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Related Experiment Videos

Pain management in the elderly.

Thomas A Cavalieri1

  • 1Department of Medicine, University of Medicine and Dentistry-School of Osteopathic Medicine, Stratford, NJ 08084-1504, USA. cavalita@umdnj.edu

The Journal of the American Osteopathic Association
|October 4, 2002
PubMed
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Pain management in older adults is crucial for quality of life. Effective strategies combine medication and non-medication approaches, requiring careful consideration of patient-specific factors for optimal pain relief.

Area of Science:

  • Geriatrics
  • Pain Management
  • Clinical Medicine

Background:

  • Pain is frequently unrecognized and undertreated in the elderly population.
  • Ineffective pain management negatively impacts older adults' quality of life, leading to depression, social isolation, and functional decline.
  • Assessing pain in elderly individuals with dementia or communication disorders presents unique challenges.

Purpose of the Study:

  • To highlight the importance of effective pain assessment and management in older adults.
  • To outline comprehensive pharmacologic and nonpharmacologic strategies for pain relief in the elderly.
  • To emphasize the need for a team-based approach in managing pain in this demographic.

Main Methods:

  • Physicians should regularly inquire about pain and employ skillful assessment strategies to determine frequency and intensity.

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  • Pharmacologic interventions include nonopioid analgesics, opioid analgesics, and adjuvant medications, with careful consideration of polypharmacy, drug interactions, and age-related metabolic changes.
  • Nonpharmacologic approaches encompass cognitive-behavioral therapy, education, osteopathic manipulative treatment, and exercise.

    • Main Results:

    • Effective pain management requires a dual approach, integrating both pharmacologic and nonpharmacologic interventions.
    • Careful consideration of medication interactions, metabolism changes, and adverse drug reactions is essential for safe and effective pharmacotherapy in older adults.
    • A multidisciplinary team approach enhances the ability to provide adequate analgesia.

    Conclusions:

    • Comprehensive pain management in the elderly necessitates a combination of pharmacologic and nonpharmacologic strategies.
    • Addressing challenges in pain assessment, particularly in patients with cognitive or communication impairments, is vital.
    • Implementing a team-based strategy grounded in pain management principles can lead to improved analgesia and quality of life for older adults.