Persistent non-cancer pain management in the older adult.
نویسندگان
چکیده
Pain is a prevalent symptom affecting as many as 50% of community-dwelling older adults. Pain affects quality of life, functional status, cognition, mood, sleep, and well-being. A multimodal approach to pain management consists of both non-pharmacologic and pharmacologic interventions. Prescribing analgesics is safe and effective in older persons if done judiciously by starting low and titrating slowly while monitoring closely for potential side effects.
منابع مشابه
Guidance on opioids prescribing for the management of persistent non-cancer pain in older adults
Many older adults suffer from persistent pain but prevalence studies consistently showed high levels of untreated or under-treated pain in old population. Both persistent pain and pain under-treatment adversely affect independence and quality of life in geriatric patients. Pain management is challenging in this age-group because of the declining organ function, the presence of concurrent diseas...
متن کاملAssessment and management of chronic pain in the older adult.
OBJECTIVE To review the assessment and recommended management of mild to moderate chronic pain in the older adult. DATA SOURCES Medline search using the terms pain, older adult, and analgesics, current national guidelines, and authors' case experiences. DATA SYNTHESIS Assessing pain in cognitively intact and impaired older adults is essential to safe use of psychoactive medications. Followi...
متن کاملPharmacological Management of Persistent Pain in Older Persons American Geriatrics Society Panel on the Pharmacological Management of Persistent Pain in Older Persons
Pain is a complex phenomenon caused by noxious sensory stimuli or neuropathological mechanisms. An individual’s memories, expectations, and emotions modify the experience of pain. Persistent pain, by definition, continues for a prolonged period of time and may or may not be associated with a well-defined disease process. In the medical literature, the terms ‘‘persistent pain’’ and ‘‘chronic pai...
متن کاملPharmacological Management of Persistent Pain in Older Persons American Geriatrics Society Panel on the Pharmacological Management of Persistent Pain in Older Persons
Pain is a complex phenomenon caused by noxious sensory stimuli or neuropathological mechanisms. An individual’s memories, expectations, and emotions modify the experience of pain. Persistent pain, by definition, continues for a prolonged period of time and may or may not be associated with a well-defined disease process. In the medical literature, the terms ‘‘persistent pain’’ and ‘‘chronic pai...
متن کاملPain management in the elderly.
Persistent pain in older adults is common, and associated with substantial morbidity. Optimal management starts with assessment, including pain presence, intensity, characteristics, and interference; painful conditions; pain behaviors; pain-related morbidity; pain treatments; and coping style. Treatment incorporates analgesics demonstrated to decrease pain and improve a patient's sense of well-...
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ورودعنوان ژورنال:
- Medicine and health, Rhode Island
دوره 93 7 شماره
صفحات -
تاریخ انتشار 2010