Florida Cancer Specialists and Research Institute, Fort Myers, FL.
Semin Oncol Nurs. 2019 Jun;35(3):274-278. doi: 10.1016/j.soncn.2019.04.008. Epub 2019 May 9.
To address the pharmacokinetics and pharmacodynamics of aging and its impact on the complexities of pain management in older adults with cancer. To describe assessment and nursing strategies for individualized care and side effect management DATA SOURCES: Peer-reviewed articles.
Cancer pain is a complex problem in older adults because of the variations in aging and alterations in pharmacokinetics and pharmacodynamics. Pain management must be based on thorough assessment, incorporating the unique factors of each patient. Ongoing follow-up is critical to ensure adequate pain control with optimization of functional status.
Awareness of physiological changes of aging is important in caring for older adults. Oncology nurses can play a key role in the assessment of older adults with cancer and education of patients and caregivers regarding pain medications, side-effects, and oral adherence.
探讨衰老的药代动力学和药效学及其对癌症老年患者疼痛管理复杂性的影响。描述评估和护理策略，以实现个体化护理和副作用管理。
同行评议的文章。
癌症疼痛是老年患者的一个复杂问题，这是由于衰老的变化和药代动力学及药效学的改变。疼痛管理必须基于彻底的评估，综合考虑每个患者的独特因素。持续的随访至关重要，以确保在优化功能状态的同时，实现充分的疼痛控制。
了解衰老的生理变化对于照顾老年人很重要。肿瘤护士可以在评估癌症老年患者方面发挥关键作用，并对患者和护理人员进行疼痛药物、副作用和口服依从性方面的教育。
