Gerontology & Geriatric Research

PAIN MANAGEMENT IN GERIATRIC PATIENTS

2^nd International Conference on Aging & Gerontology

June 26-27, 2017 San Diego, CA, USA

Diane Chau

University of California(UCSD), USA

Keynote: J Gerontol Geriatr Res

Abstract:

Objectives:
Understand how to define and classify pain in older adults
List social and environmental factors affecting the perception of pain and its treatment common to older adults
Recognize the scales available to assess pain
List medical and non-medical treatments available for pain
Demographics:
Median successful aging increased
65 years represents about 36 million; by 2020 54million
Fastest growing segment of the population is > 85 years
Currently 5 million, 20 million by 2050
1900s - 3 million elderly (1 in 25 Americans), by 2020, 54 million (1 in 6 Americans)
2011 - first baby boomers reached 65
Mechanism of Pain Based on Pathophysiology:
Nociceptive pain: Results from stimulation of pain receptors.
Somatic: damage to body tissue, well localized
Visceral: from viscera, poorly localized, may have nausea
Neuropathic pain: Results from dysfunctions or lesions in either the central or peripheral nervous systems.
Mixed pain syndromes: multiple or unknown mechanisms (e.g. headaches, vasculitic syndromes).
Psychogenic Pain: somatoform disorders, conversion reactions.
Challenges of Pain Treatment in Geriatrics:
The healthy to hospice span.
A healthy retiree is no longer an individual who decreases their lifestyle activities.
The "baby-boomers" in their 60s and 70s are "baby zoomers"; they have a functional active lifestyle.
The older old 80s to 90s are diverse. Functional ability, living situation, social support, restricted finances should be considered.

Biography :

Diane Chau, is a practicing Geriatrician in San Diego, CA. Dr. Chau graduated from Drexel College of Medicine in 1994 and has been in practice for 21 years. She completed a fellowship in Geriatric Medicine at UCSD Medical Center. Dr. Chau also practices as the Medical Director of a Geriatrics focused Community Living Center at VA San Diego Health Care in San Diego, CA, and a Program of All Inclusive Care for the Elderly. She is an Associate Professor of Health Sciences Medicine at UCSD where she is the Project Director for the Geriatric Education Center Geriatric Workforce Enhancement Project.

Email: diane.chau@va.gov