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Therapeutic Massage for Psychological Well-being in Geriatric Oncology

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Pain assessment in a geriatric psychiatry program.

Paul Stolee¹, Loretta M Hillier, Jacquelin Esbaugh

¹School of Optometry and Department of Health Studies and Gerontolgy, University of Waterloo, Waterloo, Ontario, Canada. stolee@uwaterloo.ca

Pain Research & Management

|December 15, 2007

Summary

Assessing and managing pain in geriatric psychiatry patients is difficult due to a lack of consistent tools and practices. Improving pain management requires a comprehensive approach focusing on behavioral indicators.

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Area of Science:

Geriatric Psychiatry
Pain Management
Healthcare Professionals

Background:

Pain assessment in older adults with psychiatric conditions presents unique challenges.
Existing pain assessment tools are often not well-validated for this specific population.

Purpose of the Study:

To explore current pain assessment and management practices within a geriatric psychiatry service.
To identify indicators used for pain assessment in geriatric psychiatry patients.

Main Methods:

A survey was administered to 74 staff members of a geriatric psychiatry service.
Survey results were discussed in a focus group to explore implementation strategies.

Main Results:

Over 90% of respondents believed pain assessment and management could be improved.
Inconsistent approaches, misconceptions about pain, and lack of suitable tools were identified as barriers.
Behavioral changes were noted as key indicators, emphasizing recognition of deviations from usual behavior.

Conclusions:

A comprehensive, practical, and consistent approach to pain assessment and management is needed for geriatric psychiatry patients.
Incorporating specific behavioral indicators into a pain protocol is crucial for this population.