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- Monica Malec and Joseph W Shega.
- Section of Geriatrics and Palliative Medicine, University of Chicago, 5841 S.Maryland avenue, Chicago, IL 60537, USA.
- Med. Clin. North Am. 2015 Mar 1;99(2):337-50.
AbstractPersistent pain in older adults is common, and associated with substantial morbidity. Optimal management starts with assessment, including pain presence, intensity, characteristics, and interference; painful conditions; pain behaviors; pain-related morbidity; pain treatments; and coping style. Treatment incorporates analgesics demonstrated to decrease pain and improve a patient's sense of well-being. The World Health Organization's 3-step pain ladder is widely accepted and adopted for selecting analgesics among patients with non-cancer pain. Shared decision making is essential to balance the benefits and burdens of analgesics. This article reviews pain assessment/management for older adults, focusing on commonly used analgesics.Copyright © 2015 Elsevier Inc. All rights reserved.
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