Abstract : The U.S. population aged gtor=65 years is estimated to grow from 35 million in 2000 to 71.5 million
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Abstract : The U.S. population aged gtor=65 years is estimated to grow from 35 million in 2000 to 71.5 million in 2030 and the number of those aged gtor=85 years is expected to increase from 5.3 million in 2006 to 21 million in 2050. Due to this demographic shift the complexities of chronic pain management in the elderly will become increasingly important necessitating a deeper understanding in the medical community of both the normal physiologic changes that occur with aging and the increased risks and vulnerabilities to pain that may be related to illness comorbidities or cognitive impairment. A number of factors complicate treating pain in the elderly. First the cause of pain is often a condition that is typically not reversible. Second effective treatment can be hampered by side effects of medications and complications from polypharmacy. Furthermore depression behavioral changes and cognitive impairment commonly complicate therapy and make assessment more difficult. Both inappropriate prescribing and medication underuse are common in the elderly as is the undertreatment of pain in this patient population in different care settings. The goal of this paper was to review appropriate use of nonpharmacologic complementary and alternative therapies for the comprehensive management of pain in older adults.Copyright 2010 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.PMID 20510846 PubMed - indexed for MEDLINEPublication Types MeSH TermsPublication Types Research Support Non-U.S. GovtMeSH TermsAgedCognition Disorders/complicationsComorbidityComplementary Therapies/organization amp administration*Depression/complicationsEvidence-Based PracticeGeriatric AssessmentGeriatric Nursing/organization amp administration*HumansIntegrative Medicine/organization amp administration*Nursing AssessmentPain/complicationsPain/epidemiologyPain/therapy*Patient SelectionPolypharmacySafetyUnited States/epidemiologyLinkOut - more resourcesFull Text SourcesElsevier ScienceEBSCONursing ConsultOhioLINK Electronic Journal CenterOvid Technologies Inc.Swets Information ServicesOther Literature SourcesCOS Scholar UniverseEducationNew England Research Institutes Inc.New England Research Institutes Inc.MedicalPain - MedlinePlus Health InformationComplementary and Alternative Medicine - MedlinePlus Health Information Supplemental Content Related citations Review Balancing analgesic efficacy with safety concerns in the older patient. 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Pain Pract. 2008 Opioids and the management of chronic severe pain in the elderly consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids (buprenorphine fentanyl hydromorphone methadone morphine oxycodone).Pergolizzi J Böger RH Budd K Dahan A Erdine S Hans G Kress HG Langford R Likar R Raffa RB et al. Pain Pract. 2008 Jul-Aug 8(4)287-313. Epub 2008 May 23. Managing pain in the older person. Nurs Stand. 2010 Managing pain in the older person.Chapman S. Nurs Stand. 2010 Nov 17-23 25(11)35-9. See reviews... See all... Recent activity Clear Turn Off Turn On Integrating nonpharmacologic and alternative strategies into a comprehensive man... Integrating nonpharmacologic and alternative strategies into a comprehensive management approach for older adults with pain.Pain Manag Nurs. 2010 Jun 11(2 Suppl)S23-31. PubMed Your browsing activity is empty. Activity recording is turned off. 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