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Chronic Pain, Opiates, and Physical Therapy: Considerations for the Older Adult
- ON-DEMAND Replay
- Presented: 2 August, 2022
- CEUs: 1.00
Description
Chronic Pain, Opiates, and Physical Therapy: Considerations for the Older Adult
Physical Therapists (PTs) working with adults 65 years or older encounter many patients who have had a pain experience in the past or are currently experiencing pain. According to the Centers for Disease Control (CDC) analysis of the 2016 National Health Interview Survey (NHIS) data, 27.6% of older adults have chronic pain. Pain is subjective, complex, and affected by various external and internal physical, emotional, and environmental factors. The purpose of this session is to provide an evidence-based approach to pain assessment and management that guides clinicians in caring for older adults appropriately without contributing to opioid misuse or the health disparities, ageism, and other means of health inequity commonly faced by older adults with pain. The speakers will share case examples and provide pragmatic suggestions for clinical applications within the team framework including the patient at the center of their care.
Objectives:
- Recognize and interpret subjective and objective findings related to chronic pain to create an individualized patient management plan.
- Select and interpret evidence-based outcome measures for assessment of pain in older adults.
- Integrate knowledge of the physical therapy management of pain in older adults through case studies with concurrent medical management.
References:
- Dahlhamer J, Lucas J, Zelaya, C, et al. Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016. MMWR Morb Mortal Wkly Rep. 2018;67(36):1001-1006.doi:10.15585/mmwr.mm6736a2
- Rossettini G, Carlino E, Testa M. Clinical relevance of contextual factors as triggers of place boand nocebo effects in musculoskeletal pain. BMC Musculoskelet Disord. 2018;19(1).doi:10.1186/s12891-018-1943-8
- Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain —United States, 2016. MMWR Recomm Reports. 2016;65(1):1-49.doi:10.15585/mmwr.rr6501e1er
- Fick DM, Semla TP, Steinman M, et al. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc.2019;67(4):674-694. doi:10.1111/jgs.15767
- Wijma AJ, van Wilgen CP, Meeus M, Nijs J. Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education. 2016.
- Moseley GL, Butler DS. Fifteen Years of Explaining Pain: The Past, Present, and Future. J Pain.2015;16(9):807-813. doi:10.1016/j.jpain.2015.05.005