Perception, assessment, treatment, and management of pain in the elderly

被引:57
作者
Barkin, RL
Barkin, SJ
Barkin, DS
机构
[1] Rush Univ, Med Ctr, Dept Anesthesiol Family Med Pharmacol & Psychiat, Rush Med Coll, Chicago, IL 60612 USA
[2] Rush N Shore Med Ctr, N Shore Pain Ctr, Rush Pain Ctr, Skokie, IL 60076 USA
[3] St Lukes Hosp, Scottsdale, AZ USA
[4] Amer Journal Therapeut, Lake Bluff, IL 60044 USA
关键词
D O I
10.1016/j.cger.2005.02.006
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Twenty to 50% of community elderly suffer from pain. Up to 80% of the institutionalized elderly report at least one pain problem. Multiple pain etiologies that occur in elderly patients may be the occurrence of multiple chronic diseases: osteoarthritis, RA, cancer, DJD, bone/joint disorders, osteoporosis, surgical pain, trauma, neuropathic pain, and nociceptive pain. The incidence of unrelieved pain inhibits respiration, decreases mobility, and decreases their functional status, which may lead to iatrogenic events, which include pneumonia, constipation and deep vein thrombosis. Prolonged inpatient stays and extended care facilities or nursing homes may decrease the elderly patient's expectations of quality of life and initiate social isolation. There exists some roadblocks or barriers to the detection of pain in the elderly client. These include social, emotional, cognitive, and subjective issues with the patient.
引用
收藏
页码:465 / +
页数:27
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