Jundishapur Journal of Chronic Disease Care

Published by: Kowsar

Chronic Pain Management and Being Vulnerable in Older People: A Qualitative Study

Human Manoochehri 1 , Manouchehr Shirazi 2 , * , Mansoreh Zagheri Tafreshi 1 and Farid Zayeri 3
Authors Information
1 Department of Nursing, Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences, International branch, Tehran, IR Iran
3 Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Article information
  • Jundishapur Journal of Chronic Disease Care: October 01, 2014, 3 (4); e23368
  • Published Online: October 20, 2014
  • Article Type: Research Article
  • Received: April 4, 2014
  • Revised: May 10, 2014
  • Accepted: June 23, 2014
  • DOI: 10.17795/jjcdc-23368

To Cite: Manoochehri H, Shirazi M, Zagheri Tafreshi M, Zayeri F. Chronic Pain Management and Being Vulnerable in Older People: A Qualitative Study, Jundishapur J Chronic Dis Care. 2014 ; 3(4):e23368. doi: 10.17795/jjcdc-23368.

Copyright © 2014, Ahvaz Jundishapur University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Materials and Methods
4. Results
5. Discussion
  • 1. Cousins MJ, Brennan F, Carr DB. Pain relief: a universal human right. Pain int J. 2004; 112(1): 1-4
  • 2. Loeser Dj, Butter HS, Chapman CR, Turk CD. Bonica`s Management of Pain. 2002;
  • 3. Tse MM, Lo AP, Cheng TL, Chan EK, Chan AH, Chung HS. Humor therapy: relieving chronic pain and enhancing happiness for older adults. J Aging Res. 2010; 2010: 343574[DOI][PubMed]
  • 4. A. G. S. Panel on Persistent Pain in Older Persons . The management of persistent pain in older persons. J Am Geriatr Soc. 2002; 50(6 Suppl)-24[PubMed]
  • 5. Cairn CL, Magee H, Ask hJ. A hidden problem: pain in older people. A qualitative study. Picker institute Europe. 2007;
  • 6. Asghari A, Ghaderi N, Ashory A. The prevalence of pain among residents of nursing homes and the impact of pain on their mood and quality of life. Iranian Med. 2006; 9(4): 368-73
  • 7. Schofield P. Pain management in care homes. J Comm Nurs. 20(6): 30-4
  • 8. Tse MM, Wan VT, Vong SK. Health-related profile and quality of life among nursing home residents: does pain matter? Pain Manag Nurs. 2013; 14(4)-84[DOI][PubMed]
  • 9. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education and Research. 2011;
  • 10. World Health Organization . The World Health Report 2008: Primary health care now more than ever.
  • 11. Smith BH, Torrance N. Management of chronic pain in primary care. Curr Opin Support Palliat Care. 2011; 5(2): 137-42[DOI][PubMed]
  • 12. International Pain Summit (IPS) of the International Association for the Study of Pain . Declaration of Montreal. Seattle: IASP. 2012;
  • 13. Haller K, Rosenstein B. The Johns Hopkins Hospital. Interdisciplinary Clinical Practice Manual. 2001. 2001;
  • 14. McGee HM, O'Hanlon A, Barker M, Hickey A, Montgomery A, Conroy R, et al. Vulnerable older people in the community: relationship between the Vulnerable Elders Survey and health service use. J Am Geriatr Soc. 2008; 56(1): 8-15[DOI][PubMed]
  • 15. Dyer CB, Pickens S, Burnett J. Vulnerable elders: when it is no longer safe to live alone. JAMA. 2007; 298(12): 1448-50[DOI][PubMed]
  • 16. Halliday G, Banerjee S, Philpot M, Macdonald A. Community study of people who live in squalor. Lancet. 2000; 355(9207): 882-6[DOI][PubMed]
  • 17. Pavlik VN, Hyman DJ, Festa NA, Bitondo Dyer C. Quantifying the problem of abuse and neglect in adults--analysis of a statewide database. J Am Geriatr Soc. 2001; 49(1): 45-8[PubMed]
  • 18. Chodosh J, Ferrell BA, Shekelle PG, Wenger NS. Quality indicators for pain management in vulnerable elders. Ann Intern Med. 2001; 135(8 Pt 2): 731-5[PubMed]
  • 19. Naik AD, Burnett J, Pickens-Pace S, Dyer CB. Impairment in instrumental activities of daily living and the geriatric syndrome of self-neglect. Gerontologist. 2008; 48(3): 388-93[PubMed]
  • 20. Holloway I, Wheeler S. Qualitative research in nursing. 2002;
  • 21. Streubert HJ, Carpenter DR. Qualitative Research in Nursing: Advancing the Humanistic Perspective. 2003;
  • 22. Adib haj bagheri M. Grounded theory methodology. 2006;
  • 23. Strauss A, Corbin J. Grounded theory methodology. 1998;
  • 24. Foroughan M, Jafari Z, Shirinbayan P, Ghaem Magham Farahni Z, Rahgozar M. Standardization of Mini-Mental State Examination among Iranian elderly in Tehran. Cognit Sci J. 2008; 10(2): 29-37
  • 25. Sanei A, Nikbakhat nasrabady A. Qualitative Research methodology in Medical Sciences. 2004;
  • 26. Polit DF, Beck CT. Essentials of nursing research. Methods, appraisal, and utilization. 2006;
  • 27. Weiner DK. Office management of chronic pain in the elderly. Am J Med. 2007; 120(4): 306-15[DOI][PubMed]
  • 28. Bair MJ, Matthias MS, Nyland KA, Huffman MA, Stubbs DL, Kroenke K, et al. Barriers and facilitators to chronic pain self-management: a qualitative study of primary care patients with comorbid musculoskeletal pain and depression. Pain Med. 2009; 10(7): 1280-90[DOI][PubMed]
  • 29. De Santis JP, Barroso S. Living in silence: a grounded theory study of vulnerability in the context of HIV infection. Issues Ment Health Nurs. 2011; 32(6): 345-54[DOI][PubMed]
  • 30. Naik AD, Kunik ME, Cassidy KR, Nair J, Coverdale J. Assessing safe and independent living in vulnerable older adults: perspectives of professionals who conduct home assessments. J Am Board Fam Med. 2010; 23(5): 614-21[DOI][PubMed]
  • 31. Zanocchi M, Maero B, Nicola E, Martinelli E, Luppino A, Gonella M, et al. Chronic pain in a sample of nursing home residents: prevalence, characteristics, influence on quality of life (QoL). Arch Gerontol Geriatr. 2008; 47(1): 121-8[DOI][PubMed]
  • 32. Schofield P, Drago R. The management of pain in older people. 2007;
  • 33. Luber G, McGeehin M. Climate change and extreme heat events. Am J Prev Med. 2008; 35(5): 429-35[DOI][PubMed]
  • 34. Cloutier-Fisher D, Kobayashi K, Smith A. The subjective dimension of social isolation: A qualitative investigation of older adults' experiences in small social support networks. J Agin Study. 2011; 25(4): 407-14[DOI]
  • 35. Grenade L, Boldy D. Social isolation and loneliness among older people: issues and future challenges in community and residential settings. Aust Health Rev. 2008; 32(3): 468-78[PubMed]
  • 36. Gledhill SE, Abbey JA, Schweitzer R. Sampling methods: methodological issues involved in the recruitment of older people into a study of sexuality. Australian J Adv Nurs. 2008; 26(1): 84-94
  • 37. Rastogi R, Meek BD. Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control. Clin Interv Aging. 2013; 8: 37-46[DOI][PubMed]
  • 38. Sale JE, Gignac M, Hawker G. How "bad" does the pain have to be? A qualitative study examining adherence to pain medication in older adults with osteoarthritis. Arthritis Rheum. 2006; 55(2): 272-8[DOI][PubMed]
  • 39. Spitz A, Moore AA, Papaleontiou M, Granieri E, Turner BJ, Reid MC. Primary care providers' perspective on prescribing opioids to older adults with chronic non-cancer pain: a qualitative study. BMC Geriatr. 2011; 11: 35[DOI][PubMed]
  • 40. van Hecke O, Torrance N, Smith BH. Chronic pain epidemiology - where do lifestyle factors fit in? British J Pain. 2013; 7(4): 209-17[DOI]
  • 41. Gill TM, Desai MM, Gahbauer EA, Holford TR, Williams CS. Restricted activity among community-living older persons: incidence, precipitants, and health care utilization. Ann Intern Med. 2001; 135(5): 313-21[PubMed]
  • 42. Ng TP, Niti M, Chiam PC, Kua EH. Prevalence and correlates of functional disability in multiethnic elderly Singaporeans. J Am Geriatr Soc. 2006; 54(1): 21-9[DOI][PubMed]
  • 43. Haas M, Groupp E, Muench J, Kraemer D, Brummel-Smith K, Sharma R, et al. Chronic disease self-management program for low back pain in the elderly. J Manipulative Physiol Ther. 2005; 28(4): 228-37[DOI][PubMed]
  • 44. Qiu WQ, Dean M, Liu T, George L, Gann M, Cohen J, et al. Physical and mental health of homebound older adults: an overlooked population. J Am Geriatr Soc. 2010; 58(12): 2423-8[DOI][PubMed]
  • 45. Gagliese L. Pain and aging: the emergence of a new subfield of pain research. J Pain. 2009; 10(4): 343-53[DOI][PubMed]
  • 46. Lansbury G. Chronic pain management: a qualitative study of elderly people's preferred coping strategies and barriers to management. Disabil Rehabil. 2000; 22(1-2): 2-14[PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments