Perception, assessment, treatment, and management of pain in the elderly
Perception, assessment, treatment, and management of pain in the elderly
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DOI：
10.1016/j.cger.2005.02.006
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发表时间：
2005-08-01
影响因子：
3.3
通讯作者：
Barkin, DS
中科院分区：
文献类型：
--
作者：
Barkin, RL;Barkin, SJ;Barkin, DS
20%至50%的社区老年人患有疼痛。多达80%的机构老年人报告至少有一个疼痛问题。老年患者中发生的多种疼痛病因可能是多种慢性疾病的发生：骨关节炎、RA、癌症、DJD、骨/关节疾病、骨质疏松症、手术疼痛、创伤、神经性疼痛和伤害性疼痛。未缓解疼痛的发生率抑制呼吸、降低活动性并降低其功能状态，这可能导致医源性事件，包括肺炎、便秘和深静脉血栓形成。长期住院和延长护理设施或疗养院可能会降低老年患者对生活质量的期望，并引发社会隔离。在老年患者的疼痛检测方面存在一些障碍或障碍。这些包括患者的社会，情感，认知和主观问题。
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.