FACT SHEET ON PAIN MANAGEMENT
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|1. |Chronic pain is common in nursing home residents with dementia. |
|2. |Patients with dementia may manifest pain through behavioral changes. |
|3. |Effective pain management begins with a careful clinical evaluation and treatment that is specific to the cause and type of|
| |pain. |
|4. |Pain management involves physical, psychological, and pharmacological therapy. |
|5. |Neuropathic pain, i.e., pain produced by damage to pain sensing organs, nerves, or spinal cord, is best treated with |
| |anticonvulsants, e.g., tegretol, neurontin. |
|6. |Phantom limb pain that follows amputation of extremities is best treated with anticonvulsants, e.g., tegretol. |
|7. |The best treatment of pain associated with inflammation, e.g., arthritis, is physical therapy and antiinflammatory |
| |medication. |
|8. |Pain associated with fractures from osteoporosis can be treated with calcitonin. |
|9. |Nociceptive pain is produced by damage to tissue or organs and frequently requires analgesic therapy. |
|10. |A regular dose of acetaminophen is the first pharmacological intervention for nociceptive pain. |
|11. |Non-narcotic medications are effective for nociceptive pain, e.g., tramadol. |
|12. |Patients who require narcotic analgesics for chronic pain should receive regular scheduled doses. |
|13. |Propoxyphene, i.e., Darvon, has the same pain-relieving effect as acetaminophen. |
|14. |Some medications work by producing euphoria and confusion, rather than analgesia or pain relief, e.g., Demerol, Talwin, |
| |Darvon. |
|15. |Patients, who fail a combination of physical, psychological, and pharmacological interventions, should be referred to pain |
| |clinics for further evaluation and management. |
For more information or inquiries, call the Dementia Education & Training Program at
1-800-457-5679.
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