Related Experiment Video
Updated: Feb 19, 2026
09:38
Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
13.2K
Pain Management in Older Adults
1University of Florida, College of Nursing, PO Box 100197-HSC, Gainesville, FL 32610, USA.
The Nursing Clinics of North America
|October 30, 2017
Summary
Managing pain in older adults requires a personalized, multimodal approach due to age-related changes. Evidence-based strategies combine pharmacologic and non-pharmacologic treatments for effective pain management.
Area of Science:
- Geriatrics
- Pain Management
- Pharmacology
Background:
- Pain management in older adults is complicated by physiological changes, comorbidities, and polypharmacy.
- Individualized, multimodal treatment is essential for this population.
- Existing guidelines offer best practices for healthcare providers.
Purpose of the Study:
- To provide evidence-based recommendations for pain management in older adults.
- To outline both pharmacological and non-pharmacological strategies.
- To guide healthcare providers in optimizing pain treatment for geriatric patients.
Main Methods:
- Review of clinical guidelines and expert panel statements.
- Synthesis of evidence for pharmacological pain management.
- Synthesis of evidence for non-pharmacological pain management.
Main Results:
- Multimodal treatment plans are recommended.
- Pharmacologic and non-pharmacologic strategies should be integrated.
- Individualized care is crucial for effective pain relief.
Conclusions:
- An individualized, multimodal approach is the standard of care for geriatric pain.
- Integration of pharmacologic and non-pharmacologic methods improves outcomes.
- Evidence-based recommendations support optimal pain management in older adults.
Related Concept Videos
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
253
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
253
01:22Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption
741
As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
741
01:15Drug Dosing: Geriatric Patients
289
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...
289
01:25Analgesia and Pain Management
2.1K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
2.1K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
431
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
431
01:00Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
272
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
272