Chronic Pain Management for Seniors Kapaa HI

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Jackie L. Guadagnoli
(808) 246-1114
2970 Kele St, Ste 109
Lihue, HI
Services
Individual Psychotherapy, Behavioral Health Intervention involving Life Threatening/Terminal Disease, Hypnosis or Hypnotherapy, Behavioral Health Intervention involving Medical Conditions/Disorder, Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: New Mexico State University
Credentialed Since: 2000-08-07

Data Provided By:
Harold Spear, M.D.
3897 Hanapepe Rd
Hanapepe, HI
 
Robin Emi Sugihara Miyamoto
(808) 531-5711
2226 Liliha St. Suite 306
Honolulu, HI
Services
Behavioral Health Intervention involving Medical Conditions/Disorder, Behavioral Health Intervention involving Life Threatening/Terminal Disease, Biofeedback, Stress Management or Pain Management, Behavioral Health Intervention involving Primary Care
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Argosy University - Hawaii
Credentialed Since: 2004-05-10

Data Provided By:
Jackie L. Guadagnoli
(808) 246-1114
2970 Kele St, Ste 109
Lihue, HI
Services
Individual Psychotherapy, Behavioral Health Intervention involving Life Threatening/Terminal Disease, Hypnosis or Hypnotherapy, Behavioral Health Intervention involving Medical Conditions/Disorder, Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: New Mexico State University
Credentialed Since: 2000-08-07

Data Provided By:
Warren R. Loos
(808) 734-2897
1188 Bishop Street
Honolulu, HI
Services
PostTraumatic Stress Disorder or Acute Trauma Reaction, Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Stress Management or Pain Management, Behavioral Health Intervention involving Medical Conditions/Disorder
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Nebraska - Lincoln
Credentialed Since: 1990-03-07

Data Provided By:
Harold Spear III, M.D.
3837 Hanapepe Road
Hanapepe, HI
 
Edward William Kinghorn
(808) 675-3844
55-458 Moana St.
Laie, HI
Services
Clinical Neuropsychological Assessment, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Education Info
Doctoral Program: Brigham Young University
Credentialed Since: 2008-08-29

Data Provided By:
Richard Steven Rose, MD
(808) 871-6662
203 Hoohana St
Kahului, HI
Specialties
Psychiatry, Pain Medicine
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1969

Data Provided By:
Laurie Edwards
(808) 772-0423
40 Aulike Street Suite 411
Kailua, HI
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), PostTraumatic Stress Disorder or Acute Trauma Reaction, Eating Disorder (e.g., compulsive eating, anorexia, bulimia), Behavioral Health Intervention involving Medical Conditions/Disorder, Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Alliant International University - San Francisco Bay
Credentialed Since: 2009-02-17

Data Provided By:
William T. Tsushima
(808) 522-4521
Straub Clinic & Hosp, Inc.
Honolulu, HI
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Stress Management or Pain Management, Individual Psychotherapy, Clinical Neuropsychological Assessment, Biofeedback
Ages Served
Adults (18-64 yrs.)
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Fordham University
Credentialed Since: 1975-02-25

Data Provided By:
Data Provided By:

What to Do About Chronic Pain in Older Adults

When you're younger, it may be easier to shrug off pain or work through it. The old expression, No pain, no gain is the mantra of many athletes. But as we get older, pain has a way of getting us down faster and keeping us there longer. We don't bounce back like we used to. This is especially true when pain is present.

Older adults often find that managing the chores and activities of daily life are a challenge enough without pain being added to the mix. Suddenly, making a cup of tea can become impossible -- much less preparing a nutritious meal. Sleep is disrupted, thinking becomes cloudy, and the affected adult is no longer getting out with other people. Persistent pain in this age group can create a steady decline in physical and cognitive function.

What can be done about it? Medications are one possibility but knowing what to take and when to take it can be another difficult hurdle to jump. In this special edition, the American Geriatrics Society's Guidelines for Pharmacologic Therapy are reviewed. The specific focus is on medications for chronic pain in older adults. Chronic (or persistent) pain is defined as pain that lasts more than three months. Older adult refers to men and women 65 years old and older.

The next logical question is, What medications are available and who should take them? Pain medications including acetaminophen (Tylenol), nonsteroidal antiinflammatories (NSAIDs), opioids (narcotics), adjuvant (additional other) analgesics, topical analgesics (rub on creams and gels), and other drugs are discussed. Here's a brief summary of each class of drugs.

  • Acetaminophen (Tylenol): Safe and effective, the first choice of drug for pain relief. Patients should not take more than a total of 4 grams each day. Anyone with liver disease or who abuses alcohol cannot take this drug.
  • Nonsteroidal antiinflammatories (NSAIDs): More effective than acetaminophen for chronic inflammatory pain but with possible gastrointestinal problems. Should not be used by anyone with an active stomach ulcer, kidney disease, or heart failure. Patients on NSAIDs must be monitored carefully for any signs of adverse effects.
  • Opioids (narcotics such as Lortab, OxyContin, Percocet or Percodan, Morphine): Anyone who has not responded to acetaminophen or NSAIDs and who has moderate to severe pain that affects daily function should be considered for opioid pain relievers. Newer and better drugs of this type are available that are safe and effective. Opioids should only be prescribed and monitored by knowledgeable physicians with experience using these drugs.
  • Adjuvant analgesics: refers to drugs developed for some other purpose than pain relief but useful for persistent pain. Includes some anticonvulsants, antiarrhythmics, and antidepressants. Used most often for people with fibromyalgia, nerve pain, chronic and severe back or bone pain, and headaches. Often prescribed along with other pain relievers.
  • Topical analgesics including lidocai...
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