A Chronic Pain Management Program

Paper Summary:

The paper discusses a program that is targeted at older adults who suffer from chronic pain, utilizing a combination of therapies that are holistic and address conditions that affect the mind, body and emotions. The paper explains that chronic pain must include issues of loss and stress and this can only be achieved through the use of complementary and alternative interventions. The paper concludes that while there are restrictions on the implementation of this program, its main value is that it incorporates patients who are otherwise excluded, such as those with dementia.

Outline:
Introduction
The Necessity of the Program
The Elements of the Program
Health Teaching
Interventions and Individual Differences
Outcomes of the Program
Conclusion

From the Paper:

"A complex continuing care program is intended to provide care for older patients who experience complex medical conditions in a non-acute hospital setting. Complex medical conditions include pain and symptom management, recovery from stroke, along with other chronic medical conditions which impact on patients' physical, emotional, social and spiritual well-being. The program was developed because pain among the elderly is often not adequately treated. When pain in older adults is not effectively managed, there are serious impacts on their physical and psychological functioning as well as on their quality of life (Herr, 2002)."

Sample of Sources Used:

• Chodosh, J. & Morton, S. (2005). Meta-analysis: Chronic disease self-management programs for older adults. Annals of Internal Medicine, 143 (6), 427-438
• Herr, K. (2002). Chronic pain in the older patient: Management strategies. Journal of Gerontological Nursing 28 (2), 28-34.
• McBee, L. (2003). Mindfulness practice with the frail elderly and their caregivers. Topics in Geriatric Rehabilitation 19 (4), 257-264.
• Resnick, B. & Quinn, C. (2004). Testing the feasibility of implementation of clinical practice guidelines in long-term care facilities. Journal of the American Medical Directors Association 5 (1), 1-8
• Tarzian, A. & Hoffmann, D. (2004). Barriers to managing pain in the nursing home. Journal of the American Medical Directors Association 5 (2), 82-88

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