Resources for managing cancer pain in the elderly


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/

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