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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Updated: Jun 17, 2026

Oral Health Assessment by Lay Personnel for Older Adults
08:47

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Published on: February 2, 2020

Pain assessment in the elderly.

Chiara Catananti1, Giovanni Gambassi

  • 1Centro Medicina dell'Invecchiamento, Università Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy. chiaracata@yahoo.it

Surgical Oncology
|December 17, 2009
PubMed
Summary

Older adults experience higher hospital admission rates and often receive inadequate pain management due to underestimation and attitudinal barriers. Effective pain assessment and treatment are crucial for improving health outcomes in the elderly.

Area of Science:

  • Gerontology
  • Pain Management
  • Clinical Medicine

Background:

  • Hospital admissions are significantly higher for individuals over 65.
  • Older adults are frequently excluded from pain assessment and treatment trials.
  • Healthcare professionals often underestimate pain in older patients, leading to undertreatment.

Purpose of the Study:

  • To highlight the challenges in pain assessment and management for older adults.
  • To emphasize the importance of effective pain treatment in this demographic.
  • To address the factors contributing to the undertreatment of pain in the elderly.

Main Methods:

  • Review of existing literature on pain assessment and treatment in older populations.
  • Analysis of factors influencing pain reporting and management in elderly patients.

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  • Examination of attitudinal barriers among both professionals and older individuals regarding pain.
  • Main Results:

    • Older adults face unique challenges in pain reporting due to biological, cultural, and cognitive factors.
    • Attitudinal barriers, including the belief that pain is an inevitable part of aging, contribute to undertreatment.
    • When included in studies, older people show similar treatment benefits to younger patients.

    Conclusions:

    • Undertreatment of pain in older adults can lead to chronic pain and reduced quality of life.
    • Effective pain management is essential to reduce morbidity and mortality in the elderly.
    • Addressing assessment and treatment disparities is critical for improving geriatric care.