Holistic assessment of chronic pain among elders
Autor: | Susan Ruzicka, Meghan Gerety, Sandra Sanchez-Reilly |
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Rok vydání: | 2007 |
Předmět: |
Male
medicine.medical_specialty Pain Pilot Projects Holistic Health Nursing Methodology Research Models Psychological Severity of Illness Index 03 medical and health sciences 030502 gerontology Activities of Daily Living medicine Cluster Analysis Humans Spirituality Models Nursing Geriatric Assessment Nursing Assessment Qualitative Research Aged Pain Measurement Pain experience 030505 public health business.industry Chronic pain Cognition General Medicine medicine.disease Texas Nursing Evaluation Research Chronic Disease Physical therapy Educational Status Female 0305 other medical science business Attitude to Health Clinical psychology |
Zdroj: | The American journal of hospicepalliative care. 24(4) |
ISSN: | 1049-9091 |
Popis: | This pilot study assessed pain using 7 dimensions of pain (physiologic, behavioral, sensory, affective, cognitive, sociocultural, and spiritual) to better understand and identify patterns of elder response to chronic pain within a holistic framework. Previously validated instruments were used to assess 150 cognitively intact subjects, aged 65 years and older, with chronic pain. Thirteen patterns were identified reflecting distinct patterns of pain response. Two patterns comprised 85% of the responses: (1) high spiritual well-being, low physiologic pain, and high perceived independent functioning; and (2) high spiritual well-being, low physiologic pain, and lower perceived independent functioning. The 11 other patterns of pain response also varied in their responses to the pain experience. These responses reflect the unique and holistic experience of chronic pain among older adults. Holistic assessment enhances the understanding of the pain specific to the individual. Self-perceived functional dependence and the spiritual component significantly influence chronic pain experiences. |
Databáze: | OpenAIRE |
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