Special Issues in the Management of Chronic Pain in Older Adults

被引：38

作者：

Bruckenthal, Patricia ^{[2
]}

Reid, M. Carrington ^{[1
]}

Reisner, Lori ^{[3
]}

机构：

[1] New York Presbyterian Hosp, Weill Cornell Med Ctr, Div Geriatr, New York, NY 10065 USA

[2] SUNY Stony Brook, Sch Nursing, Stony Brook, NY 11794 USA

[3] Univ Calif San Francisco, Med Ctr, Dept Pharmaceut Serv, San Francisco, CA 94143 USA

来源：

PAIN MEDICINE | 2009年 / 10卷

关键词：

Adults; Chronic; Older; Opioids; Pain; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; INAPPROPRIATE MEDICATION USE; NURSING-HOME RESIDENTS; MUSCULOSKELETAL PAIN; POSTHERPETIC NEURALGIA; QUALITY INDICATORS; EXPLICIT CRITERIA; UNITED-STATES; RISK-FACTORS; BACK-PAIN;

D O I：

10.1111/j.1526-4637.2009.00667.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Pain syndromes are prevalent among older individuals and generally increase in incidence as the population ages. Yet, pain often is undertreated in older patients, sometimes due to difficulties in assessing pain intensity and the effectiveness of treatment in the context of age-related cognitive impairment and physiologic changes. As a result, older patients with chronic pain conditions are more likely to experience greater functional limitations and decreased quality of life due to these and other barriers to appropriate care. This article discusses the epidemiology, assessment, and management of pain in older adults, and reviews special issues in the treatment of this population, such as adverse effects due to changes in drug metabolism and drug-drug interactions.

引用

页码：S67 / S78

页数：12

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