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Acute Pain Management for the Older Adult
Martin F Casey1, Joshua Niznik2
1Department of Emergency Medicine, University of North Carolina School of Medicine, 170 Manning Drive, CB# 7594, Chapel Hill, NC 27599-7594, USA.
Abstract:
Treating older adults with acute pain in the emergency department is complicated. Undertreated pain can lead to delirium and functional decline. Conversely, common analgesics pose risks of serious drug-drug interactions and adverse drug events. In this review, we discuss issues essential to pain management in older adults including (1) assessing pain in the cognitively impaired, (2) review of analgesic medication classes, (3) principles of geriatric pharmacology, and (4) selecting an analgesic for an older adult with acute pain.
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