Handbook of Pain and Aging

Front Cover
David I. Mostofsky, Yaakov Lomrants, Jacob Lomranz
Springer Science & Business Media, Nov 30, 1997 - Medical - 395 pages
From time to time, professional journals and edited volumes devote some of their pages to considerations of pain and aging as they occur among the aged in different cultures and populations. One starts from several reasonable assumptions, among them that aging per se is not a disease process, yet the risk and frequency of disease processes increase with ongoing years. The physical body's functioning and ability to restore all forms of damage and insult slow down, the immune system becomes compromised, and the slow-growing pathologies reach their critical mass in the later years. The psychological body also becomes weaker, with unfulfilled promises and expectations, and with tragedies that visit individuals and families, and the prospect that whatever worlds remain to be conquered will most certainly not be met with success in the rapidly passing days and years that can only culminate in death. Despair and depression coupled with infirmity and sensory and! or motor inefficiency aggravate both the threshold and the tolerance for discomfort and synergistically collaborate to perpetuate a vicious cycle in which the one may mask the other. Although the clinician is armed with the latest advances in medicine and phar macology, significant improvement continues to elude her or him. The geriatric specialist, all too familiar with such realities, usually can offer little else than a hortative to "learn to live with it," but the powers and effectiveness of learning itself have declined.
 

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Contents

The Psychology of Pain and Suffering
3
A Brief History of Pain Perception and Pain Tolerance in Aging
19
Chronic Morbidity and Disability in the US Elderly Populations
37
The Assessment of Pain in the Elderly
69
Nutrition Disability and Health in the Older Population
97
Managing Pain in the Institutionalized Elderly The Nursing Role
129
Rehabilitating the Elderly in Return to Work
155
Coping with Pain in Old Age
167
Hypnosis and Pain Relief for Older Persons
227
Management of Chronic Nonmalignant Pain in the Elderly
241
Cancer Pain in the Elderly
267
Pain in Osteoporosis and Pagets Disease in the Elderly
309
Oral Facial Pain in the Elderly
321
Exercise in Aging and Pain Control
347
Behavioral Treatments for Pain Experienced by Older Adults
365
Index
383

The Role of Pain in the Cascade from Chronic Illness to Social Disability and Psychological Distress in Late Life
185
Pain and Psychological Function in Late Life
207

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