Medical and nursing management of gypsy's pain and other symptoms were guided by the guidelines proposed by the world health organization, the analgesic ladder a summary of how the analgesic ladder was implemented serves as an exemplar to health care providers in producing the outcome of total pain relief as a person dies from cancer. A healthcare provider can effectively treat pain in older patients, such as the patient in the case study, by careful prescribing, frequent reevaluation, and combining treatments to achieve better pain control.
Managing pain in geriatric patients use of an interdisciplinary team approach to assessment and management of pain in the elderly is advantageous these strategies need to be sensitive to cultural and ethnic issues, as well as to values and beliefs of patients and their families ags panel on persistent pain in older persons the. Assessment and management of pain in the elderly: self-directed learning package for nurses in long-term care toronto, canada: registered nurses’ association of ontario.
This case study was presented at a meeting of the special interest group on pain in older persons at the world pain congress in 2010 to maintain a focus on the principles of management, rather than on any particular pharmacological agent, the presenter did not name “the new medication” during the presentation. In this case, the patient is having thoracic procedures, so the incision is going to be mainly in the thorax/thoracic region, and therefore the pain management needs to cover that area and the transmissions then go up the spinal cord to the brain. Case studies the science and art of pain management in older persons: case study and discussion the most definitive approach to the management of pain is to treat the underlying cause as.
Given the elevated risk in this case, a review with an addiction medicine specialist may result in a risk management plan that includes referral to, and co-management by, a pain specialist program once therapeutic goals are achieved, the patient can be transferred back to the primary care physician with the option of referral to a specialty service, if necessary. Pain management in the elderly: focus on safe prescribing choosing pain medications for elderly patients requires a broad knowledge of polypharmacy, drug-drug interactions, and pharmacokinetics by jeffrey j bettinger, pharmd , erica l wegrzyn, pharmd and jeffrey fudin, pharmd, daipm, fccp, fashp. Pain management : case studies : word document: case study 1: mrs was implemented serves as an exemplar to health care providers in producing the outcome of total pain relief as a person dies from cancer in addition to the hemoptysis at diagnosis, gypsy reported pain at a level of 4 on a 0 to 10 scale, where 0 was no pain and 10 was. Pain in persons with dementia: complex, common, and challenging joseph shega, linda emanuel, lisa vargish, stacie k levine, heide bursch, keela herr, pain management in a cognitively impaired older adult case study a n 82-year-old woman with moderate alzhei.
Case study profile treating an elderly patient with a recent knee replacement male age 65 situation overview in the immediate period after surgery, especially following major joint replacements, the goal is to provide a patient with sufficient pain control to allow ambulation and rehabilitative therapy. Pain management case studies pathological pain presented by nagy mekhail md, phd thank you, dr gan in the next half hour i will talk to you about clinical implications of pain management through case studies but before i do this, let me recap some of what you heard this morning.
Leading investigators in the fields of anesthesia, surgery, and pain management discuss current and novel data regarding the mechanisms of pain and the consequences associated with insufficient treatment. Despite these challenges, pain can usually be effectively managed in the elderly you will review case studies involving ms x and ms y which will explore the need for an accurate pain assessment utilizing appropriate pain assessment tools to develop therapeutic interventions according to current ags guidelines.
Included are appropriate pain assessment, physical examination, pathophysiologic changes in the elderly, pharmacokinetic and pharmacodynamic changes, and present pain management modalities elderly patients present with increased fat mass, decreased muscle mass, and decreased body water, all of which have important ramifications on drug distribution. Download presentation powerpoint slideshow about 'pain management in elderly persons case studies' - trygg an image/link below is provided (as is) to download presentation.