Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control

Rahul Rastogi, Brian D MeekDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, USAAbstract: The elderly population is projected to make up 20% of the total United States population by the year 2030. In addition, epidemiological data suggests increasing prevalence of...

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Autores principales:	Rastogi R, Meek BD
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	elderly Pain frail Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9e4bd879863c4bffb7a475a11cdd6bc0
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spelling	oai:doaj.org-article:9e4bd879863c4bffb7a475a11cdd6bc02021-12-02T02:44:52ZManagement of chronic pain in elderly, frail patients: finding a suitable, personalized method of control1178-1998https://doaj.org/article/9e4bd879863c4bffb7a475a11cdd6bc02013-01-01T00:00:00Zhttps://www.dovepress.com/management-of-chronic-pain-in-elderly-frail-patients-finding-a-suitabl-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Rahul Rastogi, Brian D MeekDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, USAAbstract: The elderly population is projected to make up 20% of the total United States population by the year 2030. In addition, epidemiological data suggests increasing prevalence of chronic pain and frailty with advancing age. Pain, being a subjective symptom, is challenging to manage effectively. This is more so in elderly populations with age-specific physiological changes that affect drug action and metabolism. Elderly patients are also more likely to have multiple chronic health pathologies, declining function, and frailty. The barriers present for patients, providers, and health systems also negatively impact efficient and effective pain control. These factors result in disproportionate utilization of health resources by the older population group. The scientific literature is lagging behind in age-specific studies for the elderly population. As a result, there is a lack of age-specific standardized management guidelines for various health problems, including chronic pain. Increasing efforts are now being directed to studies on pain control in the elderly. However, pain management remains inconsistent and suboptimal. This article is an attempt to suggest an informed, comprehensive guide to achieve effective pain control in the presence of these limitations.Keywords: elderly, chronic pain, frailty, geriatric painRastogi RMeek BDDove Medical PressarticleelderlyPainfrailGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 37-46 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	elderly Pain frail Geriatrics RC952-954.6
spellingShingle	elderly Pain frail Geriatrics RC952-954.6 Rastogi R Meek BD Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control
description	Rahul Rastogi, Brian D MeekDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, USAAbstract: The elderly population is projected to make up 20% of the total United States population by the year 2030. In addition, epidemiological data suggests increasing prevalence of chronic pain and frailty with advancing age. Pain, being a subjective symptom, is challenging to manage effectively. This is more so in elderly populations with age-specific physiological changes that affect drug action and metabolism. Elderly patients are also more likely to have multiple chronic health pathologies, declining function, and frailty. The barriers present for patients, providers, and health systems also negatively impact efficient and effective pain control. These factors result in disproportionate utilization of health resources by the older population group. The scientific literature is lagging behind in age-specific studies for the elderly population. As a result, there is a lack of age-specific standardized management guidelines for various health problems, including chronic pain. Increasing efforts are now being directed to studies on pain control in the elderly. However, pain management remains inconsistent and suboptimal. This article is an attempt to suggest an informed, comprehensive guide to achieve effective pain control in the presence of these limitations.Keywords: elderly, chronic pain, frailty, geriatric pain
format	article
author	Rastogi R Meek BD
author_facet	Rastogi R Meek BD
author_sort	Rastogi R
title	Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control
title_short	Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control
title_full	Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control
title_fullStr	Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control
title_full_unstemmed	Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control
title_sort	management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/9e4bd879863c4bffb7a475a11cdd6bc0
work_keys_str_mv	AT rastogir managementofchronicpaininelderlyfrailpatientsfindingasuitablepersonalizedmethodofcontrol AT meekbd managementofchronicpaininelderlyfrailpatientsfindingasuitablepersonalizedmethodofcontrol
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Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control

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