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Lecture 9

Lecture 9.docx

7 Pages
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Department
Kinesiology & Health Science
Course Code
KINE 3350
Professor
Kathy Broderick

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10/8/2013 8:20:00 AM PAIN  50% of Canadians suffer from chronic pain  pain – hurts elderly ppl more; they are less resilient, thinner, frailer and more sensitive  more women suffer from pain then men – women feel pain more as well  You cannot comprehend someone elses pain – different pain threshold  Faces of Pain  Physical pain – cant do normal movement stuff; interferes with everyday life, and can barely leave the house  Psych pain – affects concentration, ppl are depressed, low self- esteem, more anxious  Social pain – cant attend social gatherings bc its too painful, become isolated and lonely – family members cant tell how much pain their experiencing  When you experience real pain, you will seek help for it  Is there empathy for pain – you cant see it or feel it Treatment  Pain is neglected by the health care system  Its undertreated and should be assessed like other physical problems ppl have  When ppl develop pain they have to wait a long time to be treated  Family doctors arent schooled in dealing with pain; many docs see it as temporary (just take NASAIDs)  It takes time to get over chronic pain so a lot of doctors don’t want to deal with it  Pain cant be cured, but can be managed  For meds: docs need to decide what to give, how much to give, how long to give, what the side effects are of the meds  Many ppl don’t want to take pain meds and will live with the pain because of the bad side effects  Cancer pain is the worst pain – they don’t know how to solve the pain of cancer yet Specialty  Pain management specialists take 2 more years after med school  Its not just drug therapy – they deal with the whole person including their mind  The pain team has lots of different professionals to deal with the pain  There are now pain clinics in Toronto – used to try and determine what causes the pain and see what drug therapy they can use that has the least side-effects Naturopathic medicine  Doctors believe that pain is physical and psych  Chronic pain – better to deal with management without drugs (avoid side effects) Communicating pain  You need to know how to communicate your pain – its difficult with the vast ethnic popn (can articulate)  Can use different methods for ppl to help explain where their pain is or how severe their pain is o Wong-Baker face rating scale – used for ppl to explain how strong their pain is Seniors and pain  Many have experienced real pain, some fear it bc they know what it is  When giving birth, drugs weren’t often given  Many old ppl have PT therapy, since they have to deal with pain Painkillers  Opium based and they are addictive – oxycotin, morphine  Some doctors over prescribed – patient will fear addiction  Some doctors under prescribed bc doctor feels they will get addicted Research  The brain: now that they know chronic pain is a disease, more research is done o Pain is how the body protects itself and repairs it self – the brain can override the pain o What to see if you can train patients to override the pain  Pain perception: placebos are given – patients believe the pain is gone o Ppl also report feeling less pain when taking high priced drugs that when they take low priced drugs Pain surgery  Given pain meds before surgery Swelling vs. anti-inflammatory drugs  Maybe we should let swelling heal before taking drugs Pain and no pain  They are looking at ppl that don’t suffer pain – genetic disposition  What to find out what gene it is and then make drugs like that Michael de Groote  Suffered a stroke with a lot of pain; travelled all over the world to see how to deal with pain  Gave a lot of money to Mac’s med school to see how to deal with pain DEPRESSION –  Most common illness affecting seniors Causes  Can be biological, societal  Mental and physical Myths  Its expected that old ppl are depressed  ¼ old women, 1/8 men suffer from depression; half the ppl in nursing homes suffer from depression Symptoms of depression  Sad, hopeless, physical problems (sleep problems, no eating, pain), worry always, don’t communicate well (withdraw from family) Reasons  Poor health – more likely to experience depression when you are diagnosed with a severe illness  Lonely, no family, isolated  Personality  Side-effect from other drugs  SAD – seasonal affective disorder – occurs mainly with ppl who come from south America o Mild form of SAD is the winter blues o Can buy a light box that mimics natural sunlight Diagnosis  2 misconceptions about treating depression that causes seniors to be under diagnosed o aging is depressing, and that old ppl with depression cant recover from it  Old ppl wont talk about
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