This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area. 
Chapter 1: Anatomy & Physiology of Pain. Pain & Sensation.
Neural Pain Pathways.
A Delta fibres.
Dorsal Roots.
Spinal cord to brain.
Descending tracts & Substantia gelatinosa.
The pain gate.
Chronic pain.
Peripheral sensitisation.
Central Senstization.
Older People.
Chapter 2: Relating socio-economic issues with older people and pain: Independence dignity and choice.
Health Economics.
Cultural issues in older age.
Resources linked with being older and in pain .
Policy in health services, economics and older people.
Diet and health in older age, related to economics.
Independence.
Dignity.
Choice.
Chapter 3: Creaking joints, a bit of arthritis, and aches and pains’: Older people’s experiences and perceptions of pain.
The Study.
Is pain different for older people Equating older age with aches and pains.
Salience l“¥