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[Problems recognizing pain in geriatrics].

M Schuler1, M Hestermann, K Hauer

  • 1Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Germany. SchulerBethanien@web.de

Schmerz (Berlin, Germany)
|June 22, 2002
PubMed
Summary
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Pain assessment in hospitalized elderly patients is challenging, with doctors often failing to recognize or adequately treat pain. This study highlights significant underdiagnosis and undertreatment of pain in geriatric care.

Area of Science:

  • Geriatric Medicine
  • Pain Management
  • Clinical Assessment

Context:

  • Elderly patients frequently experience challenges in accurate pain assessment.
  • Hospitalized geriatric patients present unique difficulties in pain recognition.
  • Assessing pain in non-communicative or cognitively impaired older adults is complex.

Purpose:

  • To quantify and discuss the challenges in recognizing pain among hospitalized geriatric patients.
  • To compare patient and physician reports on pain experience, intensity, and impact on daily living.
  • To evaluate the adequacy of pain treatment in this population.

Summary:

  • A cross-sectional study involving 124 geriatric patients and their physicians revealed that 16.1% of patients could not report pain, often correlating with functional and cognitive limitations.

Related Experiment Videos

  • Physician assessments of pain were incorrect in 20.3% of cases, frequently underestimating pain intensity and its impact.
  • Insufficient pain treatment was identified in 28.3% of patients experiencing pain, underscoring a critical gap in geriatric pain management.

    • Impact:

    • Findings indicate that pain is inadequately recognized in approximately half of geriatric patients.
    • Physician attention to pain may decrease with improved patient functional status during hospitalization.
    • Nearly one-third of patients with pain receive insufficient treatment, emphasizing the need for improved pain management strategies in geriatric settings.