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So far Patricia Kim has created 98 blog entries.

An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents

2020-12-29T15:57:26-05:00

An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents with chronic pain and an evaluation of their experiences: A pilot randomized controlled trial 80% of nursing home residents have reported chronic pain, which is often accepted by older adults as part of aging. Peer support models are being used to help individuals manage their chronic conditions and overcome the challenges of limited healthcare resources. The aims of this study were: (i) to examine the effectiveness of a 12 week peer-led pain management program (PAP) for nursing home residents and (ii) to evaluate their [...]

An exploration of the effectiveness of a peer-led pain management program (PAP) for nursing home residents2020-12-29T15:57:26-05:00

Chronic pain and friendship among middle-aged and older U.S. adults

2020-12-29T15:15:16-05:00

Chronic pain and friendship among middle-aged and older U.S. adults Friendship plays a vital role in individuals’ well-being across the life span. Recent studies suggest that friendship in adulthood and older age is as important as family ties in predicting psychological well-being, physical health, and cognitive function. A small but growing number of studies examine the reverse association: how health conditions shape the ability to develop and maintain friendships in later life. Thus far, studies in this area come to seemingly opposite conclusions: some suggest that declining health leads to reduced engagement with nonfamily members (e.g., Sander, Schupp, & Richter, [...]

Chronic pain and friendship among middle-aged and older U.S. adults2020-12-29T15:15:16-05:00

Persistent, consistent, and extensive: The trend of increasing pain prevalence in older americans

2020-12-29T15:10:09-05:00

Persistent, consistent, and extensive: The trend of increasing pain prevalence in older americans Assess trends in pain prevalence from 1992 to 2014 among older U.S. adults and by major population subgroups and test whether the trends can be explained by changes in population composition. Pain is a major population-health problem, especially among older adults. About 100 million U.S. adults experience chronic pain, a number greater than those affected by heart disease, cancer, and diabetes combined. For the nation, the economic burden of pain is enormous, having been estimated at $600 billion. For individuals, pain is unmistakably a determinant of quality [...]

Persistent, consistent, and extensive: The trend of increasing pain prevalence in older americans2020-12-29T15:10:09-05:00

The effectiveness of a dyadic pain management program for community-dwelling older adults with chronic pain

2020-12-29T14:46:40-05:00

Chronic pain is a major health problem among older adults and their informal caregivers, which has negative effects on their physical and psychological status. The dyadic pain management program (DPMP) is provided to community-dwelling older adults and informal caregivers to help the dyads reduce pain symptoms, improve the quality of life, develop good exercise habits, as well as cope and break the vicious circle of pain. A pilot randomized controlled trial was designed and all the dyads were randomly divided into two groups, the DPMP group and control group. Dyads in the DPMP group participated in an 8-week DPMP (4-week [...]

The effectiveness of a dyadic pain management program for community-dwelling older adults with chronic pain2020-12-29T14:46:40-05:00

Persistent pain and cognitive decline in older adults: A systematic review and meta-analysis

2020-12-29T14:21:30-05:00

Both persistent pain and cognitive decline increase in prevalence with advancing age and are associated with functional decline. The association of pain and cognitive decline has not been evaluated yet by a systematic assessment of longitudinal studies. This study aimed to assess the association of persistent pain as a risk factor for cognitive decline in community-dwelling older adults, using data from longitudinal studies in a systematic review and meta-analysis. Publications were identified using a systematic search on PubMed, EMBASE, and Cochrane Library databases from inception to June 2019. Because heterogeneity across studies was high, the authors used random-effects meta-analysis to [...]

Persistent pain and cognitive decline in older adults: A systematic review and meta-analysis2020-12-29T14:21:30-05:00

Severe functional limitation due to pain & emotional distress

2020-08-20T09:36:42-04:00

Severe functional limitation due to pain & emotional distress and subsequent receipt of prescription medications among older adults with cancer  Loss of functional independence is a major concern among older adults with multiple chronic diseases including cancer. Certain cancer types and subsequent treatment can cause or worsen pain and emotional distress, leading to functional limitation, which may or may not improve with cancer treatment. Previous studies using the 36-item Short Form Health Survey (SF-36) to examine patterns of pain and emotional distress among older adults have shown that pain and emotional distress were notable concerns for this population. Despite its [...]

Severe functional limitation due to pain & emotional distress2020-08-20T09:36:42-04:00

The Relationship Between the Pain Experience and Emotion Regulation in Older Adults

2020-08-20T09:36:56-04:00

The Relationship Between the Pain Experience and Emotion Regulation in Older Adults Emotional states, such as depression and anxiety, play an important role in the pain experience. Fear of pain and catastrophic thinking about pain also have a negative impact on the pain experience and contribute to disability. Emotion regulation (ER) is the process of monitoring and evaluating emotional reactions and using strategies for altering when and how emotions occur. Commonly studied in the ER literature are the strategies of expressive suppression and reappraisal. Reappraisal involves changing the way one thinks about an emotional event while expressive suppression can involve [...]

The Relationship Between the Pain Experience and Emotion Regulation in Older Adults2020-08-20T09:36:56-04:00

Loneliness and social integration as mediators between physical pain and suicidal ideation among elderly men

2020-07-16T10:34:04-04:00

Loneliness and social integration as mediators between physical pain and suicidal ideation among elderly men Suicide in the elderly is a complex and significant public health problem. This study sought to examine the role of loneliness and social integration as potential mediators in the relationship between physical pain and suicidal ideation in elderly single men. This investigation found that the association between physical pain and suicidal ideation was mediated by loneliness and social integration.  This relations was found in single, but not married, men.  The authors concluded that older single men who experience physical pain may be lonelier and less socially integrated, and [...]

Loneliness and social integration as mediators between physical pain and suicidal ideation among elderly men2020-07-16T10:34:04-04:00

Caring for patients with pain during the COVID-19 pandemic

2020-05-06T11:14:21-04:00

Caring for patients with pain during the COVID-19 pandemic: Consensus recommendations from an international expert panel. Chronic pain causes significant suffering, limitation of daily activities and reduced quality of life. Infection from COVID-19 is responsible for an ongoing pandemic that causes severe acute respiratory syndrome, leading to systemic complications and death. Led by the World Health Organization, healthcare systems across the world are engaged in limiting the spread of infection. As a result all elective surgeries, procedures, and patient visits, including pain management services, have been postponed or cancelled. This has impacted the care of chronic pain patients. Most are elderly with multiple comorbidities, which puts them at risk of COVID-19 [...]

Caring for patients with pain during the COVID-19 pandemic2020-05-06T11:14:21-04:00

Opioids in Older Adults

2020-05-06T10:48:34-04:00

Opioids in Older Adults: Indications, Prescribing, Complications, and Alternative Therapies for Primary Care. The fact that opioids are valuable tools for the management of pain has been known and used for thousands of years. Currently, millions of Americans are treated annually with opioids, and many of these patients are elderly. Opioids present risks to geriatric patients, some of which are unique to the population, and providers should have a good grasp of those risks. An understanding of how to select appropriate medications for the management of pain and of the myriad of alternatives available for pain management is vital to the care of older patients. This article [...]

Opioids in Older Adults2020-05-06T10:48:34-04:00

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Translational Research Institute on Pain in Later Life
Weill Cornell Medicine, Division of Geriatric and Palliative Medicine
525 East 68th Street
New York, NY 10065
Phone: 212.746.1801
Email: krh4005@med.cornell.edu