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Copyright Dedication Foreword Preface Acknowledgments Part I: Social Work in Nursing Facilities Part II: The Interdisciplinary Team Part III: Nursing Facilities and Governing Oversights 9: Admission Screenings for Long-Term Care 10: Preadmission and Admission to Nursing Facilities 11: OBRA—The Omnibus Budget Reconciliation Act 12: Legal Auspices of Social Work in Nursing Homes 13: The Minimum Data Set 3.0 and the Social Worker 14: The Long-Term Care Ombudsman Program in the Nursing Facility 15: Surveys in the Nursing Facility 16: Policies Used in the Nursing Facility
Part IV: Diagnosis, Treatment, and Care Issues 17: Neurocognitive Disorders in the Nursing Facility 18: Mood Disorders in Nursing Home Residents 19: Use of Medication and Antipsychotics in Nursing Facilities 20: Pain in Older Adults in Nursing Facilities 21: Sexuality and Nursing Home Residents 22: Mental Health Consultants in the Nursing Facility 23: Groups in Nursing Facilities 24: Nursing Facility Families and Next of Kin 25: Diversity, Culture, Ethnicity, and Long-Term Care Facilities 26: Spirituality and Religious Observation in the Nursing Facility
Part V: Ethics Part VI: Community Liaisons 31: Resident Finances in the Nursing Home 32: Transfer and Discharge in Nursing Homes 33: Housing and Community Resource for the Nursing Home Social Worker 34: Funeral Arrangements in Nursing Facilities 35: Pandemics and Disaster Planning in Nursing Facilities 36: Trauma-Informed Care and Adverse Childhood Experiences with Older Adults in Nursing Facilities
Appendix: Standardized Forms Online Resources Glossary of Commonly Used Terms and Abbreviations
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20: Pain in Older Adults in Nursing Facilities
Copyright Dedication Foreword Preface Acknowledgments Part I: Social Work in Nursing Facilities Part II: The Interdisciplinary Team Part III: Nursing Facilities and Governing Oversights 9: Admission Screenings for Long-Term Care 10: Preadmission and Admission to Nursing Facilities 11: OBRA—The Omnibus Budget Reconciliation Act 12: Legal Auspices of Social Work in Nursing Homes 13: The Minimum Data Set 3.0 and the Social Worker 14: The Long-Term Care Ombudsman Program in the Nursing Facility 15: Surveys in the Nursing Facility 16: Policies Used in the Nursing Facility
Part IV: Diagnosis, Treatment, and Care Issues 17: Neurocognitive Disorders in the Nursing Facility 18: Mood Disorders in Nursing Home Residents 19: Use of Medication and Antipsychotics in Nursing Facilities 20: Pain in Older Adults in Nursing Facilities 21: Sexuality and Nursing Home Residents 22: Mental Health Consultants in the Nursing Facility 23: Groups in Nursing Facilities 24: Nursing Facility Families and Next of Kin 25: Diversity, Culture, Ethnicity, and Long-Term Care Facilities 26: Spirituality and Religious Observation in the Nursing Facility
Part V: Ethics Part VI: Community Liaisons 31: Resident Finances in the Nursing Home 32: Transfer and Discharge in Nursing Homes 33: Housing and Community Resource for the Nursing Home Social Worker 34: Funeral Arrangements in Nursing Facilities 35: Pandemics and Disaster Planning in Nursing Facilities 36: Trauma-Informed Care and Adverse Childhood Experiences with Older Adults in Nursing Facilities
Appendix: Standardized Forms Online Resources Glossary of Commonly Used Terms and Abbreviations
10.1891/9780826182777.0020
Abstract
The frequency of pain and pain undertreatment in older persons has been increasingly brought to the forefront of the care of older adults in long-term care settings. Pain is a subjective experience and there are no specific tests to objectively measure it. Older adults who may be not able to communicate effectively about their pain are of particular importance to caregivers in long-term care settings. Older adults with untreated chronic pain also become less likely to engage in independent activities; their activities become more narrow and debility increases. The social worker can provide education to families about the physiological changes that occur in older adults that contribute to the absorption of medications, as well as comorbidities such as multiple diagnoses, chronic disease presence, and polypharmacy. In addition, the social worker can contribute to greater understanding of the need for pain management to avoid losses in physical function (ambulation), self-care, mental acuity, and socialization.