In This Issue
Upcoming Events
Funding Opportunities

March 2014

Updates from TRIPLL!

The Translational Research Institute on Pain in Later Life (TRIPLL) is an NIH funded Edward R. Roybal Center. Our eNewsletter provides recent news, events, and funding opportunities related to pain and aging. In this issue we feature studies that address chronic pain conditions, develop new pain assessment tools, present new pain management techniques, and review Reiki therapy for pain and anxiety; as well as upcoming events and recent pain and aging related funding opportunities. 

News and Recent Research

The following section features recent news and research studies that focus on pain and aging 
Persistent Chronic Pain among Community-dwelling Older People

The authors of a recent study published in the Clinical Journal 

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of Pain evaluated the persistence of chronic pain among community- dwelling older persons and identified factors related to persistent chronic pain. The authors enrolled 256 older adults age 76 and older who reported consistent chronic pain. Each participant was interviewed annually by a nurse practitioner who collected data on "prevalence, duration, location and intensity of nonmalignant musculoskeletal pain." The results indicate that 74.4% of participants experienced persistent chronic pain. The authors conclude that "chronic musculoskeletal pain is a highly persistent condition among community-dwelling older persons and it is related to poor health."


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New Methods in Managing Chronic Pain among Older Adults

In Current Medical Research and Opinion, the authors of a recent study assessed the extent of untreated pain among older adults and how it reduces quality of life. The authors also reviewed the reasons why persistent pain is poorly or inaccurately diagnosed among older adults. Factors responsible for the misdiagnosis of chronic pain include patients unwillingness to complain about pain, unusual pain presentations among patients, and patients with multiple morbidities and cognitive decline. The authors determined that "successful pain management depends upon accurate pain diagnosis, and an assessment of psychosocial functioning." The authors also found that "non-adherence to pain treatment is common among older adults," and  that "various strategies can be employed to improve this issue such as involving the elderly patient's caregivers and family, and using medication systems such as pill-boxes."


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New Tool for Assessing Pain among Older Adults

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The authors of a recent study published in Pain Management Nursing "developed and validated a tool to assess nurses' knowledge, attitudes, and reported practice of pain assessment in cognitively impaired elderly patients in acute care settings." The Tool for Evaluating the ways Nurses Assess Pain (TENAP) has two sections: "(1) nurses' knowledge and attitudes about pain assessment and management and (2) two questionnaires to assess reported practice." The authors enrolled "263 registered nurses working in the medical wards of two public hospitals" who were asked to test the effectiveness of the TENAP tool. The result indicate that "TENAP was feasible, valid, and reliable for assessing pain in cognitively-impaired elderly patients."


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Reiki Therapy for Pain and Anxiety

The authors of a recent study published in Pain Management Nursing performed a systematic review of the literature to identify the effect of Reiki therapy for pain and anxiety in older adults. The authors identified articles by searching "PubMed, ProQuest, Cochrane, PsychInfo, CINAHL, Web of Science, Global Health, and Medline databases while using the search terms pain, anxiety, and Reiki." Out of 49 idenfied articles, 7 met the inclusion criteria. The authors conclude that "although the number of studies is limited, there is evidence to suggest that Reiki therapy may be effective for pain and anxiety."


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Click here for more pain and aging related news.

 Upcoming Events

The following list includes upcoming seminars, meetings, wellness courses, and conferences that  focus on aging, pain, or general research methods

TRIPLL's  March Work-in-Progress Seminar 

TRIPLL will host a Work in Progress (WIP) seminar on   March 19, 2014 from 12:00PM -1:00PM EST. The WIP is an open forum designed to improve the research proposals of junior and senior researchers, faculty, and health care professionals. Contact Marcus Warmington at maw2054@med.cornell.eduif you have any questions or would like to participate.  

Click here for more information.

TRIPLL's March 2014 Webinar 

Una Makris, MD; Assistant Professor of Internal Medicine, UT Southwestern Medical Center, will make a presentation titled "Management of Osteoarthritis in the Older Adult: The Rheumatologist Perspective," on March 24 from 3-4PM EST.


Click here for more information


Impact of Palliative Education on ICU Nurses' Moral Distress

Catherina Madani, MSN, RN, CHPN and Cassia Chevillon, RN, MSN, CNS, CCRN will present a webinar on palliative care education for ICU nurses on April 23 at 1:00 PM ESTThis webinar will discuss an initiative to educate nurses, the emotional preparedness training needed to care for these patients, and provide information about the need and benefit of palliative care in an ICU setting. 


Click here for more information.



The following Wellness Course is for Community Dwelling Older Adults


Stretch Yoga for Older Adults  


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The purpose of this course is to help older adults Stretch and tone their bodies with simple, gentle body movements that will help them feel active, energized and relaxed. Stretch yoga combines gentle stretches from sitting and standing positions (during the last 20 minutes older adults will have a choice of sitting or lying down); breathing techniques for relaxation and stress reduction; visualization and concentration skills to help develop an awareness and sensitivity to personal energy. Space is limited to 15 participants. 


Click here for more information.



Click here for more pain and aging related events.

Funding Opportunities

Recent pain and aging related funding for health care professionals, senior academic researchers, and junior faculty 


Recent Pain and Aging Related Funding
Advancing the Science of Geriatric Palliative Care 
Funder: National Institute of Health/ National Institute of Aging
Funding Amount:TBD
Due Date: January 16, 2015
Overview: This Funding Opportunity Announcement (FOA) encourages research grant applications focused on palliative care in geriatric populations. This FOA emphasizes studies in a variety of settings including ambulatory care, hospitals (and specific sites within hospitals including specialty wards, intensive care units and emergency departments), assisted living facilities, and short- and long-term care facilities; however, hospice and end-of-life settings are not included within the scope of this FOA, as they are the subject of other NIH programs. Rather, this FOA highlights research on palliative care in settings and at time points earlier in geriatric patients' disease or disability trajectories. 

Click here for more information.

Pain in Aging
Funder: National Institute of Health
Funding Amount: $200,000
Due Date: June 16, 2014
Overview:This FOA encourages Small Grant (R03) applications from institutions/organizations that propose to study pain from an aging perspective, including studies of older populations, studies of age differences and age-related changes in pain processes and experiences, and studies of pain treatment and management in older adults. This FOA particularly encourages studies on 1) mechanisms and predictors of pain experience in aging, 2) development and evaluation of pain assessment tools for older adults or older model organisms, and 3) development and evaluation of pain management strategies in older adults, with particular attention to the challenges associated with treating pain in patients with multiple morbidities.

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Mechanisms, Models, Measurement, and Management in Pain

Funder: National Institute of Health

Funding Amount: TBD

Due Date: Rolling Acceptance

Overview: New advances are needed in every area of pain research, from the micro perspective of molecular sciences to the macro perspective of behavioral and social sciences. Although great strides have been made in some areas, such as the identification of neural pathways of pain, the experience of pain and the challenge of treatment have remained uniquely individual and unsolved. Research to address these issues conducted by interdisciplinary and multidisciplinary research teams is strongly encouraged, as is research from underrepresented, minority, disabled, or women investigators.     

Click here for more information

Multidisciplinary Studies of HIV/AIDS and Aging (R21)

Funder: National Institute of Health (NIH)

Funding Amount: TBA

Due Date: April 8, 2014

Overview: "This funding announcement invites applications proposing to study HIV infection, HIV-associated conditions, HIV treatment, and/or biobehavioral or social factors associated with HIV/AIDS in the context of aging and/or in older adults. Research approaches of interest include clinical translational, observational, and intervention studies in domestic and international settings." 


Click here for more information


Click here for a list of ongoing pain and aging related funding announcements.

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The Translational Research Institute on Pain in Later Life (TRIPLL) is an NIA funded Edward R. Roybal center with a focus on persistent pain due to both cancer and non-cancer related causes. TRIPLL is a collaboration between investigators at Weill Cornell Medical College, Cornell-Ithaca, Columbia University's Mailman School of Public Health, Hospital for Special Surgery, Memorial Sloan Kettering Cancer Center, Visiting Nurse Service of New York and Council of Senior Centers & Services of NYC, Inc.