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Opiates and elderly: use and side effects
Diane L Chau1, Vanessa Walker, Latha Pai
1University of Nevada School of Medicine, Reno, NV, USA diane.chau@va.gov
Clinical Interventions in Aging
|August 9, 2008
Summary
Managing pain in elderly patients presents unique challenges. This review highlights crucial precautions and side effect management when prescribing opioids for geriatric pain control.
Area of Science:
- Geriatric Medicine
- Pain Management
- Pharmacology
Background:
- Pain management is a universal healthcare challenge, particularly complex in the elderly due to physiological, pharmacological, and psychological factors.
- Opioids are primary analgesics but require careful consideration in geriatric patients with altered metabolism, excretion, and reduced physical reserve.
- A chart review of 300 US veterans indicated that 44% of patients receiving analgesics also received opioids.
Purpose of the Study:
- To address the special considerations, precautions, and side effect management for opioid use in the geriatric population.
- To inform healthcare providers on the safe and effective prescribing of opioids for elderly patients.
- To emphasize the importance of awareness regarding the unique challenges of geriatric pain management.
Main Methods:
- The study involved a random chart review of 300 US veterans.
- Analysis focused on patients receiving analgesics, specifically noting concurrent opioid use.
- The article synthesizes current knowledge on geriatric pharmacology and pain management.
Main Results:
- Opioid analgesics are frequently prescribed to elderly patients.
- A significant proportion of geriatric patients receiving pain relief also receive opioids.
- The review underscores the need for specialized knowledge when prescribing opioids to older adults.
Conclusions:
- Healthcare providers must exercise caution and be aware of specific considerations when prescribing opioids to the elderly.
- Minimizing side effects is critical for effective pain management in geriatric patients.
- This article provides guidance on precautions and managing opioid-related adverse events in older adults.
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