Chronic pain – definitions, models and cognitive-behavioural therapy

Kuty-Pachecka, Marta; Trzebińska, Magdalena

doi:10.15557/pipk.2018.0006

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…In Poland, according to the national senior citizens’ health survey PolSenior 2, chronic pain (lasting more than 3 months) was reported by 47.6% of people aged over 60 years [ 13 ]. Chronic pain is particularly troublesome for elderly patients due to its multifactorial aetiology and difficulties in causal treatment, as well as its negative impact on seniors’ physical and psychological functioning [ 14 ]. This figure may be underestimated, especially given the common neuropathic pain in the elderly population, whose symptoms such as itching, tingling, or numbness may not be classified as pain complaints at all [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Pain and Its Management in Patients Referred to a Geriatric Outpatient Clinic

Rutkowski,

Wyszatycki,

Ejdys

et al. 2023

JPM

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(1) Background: A major problem affecting geriatric patients is pain. In addition to pain, a significant problem of old age is dementia and depression, which can hinder the diagnosis and treatment of pain. The aim of this study was to analyse the prevalence of pain in patients treated in a geriatric outpatient clinic and the treatment used. (2) Methods: The analysis was based on the records of 937 patients who visited the Geriatric Outpatient Clinic in Dobre Miasto between 2015 and 2020. Based on records containing data dating back to their first visit to the hospital, patients’ experiences of pain, the presence of depressive symptoms and dementia, and the pharmacological treatment used for pain (analgesics and coanalgesics) were analysed. (3) Results: Pain complaints were reported by 311 patients (33.2% of the study group), 76% of the complaints were from females. The mean age of the patients was 78 years (SD = 8.45). At least one analgesic drug was taken by 107 patients (34.4%). The most commonly used analgesics were opioids (63 patients, 58.87%), especially tramadol. Of the potential coanalgesics, the largest number of patients used an antidepressant. (4) Conclusions: Despite the widespread prevalence of pain among the elderly, only about one-third of them were taking pain medication, mainly in the form of weak opioids. Patients with symptoms of dementia were found to report pain less frequently.

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Section: Introductionmentioning

confidence: 99%

Pain and Its Management in Patients Referred to a Geriatric Outpatient Clinic

Rutkowski,

Wyszatycki,

Ejdys

et al. 2023

JPM

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The use of percutaneous nerve electrostimulation in the palliative ward, review of the latest articles

Goryńska

Kulisz

Kędziora–Kornatowska

2021

Ból

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Pain is one of the most common symptoms of palliative patients. The problem of the occurrence of pain and ways of alleviating it have been known since the beginning of medicine. In addition to pharmacotherapy, other non-pharmacological methods, such as transcutaneous nerve electrostimulation (TENS), are increasingly used. The aim of the work was to provide the latest knowledge on the effectiveness of TENS therapy in the palliative ward. The thesis is of a review nature and has been written on the basis of Polish and foreign scientific reports. The material was the latest literature in the field of non-pharmacological methods of pain treatment, care for patients with cancer and palliative wards. We obtained the literature from the Pubmed and Google Scholar search engines. Research to date has not sufficiently demonstrated the importance of TENS effectiveness. Some of them are also carried out on a small group of patients, which also does not give an accurate picture. However, it is often used because of proven features such as: affordability, cost and easy accessibility, and no side effects, and positive, though minor effects seen in palliative wards and more. There are not enough studies yet to sufficiently assess the effectiveness of TENS. Especially in the context of palliative wards, there are few of them. Existing studies are also of little relevance to determine whether TENS therapy is relevant in the light of ever newer methods of treating pain. Nevertheless, it is worth using this method as a supplement to pharmacotherapy, because pain greatly reduces the quality of life of palliative ward patients and is a troublesome problem for them. Therefore, it is worth conducting further research on this subject, following the latest literature data.

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Chronic pain – definitions, models and cognitive-behavioural therapy

Cited by 2 publications

References 23 publications

Pain and Its Management in Patients Referred to a Geriatric Outpatient Clinic

Pain and Its Management in Patients Referred to a Geriatric Outpatient Clinic

The use of percutaneous nerve electrostimulation in the palliative ward, review of the latest articles

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