Acute Pain Management in Older Adults in the Emergency Department

被引:21
|
作者
Hwang, Ula [1 ,2 ,3 ]
Platts-Mills, Timothy F. [4 ,5 ]
机构
[1] Mt Sinai Sch Med, Dept Emergency Med, New York, NY 10029 USA
[2] Mt Sinai Sch Med, Brookdale Dept Geriatr & Palliat Med, New York, NY 10029 USA
[3] James J Peters Vet Affairs Med Ctr, Geriatr Res Educ & Clin Ctr, Bronx, NY USA
[4] Univ N Carolina, Dept Emergency Med, Chapel Hill, NC USA
[5] Univ N Carolina, Dept Anesthesiol, Chapel Hill, NC USA
关键词
Pain; Geriatrics; Emergency medicine; Pain assessment; Analgesics; POSTOPERATIVE PAIN; COMPARATIVE SAFETY; COPING SKILLS; BACK-PAIN; ANALGESIA; RISK; CARE; MEDICATION; VALIDATION; PATTERNS;
D O I
10.1016/j.cger.2012.10.006
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Effective treatment of acute pain in older patients is a common challenge faced by emergency providers. Because older adults are at increased risk for adverse events associated with systemic analgesics, pain treatment must proceed cautiously. Essential elements to quality acute pain care include an early initial assessment for the presence of pain, selection of an analgesic based on patient-specific risks and preferences, and frequent reassessments and retreatments as needed. This article describes current knowledge regarding the assessment and treatment of acute pain in older adults.
引用
收藏
页码:151 / +
页数:15
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