老年人的风湿性疾病：在长期护理机构中应对风湿性疼痛

Rheumatic diseases in the elderly: dealing with rheumatic pain in extended care facilities.

作者信息

McCarberg Bill H

机构信息

Chronic Pain Management Program, Kaiser Permanente, 732 North Broadway, Escondido, CA 92025, USA.

出版信息

Rheum Dis Clin North Am. 2007 Feb;33(1):87-108. doi: 10.1016/j.rdc.2006.12.004.

DOI:10.1016/j.rdc.2006.12.004

PMID:17367694

Abstract

Pain in elderly patients is often underreported, underdiagnosed, and undertreated. Increased understanding of the experience of pain in older persons, strategies for assessment, and appropriate use of pharmacologic and nonpharmacologic approaches is necessary to improve management of pain in this population. This article discusses how issues related to pain in the elderly should be approached, how elderly people perceive pain, how pain in the elderly is assessed, and the various pharmacologic and nonpharmacologic approaches for relieving pain. Finally, the article discusses how pain care for the elderly might be improved.

摘要

老年患者的疼痛常常未得到充分报告、诊断和治疗。为改善这一人群的疼痛管理，有必要增强对老年人疼痛体验的理解、评估策略以及合理使用药物和非药物方法。本文讨论了应如何处理与老年人疼痛相关的问题、老年人如何感知疼痛、如何评估老年人的疼痛以及缓解疼痛的各种药物和非药物方法。最后，本文探讨了如何改善对老年人的疼痛护理。