Holistic Assessment: The Effective Approach in Assessing Chronic Pain Among Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/153295
Type:
Presentation
Title:
Holistic Assessment: The Effective Approach in Assessing Chronic Pain Among Older Adults
Abstract:
Holistic Assessment: The Effective Approach in Assessing Chronic Pain Among Older Adults
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Ruzicka, Susan A., RN, PhD
P.I. Institution Name:University of Texas Health Science Center at San Antonio
Title:Assistant Professor
Background: Older adults experience the highest prevalence of pain and predominantly ineffective pain management. Chronic disease is the leading cause of unwanted pain experienced by 80% U.S. elders. Studies and interventions examine one or two dimensions of pain, few studies have examined chronic pain as holistically experienced, a complex experience of many dimensions. Purpose: To identify patterns and examine associations in the experience of chronic pain, (using seven dimensions of pain assessment) among chronically-ill older adults. Methods: 150 cognitively intact subjects age 65 and older with three different etiologies of chronic pain: 1)Cancer with hope for recovery (n=50), 2)Arthritis (n=50), and 3)Terminal cancer with prognosis<6 months (n=50). Subjects were recruited from a Veterans Hospital and home hospice settings. Seven pain dimensions were assessed: Physiological , Behavioral , Sensory, Affective, Cognitive, Socio-cultural and Spiritual.Results: 150 subjects. Mean age of 73.5. 82.6% male,70% White, 23% Hispanic, 6% Black, 1% Asian. Mean education level was 11 years. Mean number of chronic illnesses was 4. 66% arthritis, 59% cancer, 44% hypertension, 40% heart disease, 33% visual impairment, 33% orthopedic impairment. Factor analysis using orthogonal transformation matrix, yielded three distinct factors: 1) Physiological, Sensory and Cognitive; 2) Behavioral, Affective and Socio-cultural; 3) Spiritual dimension. Cluster analysis yielded 13 clusters. Two major clusters of pain experience comprised 85% subjects. The two clusters were compared and the Behavioral, Affective and Socio-cultural dimensions were significantly different (p>.0001). Eleven clusters defined pain experiences for 15% of the sample. Spiritual dimension was significant as identified through factor analysis. Conclusions: Major findings in this study: 1) Self-perceived functional status significantly influences chronic pain experiences. 2) Spiritual assessment is significant in evaluating chronic pain. 3) Holistic assessment is essential for a better understanding and management for an elder's chronic pain, facilitating the provision of comfort among all settings.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHolistic Assessment: The Effective Approach in Assessing Chronic Pain Among Older Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153295-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Holistic Assessment: The Effective Approach in Assessing Chronic Pain Among Older Adults</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ruzicka, Susan A., RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Texas Health Science Center at San Antonio</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ruzicka@uthscsa.edu</td></tr><tr><td colspan="2" class="item-abstract">Background: Older adults experience the highest prevalence of pain and predominantly ineffective pain management. Chronic disease is the leading cause of unwanted pain experienced by 80% U.S. elders. Studies and interventions examine one or two dimensions of pain, few studies have examined chronic pain as holistically experienced, a complex experience of many dimensions. Purpose: To identify patterns and examine associations in the experience of chronic pain, (using seven dimensions of pain assessment) among chronically-ill older adults. Methods: 150 cognitively intact subjects age 65 and older with three different etiologies of chronic pain: 1)Cancer with hope for recovery (n=50), 2)Arthritis (n=50), and 3)Terminal cancer with prognosis&lt;6 months (n=50). Subjects were recruited from a Veterans Hospital and home hospice settings. Seven pain dimensions were assessed: Physiological , Behavioral , Sensory, Affective, Cognitive, Socio-cultural and Spiritual.Results: 150 subjects. Mean age of 73.5. 82.6% male,70% White, 23% Hispanic, 6% Black, 1% Asian. Mean education level was 11 years. Mean number of chronic illnesses was 4. 66% arthritis, 59% cancer, 44% hypertension, 40% heart disease, 33% visual impairment, 33% orthopedic impairment. Factor analysis using orthogonal transformation matrix, yielded three distinct factors: 1) Physiological, Sensory and Cognitive; 2) Behavioral, Affective and Socio-cultural; 3) Spiritual dimension. Cluster analysis yielded 13 clusters. Two major clusters of pain experience comprised 85% subjects. The two clusters were compared and the Behavioral, Affective and Socio-cultural dimensions were significantly different (p&gt;.0001). Eleven clusters defined pain experiences for 15% of the sample. Spiritual dimension was significant as identified through factor analysis.&nbsp;Conclusions: Major findings in this study: 1) Self-perceived functional status significantly influences chronic pain experiences. 2) Spiritual assessment is significant in evaluating chronic pain. 3) Holistic assessment is essential for a better understanding and management for an elder's chronic pain, facilitating the provision of comfort among all settings.</td></tr></table>en_GB
dc.date.available2011-10-26T12:10:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:10:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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