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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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[Interdisciplinary pain therapy in the elderly].

Peter Mattenklodt1, Anne Ingenhorst2, Brigitta Flatau3

  • 1Schmerzzentrum, Uniklinikum Erlangen, Krankenhausstr. 12, 91054, Erlangen, Deutschland. peter.mattenklodt@uk-erlangen.de.

Schmerz (Berlin, Germany)
|June 2, 2023
PubMed
Summary

Multimodal pain therapy, tailored for older adults, offers significant benefits by addressing physical, psychological, and social factors. This approach improves pain management and daily function in the elderly population.

Keywords:
AgedBiopsychosocial model/painChronic painCognitive behavioral therapySelf-management/pain

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Area of Science:

  • Gerontology
  • Pain Management
  • Rehabilitation Medicine

Context:

  • Chronic pain is a growing concern in the elderly, necessitating effective therapeutic strategies.
  • International guidelines recommend a bio-psycho-social model for pain management in older adults.
  • While evidence is evolving, tailored multimodal interventions show promise for this demographic.

Purpose:

  • To review the components and evidence for multimodal pain therapy in the elderly.
  • To highlight the importance of individualized interventions adapted to the specific needs of older patients.
  • To discuss the role of various therapeutic modalities within a comprehensive pain management framework.

Summary:

  • Multimodal pain therapy for the elderly integrates physical therapy (movement, coordination), occupational therapy (daily living adaptations), and psychological training (pain acceptance, coping strategies).
  • Techniques like relaxation, mindfulness, and pain education, potentially supported by digital media, are valuable adjuncts.
  • Complementary approaches include addressing fear-avoidance beliefs and naturopathic self-help, with a strong emphasis on crucial follow-up care.

Impact:

  • Demonstrates that older adults can benefit from multimodal pain therapy when interventions are specifically adapted to their needs.
  • Emphasizes the integration of physical, psychological, and social elements for improved pain management and function in geriatric populations.
  • Underscores the need for ongoing research into the long-term efficacy and importance of follow-up care in this patient group.