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Main menu
  • About Us
    • A Little Bit About Us
    • Our Team
    • Our Board
    • Strategic Plan & Annual Reports
    • Ambassadors
    • Our Members
    • Our Corporate Supporters
  • About Pain
    • What Is Pain?
    • What is Chronic Pain?
    • Painful Facts
    • Common Forms of Pain
    • Who Does Pain Affect?
  • Getting Help
    • Getting the Right Care
    • Pain Services & Programs
    • Support Groups & Help Lines
    • Resources
    • Government Assistance
  • Improving Policy
    • Our Vision
    • National Pain Strategy
    • Human Right
    • Submissions & Reports
  • Get Involved
    • Join or Renew Membership
    • Philanthropic & Corporate Partner
    • Make a Donation
    • Surveys & Trials
  • Health Professionals
    • Education & Training
    • Scholarships & Grants
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  1. Home
  2. About Pain
  3. Who It Affects
  4. Older People & Those Living With a Disability
Who It Affects
  • Children & Young People
  • Older People & Those Living With a Disability
  • Rural & Remote
  • Multicultural Communities
  • Indigenous Australians
  • Veterans
  • Sports People
  • Workers & Workplaces

Older People & Those Living With a Disability

Older people and those living with a disability have the highest rates of chronic pain in our community. One in three people aged over 65 are living with chronic pain, one in four people with a profound disability experience severe pain, and two in three people with a spinal cord injury are affected by ongoing pain. In residential aged care, 92% of people are taking at least one analgesic medication daily and 80% of people report pain as a problem.

Dementia and painful conditions often co-exist in older people, and may be present in more than 25% of people in the community and more than 50% of people in residential aged care.

Chronic pain is a serious issue in people with impaired cognitive function. People who are unable to communicate their pain may be under-treated or inappropriately treated and therefore suffer unnecessarily. For people with dementia, it is estimated that pain may go undetected in as many as half of those with chronic pain conditions.

Under-treated or undetected pain can have serious adverse effects, including poorer cognitive performance, reduced quality of life, increased depression and greater functional disability. There may also be more frequent behavioural problems, such as aggression, wandering and disruptive vocalisation.

Whether the patient is older (with or without dementia) or lives with a disability, multidisciplinary pain management and if possible self-management will be most helpful for improvements in pain, mood and function.

Managing pain at end-of-life is also an important consideration. It requires much more than analgesic medication and needs to prevent suffering. It should take into account physical and psychological factors as well as spiritual and cultural beliefs and attitudes towards dying.

If you are concerned about someone who may need treatment for pain, please consult your doctor. There are pain assessment tools that can be used, and strategies and therapies that can be put in place, to help bring pain relief.

Resources

Pain clinics & programs

  • Pain clinics: Current list of pain clinics in Australia
  • Pain programs: Current list of pain programs in Australia
  • Seniors ADAPT program: Pain management education program for over 65s
  • eCentre Clinic SCI Pain Course: A free internet-delivered pain education program for people with a spinal cord injury. The eCentreClinic is a not-for-profit initiative of the Centre for Emotional Health at Macquarie University, Sydney. 

Websites & reading

  • Carers Australia: Support for people caring for someone with a disability, chronic condition, addiction, or the frail and aged
  • Palliative Care Australia: Support for patients and families facing a life-threatening illness
  • Dementia and Chronic Conditions Series Toolkit: Alzheimer’s Australia resource
  • The Spinal Cord Injury Pain Book: How pain works and the unique challenges faced by people with SCI
  • Getting older with pain: Information prepared by Chronic Pain Australia
  • Visit our Getting Help page for more help & resources

Documentary Series

  • Life Before Death: Documentary series about the value of pain relief in palliative care

Stories

Lyn: For the past 20 years I've lived with a mixed bag of chronic conditions

Read Lyn's story

Robert: I went from running a successful consultancy business to living with a disability.

Read Robert's story

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PAINAUSTRALIA LIMITED

Unit 6, Level 1, 42 Giels Court
Deakin, ACT 2600

PO Box 9406
Deakin, ACT 2600

Telephone: (02) 6232 5588
Email: admin@painaustralia.org.au

ACN 147 676 926

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