pak2020

Health care professionals who specialize in treating chronic pain have moved beyond what doctors call a unidimensional evaluation to a multidimensional one.  It makes total sense, says  Cary Reid, MD, PhD, director of the Translational Research Institute on Pain in Later Life at Weill Cornell Medical Center, New York. “Pain is something that has many dimensions,” he says. “One thing important is the severity level.” So using what the doctors call the numeric rating scale or NRS, the zero to 10 question, is fine as a start. After that, many more questions should follow, Dr. Reid says. “What we want [...]

Age is one of the most critical factors associated with chronic pain. Compared to their younger counterparts, older adults suffer more from CLBP, seek less care (Knauer, Freburger, & Carey, 2010), and are more susceptible to poor pain outcomes, including disability and mortality (Gagliese, 2009). Older adults face numerous barriers in accessing chronic pain care, such as poor communication with health care providers, transportation problems, and psychosocial limitations (Park, Hirz, Manotas, & Hooyman, 2013). It is established that older adults often fail to receive adequate chronic pain treatment (e.g., Chodosh et al., 2004; McNeill, Sherwood, & Starck, 2004). Harkins (2005) [...]

In a Journal of the American Geriatrics Society study, many well-functioning and highly active older adults experienced back pain, which was linked with poorer perceived and observed walking endurance."Older adults are living longer and healthier active lives, so paying attention to conditions that may threaten independent function is increasingly important," said lead author Dr. Eleanor Simonsick, of the National Institute on Aging. "In this study, we found that back pain affected nearly half of well-functioning, highly active older adults. We also found that back pain was linked to less energy efficient walking and poorer endurance, which can lead to walking [...]

Manuscript published in Pain Medicine Authors: Zachary G. Jacobs, MD, D. Michael Elnicki, MD, Subashan Perera, PhD, and Debra K. Weiner, MD Abstract:  Objective. To determine 1) the feasibility of implementing an e-learning module on chronic low back pain (CLBP) in an older adult into an existing internal medicine residency curriculum and 2) the impact of this module on resident attitudes, confidence, knowledge, and clinical skills relating to CLBP. Methods. Participants were assigned to complete either the online module (N = 73) or the Yale Office-based curriculum on CLBP (N = 70). Attitudes, confidence, and knowledge were evaluated pre- and postintervention via survey. A [...]

Better Approach to Pain Assessment Places Emphasizes on Function A clinically aligned pain assessment tool employs a multidimensional approach that focuses on improving pain based on function rather than a single pain number. By Kathleen Doheny With Cary Reid, MD, PhD, and Debra Topham, PhD, JD, RN Click here to read the full article.

More Pain, More Aging, and More Pain With Aging: Parts 1 and 2 Pre-conference workshop at recent IAGG meeting featured experts in clinical research and care by Neil Andrews on 16 Jan 2018 In 2017, for the first time ever, the International Association of Gerontology and Geriatrics (IAGG) World Congress featured a pre-conference workshop on the topic of pain and aging. The workshop, titled “Pain and Aging: Measurement, Mechanisms, and Management,” and held July 23 in beautiful—and even sunny—San Francisco, US, featured many of the world’s leading experts on pain and aging. Eighty-six attendees from 24 countries gathered to listen [...]

TRIPLL has recently been featured in an article published in Weill Cornell Medicine. A Sense of Relief A Collaborative Institute Brings Together Researchers from Weill Cornell Medicine and the Ithaca and Tech Campuses—Along with NYC Community Groups—to Combat Chronic Pain in Older Adults The twice-weekly tai chi class at Riverdale Senior Services routinely draws dozens of participants. Photo by John Abbott Founded in 2009 with a five-year grant from the NIH’s National Institute on Aging (which was renewed in 2014), TRIPLL is one of 13 federally funded Edward R. Roybal Centers for Translational Research on Aging nationwide, each of [...]

Abstract: This study compares the outcomes, from pretreatment to 1-year follow-up, of an outpatient, CBT-based pain self-management program (PSM) that included exercises, pain education, and pain coping strategies, with a control condition (exercise-attention control, EAC) that included exercises and a control for the attention of the treatment team. We previously reported short-term results (to 1-month follow-up) from the same study. This new paper considers the important issue of maintenance of treatment-related gains. The participants (n = 141) were a heterogeneous sample of ambulant, community-dwelling older adult patients with chronic pain (mean age: 73.90 [6.5] years [range: 65-87 years]). The long-term [...]

TRIPLL has formed The Cornell International ePainCare Collaboration, an international collaborative made up of a wide range researchers interested and/or working in the areas of mobile health, technology, pain and/or aging. The mission of this collaboration is to expand existing, and facilitate new programs of basic and applied research, by evaluating the role of electronic and mobile technologies in the management of later life pain (ePainCare). TRIPLL will host an international conference on April 7th, 2017, in New York City, with broad multidisciplinary stakeholder representation – behavioral/social scientists, health care practitioners, older adults (65 years and older) living with pain, professionals [...]

Among the many new technologies on the market, virtual reality offers plenty of possibilities for exploration as it can be used in different industries including senior care. The technology has arrived at the right time with mobile devices already being widely used by the elderly. Although they generally lag behind their younger counterparts, users aged 65 and older said that owning a smartphone offers ‘a liberating experience’. Smartphones are also the core of many VR headsets. They can either be connected directly to the wearable or wirelessly to render virtual reality images. However, there are particular features that make a [...]