Maxwell T
Center for Palliative Care, Department of Family Medicine, Thomas Jefferson University, Philadelphia, Pa., USA.
Geriatr Nurs. 2000 May-Jun;21(3):158-63. doi: 10.1067/mgn.2000.108267.
The prevalence of cancer rises with advancing age, and pain is a common complaint of those with cancer. The elderly, especially those older than 85, are at risk for undertreatment of pain. Despite multiple barriers, assessment difficulties, and an increased risk of side effects with opioids, cancer pain can be effectively managed in this population. The quality of life of elderly patients with cancer depends on good symptom management, the appropriate use of analgesics, and prevention of opioid-related side effects.
癌症的患病率随年龄增长而上升,疼痛是癌症患者的常见主诉。老年人,尤其是85岁以上的老人,存在疼痛治疗不足的风险。尽管存在多种障碍、评估困难以及使用阿片类药物时副作用风险增加,但癌症疼痛在这一人群中仍可得到有效管理。老年癌症患者的生活质量取决于良好的症状管理、镇痛药的合理使用以及阿片类药物相关副作用的预防。