Chronic Pain Management in Older Adults: Special Considerations

Abstract The rising prevalence of neuropathic pain and the multifaceted sequelae of pain particularly within older adults are part of the increasing challenges in providing good geriatric pain management. Aging can lead to a higher sensitivity to pain within older adults, whereas physiological chang...

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Bibliographic Details
Published inJournal of pain and symptom management Vol. 38; no. 2; pp. S4 - S14
Main Author Fine, Perry G., MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2009
Subjects
Aged
Aged, 80 and over
Analgesia
Anesthesia & Perioperative Care
assessment
Chronic Disease
Chronic pain
Elderly people
Female
Geriatric Assessment - methods
Geriatric medicine
guidelines
Humans
inappropriate prescribing
Male
Nervous system
Neuralgia - diagnosis
Neuralgia - therapy
older adults
Pain Medicine
Peripheral Nervous System Diseases - diagnosis
Peripheral Nervous System Diseases - therapy
side effects
older adults
Analgesia
assessment
guidelines
side effects
inappropriate prescribing
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Summary:Abstract The rising prevalence of neuropathic pain and the multifaceted sequelae of pain particularly within older adults are part of the increasing challenges in providing good geriatric pain management. Aging can lead to a higher sensitivity to pain within older adults, whereas physiological changes modify the absorption, bioavailability, and transit time of pharmaceutical agents. Ultimately, these differences within older adults require clinicians treating them to provide individually tailored analgesic approaches. Progressive age increases the variance in physiology among people; thus, the management approach should reflect an individual's unique requirements and limitations based on findings at the time of assessment.
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ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2009.05.002