This one-of-a-kind resource teaches the core principles and skills needed to care for patients whose barriers to healthcare are due to lack of insurance and/or accessible services, or based on culture; education; age; inadequate transportation; poor English language skills; homelessness; immigrant status; chronic disease; mental illness; substance abuse; or HIV. Time-saving boxed inserts establish main points, provide practical "pearls" and help locate valuable community resources.
This comprehensive guide to geriatric pain management provides the most current information available on assessment and treatment of pain in older adults. In a concise, reader-friendly format, the book provides techniques, tips, and tools for assessing pain and examines barriers to appropriate treatment. It addresses the physiological and psychosocial factors underlying the process and occurrence of pain and helps nurses to develop a comprehensive multimodal approach to pain management that includes pharmacological and nonpharmacological interventions. The guide provides detailed coverage of medications commonly used for pain management, including all contraindications and side effects, so that nurses will be able to evaluate the best use of a medication in the context of comorbidities and sensitivities of each individual. Also addressed are chronic illnesses common to the elderly population, palliative and hospice care, treatment of concurrent depression and anxiety, treatment of cognitively impaired elderly, and techniques for assessment and intervention in cases of substance abuse.