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The purpose of this page is to provide information on printed and
web-based resources to improve pain management in the elderly.
World Health Organization and the Milbank Memorial Fund. Towards an
International Consensus on Policy for Long-Term Care of the Ageing. WHO, 2000.
This report describes the principles which policy makers should use when drafting policy
for long-term care of elderly persons. It represents the work of experts from 11 countries
convened by the Ageing and Health Programme of the WHO and the Milbank Memorial Fund.
Spanish and French editions are in preparation. Printed copies are available free of
charge from the Milbank Memorial Fund, 645 Madison Avenue, New York, NY 10022, USA.
Telefax: 1-212-355-8400. Also available online at: www.milbank.org/000712oms.pdf
Fisher R, Ross M, MacLean MJ (eds). A guide to end-of-life
care for seniors. Ottawa: Health Canada, 2000.
The guide is intended to sensitize service providers on issues related to
end-of-life care for elderly persons. Chapter 3 on "Maintaining comfort"
provides an approach to managing pain and other symptoms. The guide discusses ethical
issues, how to effectively deliver care and how to care for the family caregiver. The
guide was funded by the Canadian Ministry of Health and developed by faculty members of
the University of Ottawa Institute of Palliative Care. A French edition of the guide is
available. Free copies of the guide can be obtained from the Canadian Palliative
Care Association, 43 Bruyere Street - Room 131C, Ottawa, Ontario K1N 5C8, Canada. $5
covers shipping and handling. Telefax: 613-241-3986. Email: info@cpca.net
Schmidt Luggen A, Meiner SE (eds). Handbook for the Care of the Older Adult
with Cancer. Pittsburgh: Oncology Nursing Press, 2000.
This handbook bridges the gap between oncology and geriatric nursing, and is a useful
resource for nurses who provide care for older patients with cancer. Chapters 9 and 10
dealing respectively with "Cancer pain in the older adult" and "Symptom
Management in the older adult with cancer" will be especially useful to identify
special considerations to be given to the elderly cancer patient including psychological
issues in the elderly, altered symptom response and the potential for medication
interactions due to concurrent illnesses. The handbook is available for $30 (plus $6
shipping and handling) from the Oncology Nursing Press, P.O. Box 400295, Pittsburgh, PA
15268-0295, USA. Telefax: 412-921-6565. Email: customer.service@ons.org
American Geriatric Society Ethics Committee. Position statement on the care of
dying patients. J Am Geriatr Soc 1995; 43: 577-578. Revised and updated, 1998.
The focus of this statement is the provision of care toward the quality of life of
patients who are dying, including the relief of pain and other symptoms, attention to the
psychological and spiritual needs of the patient, and the provision of support for the
dying patient and the patient's family. For reprints contact: American Geriatrics Society,
350 Fifth Avenue, Suite 801, New York, NY 10118. Telefax: 1-212-832-8646. Email: info@americangeriatrics.org. Also available
online at: www.americangeriatrics.org/
Ferrell BR, Ferrell BA (eds.) Pain in the elderly. IASP
Press, 1996.
A product of the IASP Task Force on Pain in the Elderly, this book is a
clinically oriented review presenting approaches to geriatric pain problems. Includes
useful information about the pharmacology of opioids and other analgesics with respect to
the elderly. Price: US $25.00. To order, contact the IASP Press, 909 NE 43rd St.,
Suite 306, Seattle, WA 98105-6020, USA. Tel: 206-547-6409. Fax: 206-547-1703.Email: IASP@locke.hs.washington.edu. A detailed
table of contents is available online at: www.halcyon.com/iasp/elderly.html
Jacox A, Carr DB, Payne R, et al. Management of cancer pain. Clinical Practice
Guideline No. 9. AHCPR Publication No. 84-0592, 1994.
The US government guideline on the management of cancer pain has recognized the elderly as
a population with special needs for pain assessment and management strategies. Chapter 7
(pp. 127-130) on pain in special populations has a section on cancer pain management for
elderly patients. For print copies call the Cancer Information Service
at1-800-4-CANCER. Full text is also available from the Internet at: http://text.nlm.nih.gov/ftrs/tocview and
also at http://www.talaria.org/