OBJECTIVE To establish the feasibility of and to generate preliminary evidence for the efficacy of a care management program addressing both physical and emotional pain associated with late-life depression and osteoarthritis. METHODS Treatment development pilot study in three university affiliated primary care clinics. Participants were patients 60 years or older with depression and osteoarth...

Background Opioid prescribing has increased by ~400% over the past 20 years in the US and has been correlated with dramatic increases in accidental overdose-related deaths. Emerging evidence of serious dose-dependent side effects of opioid analgesics has led to recommendations from multinational pain societies and governments to decrease opioid doses and increase referrals to pain specialists. ...

LEADERSHIP ROLE Catholic Memorial Home, a 300-bed, skilled long-term care facility, assumed a leadership role in treating pain for the elderly by developing a dynamic interdisciplinary pain management program in 1997. The home is part of the Diocesan Health Facilities (www.dhfo.org), a system of five, long-term care facilities sponsored by the Roman Catholic Diocese of Fall River, Mass. The pai...

Social workers, like other health care providers, may lack the necessary skills for effective pain and symptom management and to competently address the complex yet critical bio-psychosocial-spiritual needs facing seriously ill patients and their families. The purpose of this article is to describe the development of a national educational program designed to promote excellence in pain manageme...

BACKGROUND Self-management (SM) programs are effective for some chronic conditions, however the evidence for arthritis SM is inconclusive. The aim of this case series project was to determine whether a newly developed specific self-management program for people with osteoarthritis of the knee (OAK), implemented by health professionals could achieve and maintain clinically meaningful improvement...

Pain assessment is a multifaceted process. A common assumption is that all nurses have the same baseline knowledge about pain, a potentially erroneous assumption that influences clinical practice. Nurses have varied experiences in education and pain management. This article describes a research project conducted by the hospital's clinical nurse specialist group to evaluate the effects of a nurs...

BACKGROUND Pain is an important problem for patients with cancer and is particularly important for elderly patients with cancer and their family care givers. Increasingly, cancer is managed on an outpatient basis with pain management responsibility assumed by the family at home. This study evaluated a structured pain education program that included three components: basic pain management princi...

background: venepuncture is a minimally invasive procedure, which is commonly performed in hospitals; if the pain is inadequately managed, it can cause negative feelings in children. distraction can reduce pain through affecting the central nervous system and releasing neurotransmitters that inhibit pain. aim: in this study, we aimed to compare the effects of play-dough and bubble making as dis...