I hope you enjoy using this presentation on geriatric pain assessment, management, best practice interventions, caregiving, and palliative & hospice care.

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12. Faces Pain Scale – Revised
Numbers are
not shown to
the patient
0 2 4 6 8 10
From PAIN, 2001, 93, 173-183 “The Faces Pain Scale – Revised. Toward a Common Metric in Pediatric Pain Measurement,”
by C.L. Hicks, C.L. von Baeyer, P.A. Spafford, I. van Korlaar, & B. Goodenough,. Reprinted with permission of the International Association
for the Study of Pain®
.
Note: This is a smaller sample of the actual scale. For further instructions on the correct use of the scale in order to get valid responses,
please go to www.painsourcebook.ca
Numeric RatingScale
Please rateyourpain from 0 to 10 with 0 indicatingno pain and 10 representing the worst possible
pain.
Adapted from Jacox, A., Carr, D.B., Payne, R., et al. (March 1994). Management of Cancer Pain. Clinical Practice Guideline
No. 9. AHCPR Publication No. 94-0592. Rockville, MD: Agency for Health Care Policyand Research, U.S. Department of
Health and Human Services.
Verbal Descriptor Scale
Please describe yourpain from “no pain”to “mild”, “moderate”, “severe”, or “painas bad as it
could be.”
Adapted from Jacox, A., Carr, D.B., Payne, R., et al. (March 1994). Management of Cancer Pain. Clinical Practice Guideline No. 9. AHCPR
Publication No. 94-0592. Rockville, MD: Agency for Health Care Policyand Research, U.S. Department of Health and Human Services.
general assessment series
Best Practices in Nursing
Care to Older Adults
A series provided by The Hartford Institute for Geriatric Nursing,
New York University, College of Nursing
EMAIL hartford.ign@nyu.edu HARTFORD INSTITUTE WEBSITE www.hartfordign.org
CLINICAL NURSING WEBSITE www.ConsultGeriRN.org

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15. 15
Touhy, T. & Jett, K. (2016). Ebersole & Hess’ Toward healthy aging: Human needs and nursing
response, 9th edition. St. Louis: Elsevier Mosby.

16. WHO Pain Ladder
Touhy, T. & Jett, K. (2016). Ebersole & Hess’ Toward healthy aging: Human needs and nursing
response, 9th edition. St. Louis: Elsevier Mosby.

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24. More than 65 million people, 29% of the U.S.
population, provide care for a chronically ill,
disabled or aged family member or friend during
any given year and spend an average of 20 hours
per week providing care for their loved one.
Caregiving in the United States;
National Alliance for Caregiving in collaboration with AARP; November 2009.
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The value of the services family caregivers
provide for "free," when caring for older
adults, is estimated to be $375 billion a
year.
That is almost twice as much as is actually
spent on homecare and nursing home
services combined ($158 billion).
Evercare Survey of the Economic Downturn and Its Impact on Family Caregiving;
National Alliance for Caregiving and Evercare; March 2009.

26. A. Loosing self reliance, can’t care for basic needs
B. Loosing physical agility
C. Loosing mental agility
D. Being a burden on family or friends
E. Having enough money to live comfortably

27. Nielsen Global Survey About Aging, 2013.

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37. Palliative Components
Patient
&
Family
Centered Care
Patient
Population
Comprehensive
Care
Inter-
disciplinary
Team
Attention
to relief of
suffering
Timing
Quality
Improve-
ment
Communication
Continuity of
care across
settings
Equitable
Access
Addressing
regulatory
barriers

38. Medicare
Hospice
Benefit
Life Prolonging Care
Old
Palliative Care
Hospice
Care
Life Prolonging Care
New
Diagnosis Death

41. Palliative Care Goals

42. Common Palliative Symptoms

44. Many Americans spend their last days in an intensive care
unit, subjected to uncomfortable machines or surgeries
to prolong their lives at enormous cost.
Steve Kroft reports.
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45. Touhy, T. & Jett, K. (2016). Ebersole & Hess’ Toward healthy aging: Human needs and nursing
response, 9th edition. St. Louis: Elsevier Mosby.

46. Touhy, T. & Jett, K. (2016).

47. The 6 C’s approach to the
needs of the dying include all
of the following except: