Chronic Pain Management in the Elderly.
Chronic Pain Management in the Elderly.
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DOI：
10.1016/j.anclin.2019.04.012
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发表时间：
2019-09-01
影响因子：
--
通讯作者：
Tawfik, Vivianne L
中科院分区：
文献类型：
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作者：
Schwan, Josianna;Sclafani, Joseph;Tawfik, Vivianne L
慢性疼痛在老年人中非常普遍，并且与显著的发病率相关，包括活动受限、社交孤立和抑郁情绪。疼痛是由一个生物心理社会模型定义的，该模型强调了多学科治疗方法的重要性，包括多模式药物治疗、选定的干预措施、物理治疗和康复以及心理治疗。在这篇叙述性综述中，作者强调了这些方法在老年人中的使用，特别关注衰老特有的考虑因素，包括药物代谢的改变，避免多药治疗，以及易患疼痛疾病的生理变化。
Chronic pain is extremely prevalent in older adults and is associated with significant morbidity, including limited mobility, social isolation, and depressed mood. Pain is defined by a biopsychosocial model highlighting the importance of a multidisciplinary approach to treatment, including multimodal medications, selected interventions, physical therapy and rehabilitation, and psychological treatments. In this narrative review, the authors highlight the use of these approaches in older adults with specific attention paid to considerations unique to aging, including alterations in drug metabolism, avoidance of polypharmacy, and physiologic changes predisposing to painful conditions.