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Impact of dementia on elderly
Impact of dementia on elderly
Impact of dementia on elderly
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Joint pain in the elderly deserves more attention
About half of all people aged 65 or older has daily experience joint pain. This is often accompanied with other chronic conditions such as diabetes or heart arrhythmia. The treatment of these chronic diseases are often given priority causing joint pain comes in second place.
And while the pain much influence on mobility, self-reliance and social life of the elderly.
Joint pain in the elderly by both doctor and patient is often underestimated. Older people tend to think that joint pain simply part of getting older. If patients do go to the doctor, then pain and functional limitations are not always sufficiently recognized and treated, particularly when there are other chronic conditions are
In my opinion cancer patients can alternative pain management and higher dose of pain medicine so that they can have some comfort during their stage of dying.
Management of pain is very important when it comes to palliative care patients, considering that 55-95% of this patient population requires analgesia for pain relief (Creedon & O’Regan, 2010, p. [ 257]). But what is considered pain management? And why does pain continue to be inadequately treated? According to the article on chronic non-cancer pain in older people: evidence for prescribing, in the past few decades significant improvements have been made to the management of pain in palliative care. However, it is universally acknowledged that pain on a global scale remains inadequately treated because of cultural, attitudinal, educational, legal, and systemic reasons (Creedon & O’Regan, 2010, p. ...
A. Chronic pain signifies a developing public health issue of huge magnitudes, mainly in view of aging populations in developed countries (Russo).
Increasingly, people know from their own experience some painful dilemmas involving elderly or handicapped individuals who are in pain. While the achievements of modern medicine have been used to prolong and enhance life for many, they have also helped create an often dreaded context for dying. Costly technology may keep persons alive, but frequently these persons are cut off from meaningful relationships with others and exist with little or no hope for recovery. Many fearfully imagine a situation at the end of their lives where they or their trusted ones will have no say in decisions about their treatment.
What exactly is pain? According to Webster's dictionary, pain is "physical suffering typically from injury or illness; a distressing sensation in a part of the body; severe mental or emotional distress". Most everyone reading this paper has experienced some form of physical pain at some point during their lives; most everyone has even experienced the common daily pains such as stubbing our toe as we walk through the living room, accidentally biting our tongue as we chew, and having the afternoon headache after a long day of work. No matter the fact that it is unpleasant, pain has a very important role in telling the body that something is not right and leading to behavior that will remove the body from a source of potential injury. Imagine if we could not experience pain. We would not be able to change our behavior in any way when touching the burning hot dish in the oven, resulting in potentially serious burns. We could not recognize that perhaps we twisted an ankle when walking down the stairs, thus continued walking on that foot would exacerbate the injury to the point of not being able to walk at all. Indeed, pain is not pleasant, but in many cases it is an important way for our nervous system to learn from and react to the environment.
“The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease” by Thomas A. Edison. Chiropractors use hands-on spinal manipulation and other alternative treatments on the spine which will enable the body to heal itself without surgery or medication. Chiropractic care began in 1895 when its founder, Daniel David Palmer, claimed any and all diseases could be healed by nothing more than just his hands. Dr. Palmer examined a janitor who was deaf for 17 years after the janitor felt his back was out of place, so Dr. Palmer gave an adjustment to what was felt to be a misplaced vertebra in the upper back. The janitor then observed that his hearing improved thanks to Dr. Palmer. Chiropractors use manipulation to restore mobility to joints restricted by tissue injury caused by sitting without proper back support. Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons. About 22 million Americans visit chiropractors annually
Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172
The purpose of this paper is to present a discussion of the application and evaluation of Post-Operative pain management in elderly patients with dementia in a rehabilitation setting.
It is evident from the literature that, the adverse effects of dementia make changes in patients quality of life by changing their behavioural and functional abilities including expression of feelings or communicational skills. As a result, it becomes a challenge for the health care provider to assess or identify pain or symptoms of pain in dementia patients when they are unable to articulate their needs. Using a pain measurement tool helps the health care provider to meet this challenge, thus improve the pain management in persons with severe cognitive impairment. Throughout the research, in order to find out the suitable diagnostic tool for pain assessment in patients with advanced dementia, author reviewed studies on different pain assessment
Osteoarthritis (OA) is the most common form of arthritis, affecting more than 27 million Americans (LeMone, Burke, Bauldoff, 2011). It is caused when the cartilage in the joints breaks down, causing the bones of the joint to rub against one another. This causes pain, stiffness, and loss of motion in the joint. Osteoarthritis is most prevalent in those 65 and older, but can affect those of any age. In addition, African Americans and Hispanics report a higher incidence of arthritis than Caucasians (LeMone, Burke, Bauldoff, 2011). Although the cause is unknown, it is believed that the increasing age of the population, prevalence of obesity and injuries add to the progression of the condition. Osteoarthritis can affect any joint in the body; however, those of the hand, hip, and knee are often the most common. This condition may be asymptomatic, or may present symptoms including soreness, stiffness and pain. The symptoms are more common in the older population, those with limited activity levels, and those who are obese. Joint cartilage thins over time, causing an increased risk for symptoms in the elderly, and obesity puts extra pressure on the joints during activity. Osteoarthritis is commonly diagnosed with the use of a physical assessment along with results of radiology testing such as X-Ray and MRI.
(2010). Evidence-Based Review of Manual Therapy Efficacy in Treatment of Chronic Musculoskeletal Pain. Pain Practice, 10(5), 451-458. doi:10.1111/j.1533-2500.2010.00377.x
Stein, W. M 2001. Pain management in the elderly: pain in the nursing home. Clinics in Geriatric Medicine, 17, 575-594.
Aim. The purpose of this paper is to clarify and analyze the meaning of the concept of pain. The paper will clarify the defining attributes of pain and identify the antecedents that influence the perception of pain and list the consequences of pain. It will also state the empirical referents in reference to pain.
Mavandadi, S., Ten Have, T. R., Katz, I. R., Durai, U. B., Krahn, D. D., Llorente, M. D., & ... Oslin, D. W. (2007). Effect of Depression Treatment on Depressive Symptoms in Older Adulthood: The Moderating Role of Pain. Journal Of The American Geriatrics Society, 55(2), 202-211. doi:10.1111/j.1532-5415.2007.01042.x
Almost everyone develops osteoarthrits as they age, some get it while in their fifties and in others it does not appear until their eighties. Osteoarthritis is the most common form that affects older people; this form of the disease wears down the cartilage mostly through overuse and injury but there are other causes. This specific form of the disease causes the cartilage to break down and the bones to rub against each other. Deformity and swelling occurs because knobs of hardened bits of cartilage develop in the joint. It forms especially if a joint has been injured many times.