Management of Pain in the Elderly

Management of pain in the elderly involves a multi-modal approach. It is dependent on the etiology of pain, duration of pain, and the associated co-morbidities in a particular individual. Pain secondary to acute insult can be intense, however, potentially easier to control with analgesics (opioid and non-opioid medications) and/or neuraxial blocks or peripheral nerve blocks. The management of chronic pain on the other hand can be very challenging. It frequently involves the use of analgesics, adjuvant medications, and advanced invasive interventions. Furthermore, psychological support, rehabilitation, psychological and physiatrist support play an important role in the management of chronic pain. In the elderly, with significant incidence of co-morbidities and terminal conditions, palliative and hospice care also contribute to the overall management of pain.

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