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Related Experiment Videos

[Chronic pain in geriatrics].

B Kennes1

  • 1Service de Gériatrie, C.H.U. A. Vésale, Montigny-le-Tilleul, U.L.B.

Revue Medicale De Bruxelles
|August 8, 2001
PubMed
Summary
This summary is machine-generated.

Managing chronic pain in veterans requires careful attention due to frequent atypical presentations. Effective pain management involves accurate assessment and a multimodal approach, including cautious pharmacological strategies and non-pharmacological therapies.

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Area of Science:

  • Gerontology
  • Pain Management
  • Pharmacology

Context:

  • Chronic pain is prevalent among veterans, often presenting atypically or masked by comorbidities.
  • Conditions like dementia or sensory disorders can complicate pain assessment in this population.
  • Effective pain management is crucial for improving veterans' quality of life.

Purpose:

  • To outline strategies for the detection and management of chronic pain in veterans.
  • To discuss appropriate pharmacological and non-pharmacological treatment approaches.
  • To emphasize the importance of a multidisciplinary approach to pain care.

Summary:

  • Pain in veterans is common and frequently atypical, necessitating thorough assessment using clinical examination and validated tools.

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  • Pharmacological management should follow the World Health Organization (WHO) guidelines, with careful consideration of side effects and drug interactions.
  • Non-opioid analgesics require cautious use, while opioids can be included with dose adjustments and close monitoring. Tramadol is noted as effective and better tolerated than codeine or dextropropoxyphene, which should be avoided.

    • Impact:

    • Highlights the need for vigilant pain assessment in veterans, especially those with cognitive or sensory impairments.
    • Provides guidance on the judicious use of analgesics, including opioids and non-opioids, within a stepped care framework.
    • Stresses the integral role of a collaborative, polydisciplinary team in achieving optimal pain relief and patient outcomes.