ࡱ> AC@5@ bjbj22 $XX,8( 4 D,$ ^$`$`$`$`$`$`$$%R($L$ $Q!Q!Q!j  ^$Q!^$Q!`Q!!:b"," x Z7 "" "$0$" (Y (",,("(Q!$$,,;!,,   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. 2036  !de3 4 + , ! " v w E F T U h#I)h~$56CJOJQJhlhl5aJhlh~$5aJjhlUaJhlh~$jhlUjhlCJUaJ/!$dehPLkd$$Ifl0""}{ %4 laLkdB$$Ifl0""}{ %4 la$If $$Ifa$ 3 4 7 + TLkdz$$Ifl)0""}{ %4 laLkd$$Ifl+0""}{ %4 la$If $$Ifa$+ , / ! TLkdJ$$Ifl>0""}{ %4 la$If $$Ifa$Lkd$$IflM0""}{ %4 la! " % v w z TLkd$$Ifl0""}{ %4 la$If $$Ifa$Lkd$$Ifl+0""}{ %4 la E F J TLkd$$Ifl+0""}{ %4 la$If $$Ifa$Lkd$$Ifl+0""}{ %4 la  T TLkd$$Ifl+0""}{ %4 la$If $$Ifa$LkdR$$Ifl0""}{ %4 laT U Y TLkd$$Ifl+0""}{ %4 la$If $$Ifa$Lkd"$$Ifl0""}{ %4 la$a$Lkd$$IflM0""}{ %4 la/ =!"#@$%BDddA  jW8c?FACT SHEET ON PAIN MANAGEMENT FOR DEMENTED PATIENTSArial Black"`f$$If!vh5}5{ #v}#v{ :V l%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l+%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l)%5}5{ 4af$$If!vh5}5{ #v}#v{ :V lM%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l>%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l+%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l+%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l+%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l+%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l%5}5{ 4af$$If!vh5}5{ #v}#v{ :V l+%5}5{ 4af$$If!vh5}5{ #v}#v{ :V lM%5}5{ 4a<@< NormalCJ_HmH sH tH D@D Heading 1$$@&a$ 56CJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List 4>@4 Title$a$5CJ 4@4 #I)Header  !4 @4 #I)Footer  !$!$deh347+,/!"%vwzEFJTUY0@0000 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 00 00 04 0H 0H 0L 000@0My000  + ! T   8 @R( T`T   T? bC"@@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1? b#" @@2   Z1? b#" @@2   Z1?B#" @@2   Z1?B#" @@ 2   Z1? b#" @@ 2   Z1?B#" @@ 2  Z1?B#" @@ 2  Z1?B#" @@ 2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@  Zb֙? b#" @@  Zb3? b#" @@  N? b#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@2  Z1?B#" @@B S  ? <'7tt/t64`26t\ 4,p7th t%6(u9tb\t  \ t #*0*~ t h`'$ t  (t (-h.3t&81h.8tj$6$ :tD%+t(-t4 \:t6;t`dt(h.%t`'(#L,(t*V/PtD%n'tz+-!t(*t$ N FtO -tH ,t )jtz3>u3 !$eh47,/"%wzFJUY Phillis Myers Phillis Myers PHILLIS MYERSv_   hh^h`o(.hh^h`.v_ ~$#I)(ml!$deh347+,/!"%vwzEFJTUY@ NNIFFNN"P@UnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma"qhL.kFZ   !243QH(?(mFACT SHEET ON PAIN MANAGEMENT Phillis Myers PHILLIS MYERS  Oh+'0 $ @ L X dpxFACT SHEET ON PAIN MANAGEMENTACTPhillis MyersPAhilNormal PHILLIS MYERSPA4ILMicrosoft Word 10.0@d@6ۅ8^@`cN3@d$՜.+,0 hp|   S A FACT SHEET ON PAIN MANAGEMENT Title  !"#$%&'()*+,-./12345679:;<=>?BRoot Entry FfDData 1Table(WordDocument$SummaryInformation(0DocumentSummaryInformation88CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q