Brant Jeannine M
Billings Clinic, Billings, Montana, USA.
Asia Pac J Oncol Nurs. 2018 Jul-Sep;5(3):248-253. doi: 10.4103/apjon.apjon_11_18.
Pain is a significant problem in older adults with cancer as older adults often receive suboptimal pain management. While overmedication can lead to adverse effects, under management of pain can lead to physiological and psychological problems such as functional decline and depression. This manuscript will discuss the assessment and management of pain in older adults, in consideration of the pharmacodynamic changes related to aging and other individual considerations. Current evidence from filtered and unfiltered sources, PubMed, current guidelines. Unrelieved pain can have a detrimental impact on older adults. A team approach is essential to assess patients at each encounter, consider the social environment in which the patient resides, and employ pharmacologic and nonpharmacologic strategies that are evidence-based and are tailored to the specific cancer pain syndrome.
疼痛是老年癌症患者面临的一个重大问题，因为老年人往往得不到最佳的疼痛管理。虽然用药过量会导致不良反应，但疼痛管理不足会导致生理和心理问题，如功能衰退和抑郁。本手稿将讨论老年患者疼痛的评估和管理，同时考虑与衰老相关的药效学变化以及其他个体因素。来自经过筛选和未经筛选的来源、PubMed的现有证据以及当前指南。疼痛得不到缓解会对老年人产生不利影响。团队协作方法对于每次接诊时评估患者、考虑患者所处的社会环境以及采用基于证据且针对特定癌症疼痛综合征量身定制的药物和非药物策略至关重要。
