Managing Pain in the Elderly Population: Pearls and Pitfalls
Managing Pain in the Elderly Population: Pearls and Pitfalls
复制标题
管理老年人口的疼痛：珍珠和陷阱
DOI：
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发表时间：
2010
影响因子：
3.7
通讯作者：
J. Horton
中科院分区：
文献类型：
--
作者：
E. Chai;J. Horton
虽然疼痛是老年人的一种常见症状，但往往诊断不足，治疗不足。与年龄相关的生理变化，患者和提供者对使用止痛药的误解，以及缺乏关于老年人疼痛管理的循证临床研究，是老年人疼痛管理不善的一些原因。使用从年轻患者的疼痛研究，共识声明和最佳实践指南的外推证据，本文总结和强调了需要特别考虑的老年疼痛评估和管理领域。一些重点领域包括：1）认知障碍患者的疼痛评估; 2）药物选择和起始剂量; 3）充分药物试验的持续时间; 4）常见药物副作用和建议的管理。
While pain is a common symptom among older adults, it often is underdiagnosed and undertreated. Aging-related physiological changes, misperceptions about the use of pain medications by both patients and providers, and the lack of evidence-based clinical research on pain management in older adults are some of the reasons why pain in older adults is mismanaged. Using extrapolated evidence from pain research in younger patients, consensus statements, and best practice guidelines, this article summarizes and highlights areas of geriatric pain assessment and management that need special consideration. Some highlighted areas include 1) pain assessment in cognitively impaired patients; 2) medication choice and initiation doses; 3) duration of adequate medication trials; and 4) common medication side effects and suggested management.
DOI：
10.1093/gerona/58.1.m76
发表时间：
2003
期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
--
作者：
R. Morrison;J. Magaziner;M. Gilbert;K. Koval;M. McLaughlin;G. Orosz;E. Strauss;A. Siu
通讯作者：
R. Morrison;J. Magaziner;M. Gilbert;K. Koval;M. McLaughlin;G. Orosz;E. Strauss;A. Siu