scholarly journals Evaluation of Chronic Pain and Affecting Factors in the Elderly

Author(s):  
Önder Sezer ◽  
Duygu Devran ◽  
Hamdi Nezih Dağdeviren

Objective: Diseases are more seen in the elderly population, therefore pain also gains a severe probleme in this situation. It is well known that pain impairs significantly the quality of life and gives raise to an increase use of drugs. The aim of our study is to determine the severity of chronic pain in the eldely and to evaluate the conditions affecting chronic pain. Methods: We included 456 elderly patients in our study. The mean age was 71.19±6.27 (min: 65; max: 93). Patient’s sociodemografic information, diseases, use of medications, presence of chronic pain, affecting conditions and treatment applied for chronic pain, and Geriatric Pain Scale were evaluated. Results: The females integrated in tis study were 272 with a rate of 59.6 %. Regarding the geiatric pain scale 61.2 % (n: 279) had a mild pain while the other 18.6% (n: 85) had severe pain. The 87.7% were in medication of analgesics for their chronic pain. The patient’s knowledge of the used of medications was with a rate of 43.9% (n: 200). We founded a statistically significant relationship between the chronic pain and femele gender (p<0.001), older age (p=0.012), smoking users (p=0.01), nonsteroidal antiinflamatory drug users (p=0.003) and inidviduals with higher mass body index (p=0.016). Conclusion: Chronic pain in the elderly is a common complaint. The presence of pain disrupts the quality of life and puts additional burdens on the healthcare system. Detecting preventable situations that cause pain and increases severity, giving importance to non-drug treatments, increasing health literacy about the drugs used, implementing effective policies against diseases will reduce the severity of chronic pain, increasing the quality of life and significantly reducing health costs.

2019 ◽  
Vol 2 (3) ◽  
Author(s):  
Bianca de Oliveira Lemos ◽  
Ana Marcia Rodrigues da Cunha ◽  
Claudia Bernardi Cesarino ◽  
Marielza Regina Ismael Martins

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Fatima Ferretti ◽  
Aline Cristina Castanha ◽  
Elmirian Regina Padoan ◽  
Junir Lutinski ◽  
Marcia Regina da Silva

2020 ◽  
Vol 5 (0) ◽  
pp. n/a
Author(s):  
Yuji Kasukawa ◽  
Naohisa Miyakoshi ◽  
Michio Hongo ◽  
Yoshinori Ishikawa ◽  
Daisuke Kudo ◽  
...  

2013 ◽  
Vol 21 (3) ◽  
pp. S109-S110
Author(s):  
Melanie Asbury ◽  
Amy Helstrom ◽  
Amy Benson ◽  
Shirley H. Leong ◽  
Jacob Zimmerman ◽  
...  

Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 613
Author(s):  
Silvia Giovannini ◽  
Daniele Coraci ◽  
Fabrizio Brau ◽  
Vincenzo Galluzzo ◽  
Claudia Loreti ◽  
...  

Neuropathic pain due to a lesion or a disease of the somatosensory system often affects older people presenting several comorbidities. Moreover, elderly patients are often poly-medicated, hospitalized and treated in a nursing home with a growing risk of drug interaction and recurrent hospitalization. Neuropathic pain in the elderly has to be managed by a multidimensional approach that involves several medical, social and psychological professionals in order to improve the quality of life of the patients and, where present, their relatives.


Author(s):  
Carlos Barbosa Torres ◽  
Sixto Cubo Delgado ◽  
Florencio Vicente Castro

Abstract.SIMULATION OF SYMPTOMS IN PATIENTS WITH FIBROMYALGIAIn this paper we find a study about the variable of simulation of symptoms in fibromyalgia syndrome regarding to other psychological variables such as quality of life, depression, anxiety as well as gradation of pain. The study was performed with 40 patients, all diagnosed with fibromyalgia by the criteria of the American Rheumatology Association. The instruments used were the Structured Inventory of Malingered Symptomatology (SIMS), the Graded Chronic Pain Scale and SF-36 Health Survey (SF-36v2). The results show that there is a relationship between the simulation of symptoms and chronic pain but not with quality of life. The simulation of symptoms in patients with fibromyalgia is a very complex phenomenon that depends on several methods of control among which it is possible to emphasize the use of screening like the SIMS supported with important physical and psychological examinations by experts.Key words: Fibromyalgia, chronic pain, symptom simulation.Resumen.En el presente trabajo encontramos un estudio sobre la variable simulación de síntomas en pacientes con fibromialgia en relación con otras variables psicológicas como calidad de vida, depresión y ansiedad al igual que la gradación del dolor. El estudio se realizó con un total de 40 pacientes todos diagnosticados con fibromialgia por los criterios de la Asociación Americana de Reumatología. Los instrumentos utilizados fueron, el Inventario Estructurado de Simulación de síntomas (SIMS), el Graded Chronic Pain Scale y el SF-36 Health Survey (SF-36v2) o Cuestionario autogestionado de Salud SF-36. Los resultados expuestos muestran que existen relación entre la simulación de síntomas dolor crónico pero no con la calidad de vida. La simulación de síntomas en pacientes con fibromialgia es un fenómeno muy complejo que depende de varios métodos de control entre los que cabe destacar la utilización de screening como el SIMS apoyados con importantes exámenes físicos y psicológicos por expertos.Palabras clave: Fibromialgia, dolor crónico, simulación de síntomas.


2020 ◽  
Vol 10 (2) ◽  
pp. 85-95
Author(s):  
Kai-Uwe Kern ◽  
Melanie Sohns ◽  
Birgit Heckes ◽  
Christian Elling

Background: Chronic osteoarthritis (OA) pain leads to severe impairments in physical functioning and quality of life. Patients & methods: Data of patients with severe chronic knee and/or hip OA pain were extracted from the database of a prospective, noninterventional trial to assess the benefits of tapentadol prolonged release (PR) in elderly patients (>65 years of age; n = 1162) compared with younger patients (≤65 years of age; n = 498). Results: Tapentadol PR treatment (up to 3 months) significantly reduced pain intensity and pain-related restrictions on daily functioning and significantly improved physical and mental quality of life in both patient groups. The incidence of adverse drug reactions was low. Conclusion: Tapentadol PR is a useful strong analgesic to improve pain intensity, physical functioning and quality of life in elderly OA patients.


psicogente ◽  
2017 ◽  
Vol 20 (38) ◽  
Author(s):  
Ara Mercedes Cerquera Córdoba ◽  
Ana Fernanda Uribe Rodríguez ◽  
Yeferson Jhair Matajira Camacho ◽  
Heidy Vanessa Correa Gómez

Objetivo: En la medida que la población va envejeciendo, la presencia de enfermedades crónicas, dolores y discapacidades va aumentando; estas afecciones cuentan con un bajo pronóstico de cura, lo cual lleva a complicaciones en el desempeño de las actividades de la vida diaria, dificul- tando la independencia y la autonomía de quien las padece. Actualmente más de 868 millones de personas superan los 60 años. Se habla de casi un 12 % del total de la población mundial, y para el año 2050, se estima que haya un incremento del 21 %, equiparando el porcentaje de los menores de 15 años. Esta proyección supone nuevos retos sociales y una respuesta del sistema de salud, que permita favorecer entre los envejecidos, procesos de adaptabilidad y crecimiento psicosocial. Objetivo: Identificar la asociación existente entre la dependencia funcional entendida como aquella condición de imposibilidad por deterioro físico y cognitivo, que tiene el sujeto para valerse por sus propios medios y el dolor al cual hace referencia, aquella experiencia sensorial y emocional desagradable causada por injuria real o potencial a un tejido. Método: Para el presente artículo se efectuó una búsqueda bibliográfica en bases de datos como Redalyc, Google académico, Ebsco, Medline, entre otras, donde fueron seleccionados 60 artículos que estuviesen incluidos en revistas indexadas. Resultados: Se encuentra una gran prevalencia de estudios que reportan que el envejecimiento asociado al dolor evidencia mayor nivel de dependencia funcional en el adulto mayor


2021 ◽  
Vol 19 (4) ◽  
pp. 351-360
Author(s):  
Zahra Rahimi ◽  
◽  
Seyed Mani Mahdavi ◽  
Mojtaba Kamyab ◽  
Haleh Dadgostar ◽  
...  

Objectives: Thoracic hyperkyphosis is one of the most common conditions in the elderly. The use of orthosis and exercise is one of the most effective treatments suggested, but unfortunately, there is little evidence to support this treatment. The study aimed to compare the effect of Spinomed® orthosis and elderly spinal orthosis with exercise and exercise alone on the angle of kyphosis, quality of life, and pain in the elderly with thoracic hyperkyphosis. Methods: In this study, 40 older adults aged 60 years and older with a kyphosis angle of more than 50 degrees were recruited. The participants were allocated into three groups: Spinomed® orthosis and exercise (n=14), elderly spinal orthosis and exercise (n=15), and exercise only (n=11). The groups were treated for three months. Results: There was a significant decrease in the kyphosis angle of participants in the Spinomed® orthosis and exercise groups (P=0.005). Pain score was significantly decreased in the Spinomed® orthosis and exercise group (P=0.023). There was only a significant increase in the physical component summary in the Spinomed® orthosis and exercise group (P=0.03) and the elderly spinal orthosis and exercise group (P=0.04) . Discussion: The combination of Spinomed® orthosis with exercise is the best choice to correct the kyphosis angle, reduce pain, and increase the quality of life. Elderly spinal orthosis and exercise can also improve the quality of life scores.


2017 ◽  
Vol 61 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Satoshi Fukumitsu ◽  
Tetsu Kinoshita ◽  
Myra O. Villareal ◽  
Kazuhiko Aida ◽  
Akihiro Hino ◽  
...  

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