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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, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095, USA. SCharette@mednet.ucla.edu

Rheumatic Diseases Clinics of North America
|March 21, 2007
PubMed
Summary

Assessing chronic pain in older adults requires understanding its impact and barriers. This article details effective pain assessment strategies, including tools for the cognitively impaired.

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Area of Science:

  • Geriatrics
  • Pain Medicine
  • Clinical Assessment

Background:

  • Chronic pain significantly impacts older adults, affecting their quality of life and healthcare utilization.
  • Effective pain assessment in the elderly is often hindered by unique challenges and barriers.
  • Understanding the epidemiology and impact of pain is crucial for geriatric care.

Purpose of the Study:

  • To provide a comprehensive overview of chronic pain assessment in older patients.
  • To identify and address common barriers to accurate pain evaluation in the elderly.
  • To describe an effective, multidimensional approach to pain assessment in geriatric populations.

Main Methods:

  • Review of epidemiological data and clinical impact of chronic pain in older adults.

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  • Analysis of common barriers encountered during pain assessment in the elderly.
  • Description of best practices for history-taking and physical examination for pain.
  • Evaluation of functional status and psychosocial well-being in pain assessment.
  • Review of multidimensional and unidimensional pain assessment tools.
  • Discussion of specific methods for pain assessment in cognitively impaired individuals.

    • Main Results:

    • Chronic pain is prevalent in older adults and poses a significant health concern.
    • Barriers such as communication difficulties and underreporting complicate pain assessment.
    • A thorough approach integrating history, physical exam, functional, and psychosocial evaluation is recommended.
    • Various assessment tools exist, with specific considerations for cognitively impaired patients.

    Conclusions:

    • Effective chronic pain management in older adults hinges on comprehensive and sensitive assessment.
    • Addressing barriers and utilizing appropriate tools are key to improving pain evaluation in geriatrics.
    • Specialized approaches are necessary for assessing pain in the cognitively impaired elderly population.