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Factors influencing the control of post-operative pain in older people

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  04 May 2006

Donna N Brown ,
Brendan G McCormack  and
Helen McGarvey
Donna N Brown
Affiliation:
Royal Hospitals Trust, Belfast, UK
Brendan G McCormack
Affiliation:
Royal Hospitals Trust, Institute of Nursing Research and School of Nursing, University of Ulster Belfast, UK and Faculty of Medicine, Monash University, Victoria, Australia
Helen McGarvey
Affiliation:
School of Nursing, University of Ulster, Coleraine, Northern Ireland, UK
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Extract

The purpose of this review is to discuss how healthcare professionals, and particularly nursing practice, impact upon pain management with older people (65 years and over), following surgery. The review commences with an introduction presenting why this is an important area to consider. Current available literature and findings from an ethnographic study which was designed to examine peri-operative pain-management practices with older people will then be discussed to highlight the key issues of pain assessment and management. Three overarching themes; (1) pain assessment (2) knowledge/strategies to cope with pain and (3) organization of care (culture and context), will guide the discussion. It is suggested that comprehensive pain assessment, proficient communication and multidisciplinary working, are essential to improve pain-management practices. The paper demonstrates some of the multiple and complex factors that affect the older person's pain experience and identifies possible developmental work in this field.

Type
Psychological and social gerontology
Information
Reviews in Clinical Gerontology , Volume 15 , Issue 2 , May 2005 , pp. 149 - 156
Copyright
© 2006 Cambridge University Press

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