Managing Chronic Pain at Home: Practical Ways Home Care May Help

 

Chronic Pain in Older Adults: What It Is and How Home Care May Help

Chronic pain is a common and complex issue among older adults, but it can often be managed effectively with consistent support at home. Nearly one in four adults in the U.S. experiences chronic pain, with rates even higher among those aged 65 and older. For some, this pain is “high-impact,” meaning it significantly limits their ability to carry out daily activities.

Why Chronic Pain is Common in Later Life

As people age, several factors may contribute to chronic pain. These include natural joint wear such as osteoarthritis, changes in the spine, lingering effects from old injuries, and nerve pain from conditions like the aftereffects of shingles. Chronic pain may also occur even without a major disease diagnosis. Additionally, pain can increase the risk of falls, creating a cycle that can reduce independence and make everyday tasks more difficult.

Practical Approaches to Managing Chronic Pain

Managing chronic pain often involves a combination of strategies focused on maintaining function and quality of life. These may include:

• Education and self-management: Learning pacing techniques, goal setting, and activity planning.
• Physical activity and movement: Gentle strength, balance, flexibility, or walking routines recommended by a healthcare provider.
• Mind–body and psychological support: Accessing support services or counseling when needed.
• Home modifications and safety measures: Simple adjustments such as improved lighting, grab bars, railings, ramps, and decluttering may help reduce pain and the risk of falls.

The Role of Home Care

Home care is different from home health—it does not provide medical treatment—but it is a critical part of helping older adults maintain independence and quality of life. Home care professionals may help with:

• Assistance with activities of daily living: Home care provides support with bathing, dressing, meal preparation, and other routines, which may reduce the effort and discomfort for older adults living with chronic pain.
• Transportation to medical appointments: Driving to doctors, therapy sessions, or other healthcare visits may reduce stress and fatigue, helping clients manage pain more effectively.
• Monitoring and family support: Home care professionals may observe changes in mobility, mood, or overall health and communicate concerns to family members, providing peace of mind and early warning of potential problems.
• Creating a safe home environment: Identifying hazards, suggesting simple modifications, and helping maintain an organized, accessible home may help clients move more comfortably and confidently.

Bottom Line

Chronic pain in older adults is common but often manageable with thoughtful strategies and supportive care. While medical treatment and physical therapy are essential, home care can help alleviate the daily demands placed on older adults, support their independence, and offer families reassurance and monitoring. By helping clients stay safe, active, and connected to their care, home care plays a vital role in maintaining quality of life at home.

 

 

Prevalence of Chronic Pain in Older Adults

• Centers for Disease Control and Prevention (CDC): In 2023, 24.3% of adults experienced chronic pain, with 8.5% reporting high-impact chronic pain. The prevalence increased with age, reaching 36.0% among adults aged 65 and older. CDC

• National Center for Health Statistics (NCHS): A 2024 report indicated that 36% of adults aged 65 and older dealt with chronic pain in 2023. McKnight’s

Factors Contributing to Chronic Pain in Older Adults

• National Institute on Aging (NIA): As people age, pain can become more common due to various factors including physical changes and injury risks. Verywell Health

• National Council on Aging (NCOA): Chronic pain is a widespread public health problem, with approximately 50 million American adults living with chronic pain. Nationa