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Pain assessment in elders: practical tips

M L Heye1

  • 1Department of Acute Nursing Care, University of Texas Health Science Center, San Antonio School of Nursing 78284-7975, USA.

Nurse Practitioner Forum
|March 3, 1998
PubMed
Summary
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Assessing pain in elders is challenging due to cognitive and mood changes. This article offers strategies for accurate pain assessment in older adults, improving their quality of life.

Area of Science:

  • Gerontology
  • Pain Management
  • Clinical Assessment

Background:

  • Aging population leads to increased prevalence of painful conditions.
  • Pain significantly impacts physical functioning and quality of life in elders.
  • Pain assessment in older adults presents unique challenges due to potential cognitive impairment, mood alterations, and functional changes.

Purpose of the Study:

  • To address barriers in pain assessment for the elderly population.
  • To provide practitioners with strategies for accurate and valid pain assessment in older adults.
  • To review current research relevant to pain assessment in aging individuals.

Main Methods:

  • Review of literature on pain assessment challenges in elders.
  • Discussion of factors affecting pain reporting in older adults (e.g., cognitive status, mood).

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  • Identification of strategies to overcome assessment barriers.

    • Main Results:

    • Vague comments, reluctance to describe pain, and cognitive impairment are common barriers.
    • Accurate pain assessment requires tailored strategies for the elderly.
    • Understanding the interplay of cognition, mood, and pain is crucial.

    Conclusions:

    • Effective pain management in elders necessitates overcoming specific assessment challenges.
    • Practitioners need evidence-based strategies for valid pain assessment in this demographic.
    • Improved pain assessment can enhance functional status and quality of life for older adults.