Interdisciplinary Approaches to Managing Pain in Older Adults

Wickson-Griffiths, Abigail; Kaasalainen, Sharon; Herr, Keela

doi:10.1016/j.cger.2016.06.013

Cited by 9 publications

(4 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 10 Consequently, the therapeutic approach to chronic pain gravitates toward enhancing the quality of life and facilitating routine activities rather than the absolute alleviation of pain. 11 The pivotal role of pain management, which encompasses the engagement of pain during daily activities and physical exercise while considering unique pain patterns, has been underscored. 12 Previous studies have demonstrated that a comprehensive, multidisciplinary intervention integrating patient education for pain management could ameliorate self-management and self-efficacy in patients with chronic pain due to diverse etiologies.…”

Section: Introductionmentioning

confidence: 99%

Can the Assessment of the Circadian Rhythm of Pain Be Shortened? A Study of Community-Dwelling Participants with Chronic Pain

Tanaka,

Fujii,

Shigetoh

et al. 2024

JPR

View full text Add to dashboard Cite

Purpose This study aimed to juxtapose the circadian rhythm of pain with the conventional 7-day assessment and ascertain the feasibility of condensing the evaluation of the circadian rhythm of pain into a 3-day timeframe. Patients and Methods Seventy-three patients with pain persisting for a minimum of 3 months and a numerical rating scale (NRS) score of ≥2 were recruited from three medical centers. The circadian patterns of pain were appraised over a 7-day period by quantifying the intensity of pain at six temporal junctures each day using a 10-cm visual analog scale (VAS). Cluster analysis was performed using six standardized variables derived from the VAS score of each participant at six designated time points to identify cohorts with analogous circadian rhythms of pain. The clusters were discerned for the 7- and 3-day assessments (Tuesday–Thursday, Friday–Sunday, and Sunday–Tuesday), according to the research objectives. Cohen’s kappa coefficient was calculated to gauge the intra-observer variability to assess the consistency between the outcomes of the cluster analysis for the 7-day assessment and each of the 3-day assessments. Results The highest Cohen’s kappa coefficient was observed for the 3-day evaluation spanning from Friday to Sunday, indicating a substantial concordance with the results of the 7-day assessment. Conclusion Our results suggest that it may be prudent to consider implementing a condensed 3-day evaluation of the circadian rhythm of pain that is tailored to individual characteristics. This approach will allow a better understanding of the diurnal rhythms of chronic pain in patients and implement more targeted and specific pain management strategies. Furthermore, it will contribute to increased patient satisfaction through early intervention.

show abstract

Section: Introductionmentioning

confidence: 99%

Can the Assessment of the Circadian Rhythm of Pain Be Shortened? A Study of Community-Dwelling Participants with Chronic Pain

Tanaka,

Fujii,

Shigetoh

et al. 2024

JPR

View full text Add to dashboard Cite

show abstract

“…Therefore, at present, the treatment for chronic pain is aimed at improving patients’ quality of life and ability to perform activities of daily living. [ 12 ] Additionally, instead of focusing on pain elimination, there is a focus on the importance of pain management, which includes understanding pain patterns while engaging in daily activities and physical exercise. In fact, McDonough et al reported that achieving life goals while managing pain led to improvements not only in pain intensity but also in self-efficacy and physical activity levels.…”

Section: Introductionmentioning

confidence: 99%

“…In patients experiencing chronic pain, psychosocial factors become intertwined with the pain pathology, complicating treatment. Therefore, at present, the treatment for chronic pain is aimed at improving patients’ quality of life and ability to perform activities of daily living [12] . Additionally, instead of focusing on pain elimination, there is a focus on the importance of pain management, which includes understanding pain patterns while engaging in daily activities and physical exercise.…”

Section: Introductionmentioning

confidence: 99%

Classification of circadian pain rhythms and pain characteristics in chronic pain patients

et al. 2021

View full text Add to dashboard Cite

This study aimed to perform cluster analysis in patients with chronic pain to extract groups with similar circadian rhythms and compare neuropathic pain and psychological factors among these groups to identify differences in pain-related outcomes. A total of 63 community-dwellers with pain lasting at least 3 months and Numerical Rating Scale scores of ≥2 were recruited from 3 medical institutions. Their pain circadian rhythms were evaluated over 7 days by measuring pain intensity at 6-time points per day using a 10-cm visual analog scale. Cluster analysis was performed using 6 variables with standardized visual analog scale values at 6-time points for individual participants to extract groups with similar pain circadian rhythms. The results of the Neuropathic Pain Symptom Inventory and psychological evaluations in each group were compared using the Kruskal–Wallis test. The results revealed 3 clusters with different circadian rhythms of pain. The total and evoked pain subscale Neuropathic Pain Symptom Inventory scores differed among the 3 clusters. The results suggest that a thorough understanding of circadian pain rhythms in chronic pain patients may facilitate the performance of activities of daily living and physical exercise from the perspective of pain management.

show abstract

“…Therefore, at present, NP management aims at improving the patients’ QOL and activities of daily living (ADL)[ 11 ]; therefore, instead of focusing on pain elimination, the emphasis is placed on pain management, which includes understanding the pain patterns during daily activities and physical exercise. Patient education is a method of intervention aimed at pain management.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of patient education focusing on circadian pain rhythms: A case report and review of literature

Tanaka¹,

Sato²,

Imai³

et al. 2021

WJCC

View full text Add to dashboard Cite

BACKGROUND Neuropathic pain management should aim at improving quality of life and daily living activities of patients; therefore, emphasis should be placed on pain management including understanding the pain patterns during daily activity. Therefore, lifestyle guidance should be based on a detailed understanding of pain; however, previous studies commonly evaluated pain intensity at a single point in time. We report a case on patient education intervention based on the relationship between pain circadian rhythms and detailed physical activity during the day. CASE SUMMARY A man in his 60s, who suffered a brachial plexus injury in a traffic accident, presented with neuropathic pain. Early assessment of the importance of daily living activities to the patient, pain rhythmicity, and physical activity, was performed. The early assessments showed that the pain intensity was lower on days when more light-intensity physical activity (LIPA) was performed, than on days when less LIPA was performed. Consequently, patient education focused on methods to decrease the pain intensity that tended to worsen in the afternoon, and encouraged behavioral changes by suggesting the patient to take walks,” which could be used to maintain LIPA in the afternoon. On reassessment, the afternoon LIPA, which had been the focus of attention, had increased and a change was noted in the circadian rhythm of pain. CONCLUSION Patient education based on a composite assessment elicited positive results in relation to the pain circadian rhythm and physical activity.

show abstract

Interdisciplinary Approaches to Managing Pain in Older Adults

Cited by 9 publications

References 35 publications

Can the Assessment of the Circadian Rhythm of Pain Be Shortened? A Study of Community-Dwelling Participants with Chronic Pain

Can the Assessment of the Circadian Rhythm of Pain Be Shortened? A Study of Community-Dwelling Participants with Chronic Pain

Classification of circadian pain rhythms and pain characteristics in chronic pain patients

Effectiveness of patient education focusing on circadian pain rhythms: A case report and review of literature

Contact Info

Product

Resources

About