Chronic non-malignant musculoskeletal pain in older adults: clinical issues and opioid intervention
| Autor: | Robert S. Biscup, Vinod K. Podichetty, D J Mazanec |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Narcotics
Musculoskeletal pain medicine.medical_specialty MEDLINE Pain Non malignant Review Intervention (counseling) Humans Medicine Musculoskeletal Diseases Aged Aged 80 and over business.industry Opioid-Related Disorders General Medicine Pain management Opioid Chronic Disease Physical therapy Functional status Cognition Disorders business Algorithms medicine.drug |
| Zdroj: | Postgraduate Medical Journal. 79:627-633 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/pmj.79.937.627 |
| Popis: | Musculoskeletal pain is common, frequently under-reported, and inadequately treated in the older adult. The objective of this article is to review the management of musculoskeletal pain syndromes in older adults emphasising the potential role of opioid agents in carefully selected patients. Systematic analysis of the relevant literature was done. Even in cognitively impaired patients, assessment of musculoskeletal pain is mandatory. An algorithm for musculoskeletal pain is presented emphasising a stepwise pharmacological approach in combination with an array of non-pharmacological therapies. Comorbid conditions may limit therapeutic choices, particularly in the elderly. Repeated assessment of pain levels as well as functional status is critical for optimal pain management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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