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Titolo:
Pain in nursing home residents - Management strategies
Autore:
Weiner, DK; Hanlon, JT;
Indirizzi:
Univ Pittsburgh, Sch Med, Div Geriatr Med, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 atr Med, Pittsburgh, PA 15213 USA Univ Minnesota, Coll Pharm, Inst Study Geriatr Pharmacotherapy, Minneapolis, MN 55455 USA Univ Minnesota Minneapolis MN USA 55455 herapy, Minneapolis, MN 55455 USA
Titolo Testata:
DRUGS & AGING
fascicolo: 1, volume: 18, anno: 2001,
pagine: 13 - 29
SICI:
1170-229X(2001)18:1<13:PINHR->2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
NONSTEROIDAL ANTIINFLAMMATORY DRUGS; CHRONIC MUSCULOSKELETAL PAIN; LOW-BACK-PAIN; RANDOMIZED CONTROLLED TRIAL; POSTHERPETIC NEURALGIA; DIABETIC NEUROPATHY; FIBROMYALGIA SYNDROME; POSTOPERATIVE PAIN; ELDERLY PATIENTS; ANALGESIC DRUGS;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
155
Recensione:
Indirizzi per estratti:
Indirizzo: Weiner, DK Univ Pittsburgh, Sch Med, Div Geriatr Med, 3520 5th Ave,Suite 300, Pittsburgh, PA 15213 USA Univ Pittsburgh 3520 5th Ave,Suite 300 Pittsburgh PA USA 15213
Citazione:
D.K. Weiner e J.T. Hanlon, "Pain in nursing home residents - Management strategies", DRUG AGING, 18(1), 2001, pp. 13-29

Abstract

Pain is prevalent and undertreated in nursing home residents, despite the existing wide array of effective pharmacological and nonpharmacological treatment modalities. In order to improve the quality of life of these vulnerable individuals, practitioners require education about the correct approachto assessment anti management. Assessment should be comprehensive, taking into account the basic underlying pathology (e.g. osteoarthritis, osteoporosis, peripheral neuropathy, fibromyalgia, cancer) as well as other contributory pathology (e.g. muscle spasm, myofascial pain) and modifying comorbidities (e.g. depression, anxiety, fear, sleep disturbance). Pharmacological management should be guided by a stepped-care approach, modelled after that recommended by the World Health Organization for treatment of cancer pain. Nonopioid and opioid analgesics are the cornerstone of pharmacological painmanagement. Tricyclic antidepressants and anticonvulsants can be very effective for the treatment of certain types of neuropathic pain. In addition to treating the pain per se, attention should be given to prevention of disease progression and exacerbation, as maintaining function is of prime importance. Nursing home residents with severe dementia challenge the practitioner's pain assessment skills: an empirical approach to treatment may sometimes be warranted. The success of treatment should be measured by improvementin pain intensity as well as physical, psychosocial and cognitive function. Effective pain management may impact any or all of these functional domains and, therefore, substantially improve the nursing home resident's quality of life.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 11:24:05