Barriers to chronic pain management in community-dwelling low-income older adults: Home-visiting nurses’ perspectives

2016 ◽  
Vol 23 (3) ◽  
pp. 257-264 ◽  
Author(s):  
Hyung-Ran Park ◽  
Eunyoung Park ◽  
Jee-Won Park
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Pain Management ◽  
Low Income ◽  
Home Visiting ◽  
Community Dwelling ◽  
Chronic Pain Management ◽  
Visiting Nurses

Pain management in community-dwelling older adults with moderate-to-severe dementia

2021 ◽  
Vol 27 (3) ◽  
pp. 158-166
Author(s):  
Chiaki Ando ◽  
Yusuke Kanno ◽  
Osamu Uchida ◽  
Emiko Nashiki ◽  
Noriko Kosuge ◽  
...  
Keyword(s):  
Older Adults ◽  
Pain Management ◽  
Home Visiting ◽  
Final Analysis ◽  
Management Training ◽  
Community Dwelling ◽  
Severe Dementia ◽  
Cross Sectional ◽  
Visiting Nurses ◽  
Community Dwelling Older Adults

Background: This study explored visiting nurses' knowledge and beliefs regarding pain management in community-dwelling older adults with moderate-to-severe dementia. Methods: A cross-sectional study design was used to collect data in 2019. A questionnaire was mailed to nursing managers at 1037 home-visiting nursing stations in Japan. Findings: The final analysis included 230 responses. The mean score on the knowledge and belief statements was 14 out of a possible 18, and respondents with more pain management training obtained a higher total score on knowledge than those without such training (p<.001). More than 95% indicated that they needed training on pain management for older adults with dementia. Conclusion: Visiting nurses in Japan require training in pain management for older adults with moderate-to-severe dementia. Despite its usefulness, the current pain management training programme should be improved to enable visiting nurses to manage dementia patients' pain more confidently.

scholarly journals Pain Management of Community-dwelling Older Adults with Dementia Practiced by Visiting Nurses

2019 ◽  
Vol 14 (2) ◽  
pp. 151-157
Author(s):  
Chiaki Ando ◽  
Yusuke Kanno ◽  
Shoko Suzuki ◽  
Fumiyo Takahashi ◽  
Asao Ogawa
Keyword(s):  
Older Adults ◽  
Pain Management ◽  
Community Dwelling ◽  
Visiting Nurses ◽  
Community Dwelling Older Adults

scholarly journals Acceptability and Effects of Commercially Available Activity Trackers for Chronic Pain Management Among Older African American Adults

Pain Medicine ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. e68-e78 ◽  
Author(s):  
Mary R Janevic ◽  
Varick Shute ◽  
Susan L Murphy ◽  
John D Piette
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
African American ◽  
Pain Management ◽  
Feasibility Trial ◽  
Chronic Pain Management ◽  
Step Counts ◽  
African American Adults ◽  
Activity Trackers ◽  
Wearable Activity Trackers

Abstract Background Wearable activity trackers may facilitate walking for chronic pain management. Objective We assessed the acceptability of a commercially available tracker and three alternative modes of reporting daily steps among older adults in a low-income, urban community. We examined whether using the tracker (Fitbit ZipTM) was associated with improvements in functioning and activity. Design Randomized controlled pilot and feasibility trial. Subjects Fifty-one African American adults in Detroit, Michigan, aged 60 to 85 years, with chronic musculoskeletal pain (28 in the intervention group, 23 controls). Methods Participants completed telephone surveys at baseline and eight weeks. Intervention participants wore trackers for six weeks, alternately reporting daily step counts via text messages, automated telephone calls, and syncing (two weeks each). We used multimethods to assess satisfaction with trackers and reporting modalities. Adherence was indicated by the proportion of expected days on which valid step counts were reported. We assessed changes in pain interference, physical function, social participation, walking frequency, and walking duration. Results More than 90% of participants rated trackers as easy to use, but some had technical or dexterity-related difficulties. Text reporting yielded 79% reporting adherence vs 69% each for automated calls and syncing. Intervention participants did not show greater improvement in functioning or walking than controls. Conclusions With appropriate support, wearable activity trackers and mHealth reporting for chronic pain self-care are feasible for use by vulnerable older adults. Future research should test whether the effects of trackers on pain-related outcomes can be enhanced by incorporating behavior change strategies and training in evidence-based cognitive-behavioral techniques.

scholarly journals Chronic pain management strategies used by low-income overweight Latinos

2012 ◽  
Vol 9 (2) ◽  
pp. 133-144 ◽  
Author(s):  
Dana N Rutledge ◽  
Patricia J Cantero ◽  
Jeanette E Ruiz
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Low Income ◽  
Management Strategies ◽  
Chronic Pain Management

scholarly journals Chronic Pain Management Among Older Adults: A Scoping Review

2019 ◽  
Vol 5 ◽  
pp. 237796081987425
Author(s):  
Ampicha Nawai
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Chronic Pain ◽  
Pain Management ◽  
Outcome Measures ◽  
Scoping Review ◽  
Roy Adaptation Model ◽  
Chronic Pain Management ◽  
Adaptation Model

Chronic pain is a significant problem for older adults. The effect of chronic pain on older people’s quality of life needs to be described and identified. For a decade, the Roy Adaptation Model has been used extensively to explain nursing phenomena and guide nursing research in several settings with several populations. The objective of this study was to use the Roy Adaptation Model to describe chronic pain and present a systematic scoping review of the literature about the middle-range theory of chronic pain among older adults. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses model guided a scoping review search method. A literature search was undertaken using MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Ovid, and ProQuest. The search terms were “chronic pain,” “pain management,” “older adult,” “Roy Adaptation Model,” and “a scope review.” The search included articles written in English published for the period of 2004–2017. All articles were synthesized using concepts of Roy’s Adaptation Model. Twenty-two studies were considered for the present review. Twenty-one articles were reports of quantitative studies, and one was a report of a qualitative study. Two outcome measures were found in this systematic scoping review. The primary outcomes reported in all articles were the reduction of pain due to interventions and an increase in coping with chronic pain. The secondary outcome measures reported in all studies were the improvement of physical function, quality of life, sleep disturbance, spiritual well-being, and psychological health related to pain management interventions among older adults. Many interventions of all studies reported improvement in chronic pain management among older adults. However, to improve chronic pain management, nurses need to understand about nursing theories, the context which instruments work, and develop empirical instruments based on the conceptual model.

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