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Rheumatic diseases in the elderly: assessing chronic pain.

Susan L Charette1, Bruce A Ferrell

  • 1Division of Geriatrics, University of California, Los Angeles, CA 90095, USA. SCharette@mednet.ucla.edu

Clinics in Geriatric Medicine
|May 25, 2005
PubMed
Summary

Assessing chronic pain in older adults requires understanding its impact and barriers. This article outlines effective history-taking, physical exams, functional assessments, and tools for evaluating pain in the elderly, including those with cognitive impairment.

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Area of Science:

  • Geriatrics
  • Pain Medicine
  • Clinical Assessment

Background:

  • Chronic pain significantly impacts older adults' quality of life and healthcare utilization.
  • Effective pain assessment in the elderly is often hindered by unique challenges and barriers.

Purpose of the Study:

  • To provide a comprehensive overview of chronic pain assessment in older patients.
  • To describe an effective approach to pain assessment, including history, physical examination, and psychosocial evaluation.
  • To review available pain assessment tools and strategies for cognitively impaired individuals.

Main Methods:

  • Review of epidemiological data and impact of chronic pain in the elderly.
  • Identification and discussion of common barriers to pain assessment.

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  • Description of an effective pain assessment approach: history-taking, physical examination, functional status, and psychosocial well-being evaluation.
  • Review of multidimensional and unidimensional pain assessment tools.
  • Discussion of pain assessment methods for cognitively impaired older adults.

    • Main Results:

    • Chronic pain is prevalent in older adults, affecting their functional status and well-being.
    • Barriers such as communication difficulties, underreporting, and atypical presentations complicate pain assessment.
    • A systematic, multidimensional approach incorporating history, physical exam, functional, and psychosocial evaluation is crucial.
    • Various validated tools exist for pain assessment, with adaptations needed for cognitive impairment.

    Conclusions:

    • Comprehensive pain assessment is vital for managing chronic pain in older adults.
    • Addressing barriers and utilizing appropriate assessment tools, including those for cognitive impairment, improves pain management outcomes.
    • An integrated approach enhances the quality of life for elderly individuals experiencing chronic pain.