Journal Article10.1007/S11916-010-0148-0
Managing pain in the elderly population: pearls and pitfalls.
Emily Chai,Jay R. Horton +1 more
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TL;DR: Using extrapolated evidence from pain research in younger patients, consensus statements, and best practice guidelines, areas of geriatric pain assessment and management that need special consideration are highlighted.
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Abstract: While pain is a common symptom among older adults, it often is underdiagnosed and undertreated. Aging-related physiological changes, misperceptions about the use of pain medications by both patients and providers, and the lack of evidence-based clinical research on pain management in older adults are some of the reasons why pain in older adults is mismanaged. Using extrapolated evidence from pain research in younger patients, consensus statements, and best practice guidelines, this article summarizes and highlights areas of geriatric pain assessment and management that need special consideration. Some highlighted areas include 1) pain assessment in cognitively impaired patients; 2) medication choice and initiation doses; 3) duration of adequate medication trials; and 4) common medication side effects and suggested management.
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Citations
A guide to improving the care of patients with fragility fractures.
Susan V. Bukata,Benedict F. DiGiovanni,Susan M. Friedman,Harry A. Hoyen,Amy Kates,Stephen L. Kates,Simon C. Mears,Daniel A. Mendelson,Fernando H. Serna,Frederick E. Sieber,Wakenda K. Tyler +10 more
TL;DR: This monograph is written as a guide for physicians, nurses, therapists, and students interested in ideal care for their patients with fragility fractures to help improve the quality of care.
182
A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2:
Simon C. Mears,Stephen L. Kates +1 more
TL;DR: The information contained in this article will prove invaluable to any health care provider or health system administrator who is involved in the prevention and management of fragility hip fractures.
170
Tapentadol for neuropathic pain: a review of clinical studies.
TL;DR: This narrative review aims to provide clinicians with a broad overview of tapentadol effects on NP, which has proved to be effective in relieving NP in diabetic peripheral neuropathy and in chronic low back pain.
Self-report pain assessment tools for cognitively intact older adults: Integrative review.
Youjeong Kang,George Demiris +1 more
TL;DR: To understand documented self-report pain assessment tools that have been used among cognitively intact older adults, and to describe their characteristics including overall performance as well as studies demonstrating their use, a systematic search of the indexed databases was conducted.
Assessment and management of rib fracture pain in geriatric population: an ode to old age.
TL;DR: Nerve blocks are instrumental in treating rib fracture pain along with utilization of opioids and nonopioids thus formulating a multimodal approach to pain management.
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TL;DR: In this paper, both appropriate and inappropriate medica- tions for older adults are detailed, as well as their contraindications and potential drug-drug or drug-disease interactions.
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