is expected to more elderly for routine use as a ginger compress nonpharmacological measures pain in the joints.

scholarly journals The effectiveness of contrast bath to reduce joint pain in the elderly

MEDISAINS ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 53
Author(s):  
Esri Rusminingsih ◽  
Nur Wulan Agustina ◽  
Dyah Ayu Nawang Wulan
Keyword(s):  
Knee Joint ◽  
Joint Pain ◽  
Cold Water ◽  
The Elderly ◽  
The Body ◽  
Upper Body ◽  
Bivariate Analysis ◽  
P Value ◽  
Significant Difference ◽  
Pain In The Elderly

Background: The aging process results in changes in the musculoskeletal system causing a decrease in function of joints, loss of elasticity and limited mobility. This condition also causes joint pain, especially in the joints supporting the body weight, namely the knee. The previous studies discussed the method of reducing pain using a contras bath which was implemented by soaking parts of the body that experience pain alternately with hot and cold water, this was difficult to apply if the pain occurs in the upper body. Modifications in contrast baths using compresses to the knee joint have never been implemented before.Objective: This study aimed to figure out the effect of the contras bath method using compresses to reduce knee joint pain in the elderly.Method: The design of this study was pre-experimental with one group of pretest-posttest. The sample used was 16 elderly who were selected by random sampling at Posyandu (a center for pre- and postnatal health care and information for elderly) in village of Sawit Gantiwarno, Klaten. Contrast bath is applied by giving compresses of warm and cold water alternately with a ratio of three minutes: one minute per-day during 20 minutes, for a week. Pain measurement is performed using the Visual Analog Scale (VAS) instrument.Result: The mean of knee pain before giving a contrast bath was 5.44, whereas after a contrast bath was 3.50. Bivariate analysis used Wilcoxon, it showed p value <0.05 which means there was a significant difference in knee joint pain before and after contrast baths were applied.Conclusion: Administration of contrast bath can reduce knee joint pain in the elderly.

REPRINTED WITH PERMISSION OF IASP – Pain assessment in advanced dementia. Validity of the German PAINAD – a prospective double-blind randomised placebo-controlled trial

Ból ◽  
2019 ◽  
Vol 19 (4) ◽  
pp. 34-49
Author(s):  
Albert Lukas ◽  
Ulrich Hagg-Grün ◽  
Benjamin Mayer ◽  
Thomas Flscher ◽  
Matthias Schuler
Keyword(s):  
Pain Assessment ◽  
Controlled Trial ◽  
The Elderly ◽  
Study Groups ◽  
Advanced Dementia ◽  
Double Blind ◽  
Observation Instrument ◽  
Significant Difference ◽  
Pain Recognition ◽  
Pain In The Elderly

Pain in combination with dementia is a common condition that makes pain recognition significantly more difficult. This results in undertreatment of pain in those suffering from dementia. The Pain Assessment in Advanced Dementia (PAINAD) scale currently represents one of the best approaches to pain detection in dementia. In a pilot study, strong inter-rater and retest reliability of the German version (PAINAD-G) was proven. However, the available data concerning the validity of this instrument were insufficient. The aim of the study was to validate the PAINAD-G scale by a double-blind randomised placebo-controlled trial in people with advanced dementia expected to be in pain. A second aim was to examine whether other observational tools (BISAD5 Observation Instrument for Assessing Pain in the Elderly with Dementia) (German: Beobachtungsintrument fur das Schmerzassessment bei alten Menschen mit Demenz, Checklist of Nonverbal Pain Indicators, Algoplus) were also able to demonstrate a significant difference between the study groups. Surprisingly, the study revealed no difference in „pain reduction” between those treated by oxycodone compared with those treated by placebo. Equally, none of the other 3 observational tools were able to demonstrate a significant difference between the study groups. However, correlations among the 4 observational tools were mostly moderate to high. A number of possible reasons for this observation, such as difficulties regarding sensitivity to change/responsiveness, consistence of the fundamental construct, influence of the early onset study, and efficacy of the analgesic in advanced dementia are discussed.

scholarly journals Problems With Measurement of the Minimum Clinically Significant Difference in Acute Pain in Elders

2011 ◽  
Vol 18 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Polly E. Bijur ◽  
Andrew K. Chang ◽  
David Esses ◽  
E. John Gallagher
Keyword(s):  
Acute Pain ◽  
Significant Difference ◽  
Clinically Significant

scholarly journals Epidemiological Survey on Edentulousness

2012 ◽  
Vol 13 (4) ◽  
pp. 562-570 ◽  
Author(s):  
N Simhachalam Reddy ◽  
Nallala Amarendra Reddy ◽  
R Narendra ◽  
Sashi Deepth Reddy
Keyword(s):  
Dental Caries ◽  
Low Socioeconomic Status ◽  
Tooth Loss ◽  
The Elderly ◽  
Epidemiological Survey ◽  
Geriatric Population ◽  
Low Socioeconomic ◽  
Root Cause ◽  
Significant Difference ◽  
Clinically Significant

ABSTRACT India has a large geriatric population of 77 millions, comprising 7.7% of its total population. One of the major handicaps in the elderly is loss of teeth, affecting their mastication, dietary intake and nutritional status. Aims and objectives The present study was planned to assess the level of edentulousness, cause of edentulousness, denture wearing and denture needs of the middle and elderly in the society and study was correlated between habits and socioeconomic variables, diet and body mass index (BMI). Materials and methods A total of 500 subjects (random sampling) from dental outpatient were studied. A prepared questionnaire was developed, explained, interviewed and questions were filled personally. Results The level of edentulousness was found to be high in the subjects with low socioeconomic status and in advancing age with no significant difference between male and females. Another finding was very low level of denture wearing of 62% needing complete denture and partial denture only 10.4% of subjects wearing dentures. Mixed diet population had higher level of edentulousness compared with vegetarians. The BMI was correlated with level of edentulousness. Conclusion The study clearly showed that there is lack of dental awareness, so dental education and motivation in very important. The study concludes that the need for prosthodontics care will increase due to the increase in life span. This study is clinically significant with regard to knowing the root cause of edentulism, either partial or complete. Out of 62% tooth loss, dental caries (37.4%) topped the cause for tooth loss followed by combination of dental caries and periodontal disease (12.2%). How to cite this article Reddy NS, Reddy NA, Narendra R, Reddy SD. Epidemiological Survey on Edentulousness. J Contemp Dent Pract 2012;13(4):562-570.

scholarly journals The Effect Of Back Massage Therapy On Rheumatic Pain In The Elderly In The Geriatric Clinic Kesdam Cijantung Hospital, East Jakarta Year 2019

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Susilowati Susilowati ◽  
Fajar Susanti ◽  
Samsuni Samsuni
Keyword(s):  
Rating Scale ◽  
Health Workers ◽  
Numerical Rating Scale ◽  
Sampling Technique ◽  
Autoimmune Disorder ◽  
The Elderly ◽  
P Value ◽  
Rheumatic Pain ◽  
Significant Difference ◽  
Pain In The Elderly

Rheumatic disease is a chronic joint inflammatory disease caused by an autoimmune disorder. Pain is a clinical complaint most frequently encountered by nurses. This study aims to determine the comparison of the results of back message therapy and not back message therapy with pain in elderly rheumatism. This study is a quantitative study with a quasi-experimental research design made using a non-equivalent group design with pre and post tests. The research sample was 18 respondents. The sampling technique used purposive sampling. Data collection using experimental method. The instrument for measuring the level of pain uses a numerical rating scale (NRS) . From the results of statistical analysis using the Independent Sample Test, it is known that the average difference in the measurement results of back message therapy in the pre category of 5.22 and post is 2.00 with p value = 0.000 (<0.05), while there is a difference of pre 5, 17 and post 3.50 on no back message therapy which obtained p value = 0.000 (<0.05). It was concluded that there was a significant difference in pain in elderly arthritic patients who took back message therapy and did not follow back message therapy. It is important for the results of this study that health workers teach back message therapy for the elderly who experience pain because this is a very effective therapy for people with rheumatism.Keywords: Back Message, Rheumatic Pain, Elderly

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