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Analgesia and Pain Management01:25

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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...
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[Interdisciplinary pain therapy in the elderly].

Peter Mattenklodt1, Anne Ingenhorst2, Brigitta Flatau3

  • 1Schmerzzentrum, Uniklinikum Erlangen, Krankenhausstr. 12, 91054, Erlangen, Deutschland. peter.mattenklodt@uk-erlangen.de.

Die Anaesthesiologie
|February 20, 2024
PubMed
Summary

Multimodal pain therapy, tailored for older adults, offers significant benefits despite limited evidence. This approach integrates physical, psychological, and educational strategies for improved chronic pain management in the elderly.

Keywords:
AgedBiopsychosocial model/painChronic painCognitive behavioral therapySelf-management/pain

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Area of Science:

  • Gerontology
  • Pain Management
  • Rehabilitation Medicine

Context:

  • Chronic pain is a growing concern in the elderly, necessitating effective therapeutic strategies.
  • International guidelines recommend a bio-psycho-social model for geriatric pain management.
  • Interdisciplinary pain assessment tools are available but evidence for multimodal therapy effectiveness in the elderly is limited.

Purpose:

  • To explore the effectiveness and components of multimodal pain therapy specifically adapted for older adults.
  • To highlight the importance of tailored interventions in geriatric pain management.
  • To review various therapeutic modalities within a multimodal framework for elderly patients.

Summary:

  • Multimodal pain therapy for the elderly, adapted to individual needs, shows promise in clinical trials.
  • Key components include tailored movement therapy (strengthening, coordination), physical and occupational therapy for daily living adaptations, and psychological training (pain acceptance, coping strategies).
  • Pain education, relaxation, mindfulness, and complementary therapies (e.g., fear-avoidance belief treatment) are valuable adjuncts, with follow-up care being crucial.

Impact:

  • Controlled trials suggest older adults benefit from adapted multimodal pain interventions.
  • This approach can improve function and quality of life for elderly individuals experiencing chronic pain.
  • Further research is needed to understand the long-term efficacy of these interventions and the duration of therapeutic effects.