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Please respond to this QOL survey on chronic pain: does age matter--does it apply these steps...

Please respond to this QOL survey on chronic pain: does age matter--does it apply these steps correctly?

please comment on how this paper addresses pain and QOL in different age groups.

300 words No plagiarism no bullet pints please

Nonspecific chronic low back pain (CLBP) is a frequent medical condition among middle-aged and older adults. Its detrimental consequences for functional ability and quality of life are well known. However, less is known about associations of chronological age with disability and well-being among CLBP patients. Coping with pain may be harder with advancing age due to additional age-associated losses of physical, sensory, and other resources, resulting in higher disability and lower quality of life. Alternatively, older patients may feel less impaired and report higher quality of life than younger patients because the experience of chronic pain may be better anticipated and more “normative” in old age. Methods We investigated an age-heterogeneous sample of 228 CLBP patients (mean age = 59.1 years, SD = 10.2 years, range 41–82 years). Our outcomes were pain intensity, pain disability (as assessed by self-reported activity restrictions and performance-based tests), and measures of quality of life (health-related quality of life: SF-12 physical and mental health; well-being: anxiety, depression, perceived control over life, affective distress). Results Although older patients had higher performance-based disability, they scored higher on mental health and on most measures of well-being than younger patients. Conclusions Our findings provide evidence for a “paradoxical” pattern of age effects in CLBP patients and are thus in line with other studies based on nonclinical samples: Although disability in CLBP patients increases with advancing age, indicators of quality of life are equal or even higher in older patients.

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Answer #1

Pain is a unpleasant sensation of physiological response to a noxious stimulus.

Chronic low back pain is a long term condition of low back pain.

As a prevalence low back pain is less in younger age group between 20-30 years. It Increases in age between 50-60 years.

Quality of life is a quality of general well being which include everything like physical , mental and social well being.

In this our outcome were about pain intensity, pain disability and measure the quality of life..

According to chronological age, the older patient may have difficulty in coping up with pain due to associated illness like loss of physical and sensory , lower quality of life compared to middle aged or younger adults.

According to adaptation, the chronic low back pain which a older adult experiences for longer period time, the body get adapted to this pain. The pain becomes normative and thus does not affect their disability or quality of life more.

In younger adult the adaptation is lesser than the older age that affect their quality of life.

Older patient coping up with mental stability is higher because their concept is pain is a normal old age problem. But in middle age and younger adult pain adaptation is less that affect the daily living and that indirectly affect the mental stability leads to stress, depression.

The disability is higher in older age because of the associated illness and ageing.

This study helps to know about the nonspecific chronic low back pain in middle age or young adult should be assessed and treated for pain and quality of life in a psychosocial way. This is the strength of this study.

The limitations is that the multiple comparisons of chronological age should be statistically significant. Apart from chronological age some factors like coping strategies can be explained the reason of functional ability affect some people bt not everyone.

This study concludes that disability in chronic low back pain in increasing age indicates quality of life are equal or higher in order patient than middle age people or younger adults.

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