Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA. Electronic address: https://twitter.com/AilingEYang.
Med Clin North Am. 2020 Sep;104(5):855-872. doi: 10.1016/j.mcna.2020.05.002. Epub 2020 Jul 15.
Persistent pain in older adults is a widely prevalent and disabling condition that is the manifestation of multiple contributing physical, mental, social, and age-related factors. To effectively treat pain, the clinician must assess and address contributing factors using a comprehensive approach that includes pharmacologic and nonpharmacologic therapies within the context of a strong therapeutic relationship among the patient, caregivers, and a multidisciplinary team. This article reviews the current understanding of persistent pain in older adults and suggests a general approach to its assessment and management, followed by specific considerations for musculoskeletal pain conditions commonly seen in older adults.
老年人持续性疼痛是一种普遍存在且使人丧失能力的疾病,是多种导致疼痛的身体、心理、社会和与年龄相关的因素共同作用的表现。为了有效治疗疼痛,临床医生必须采用综合方法评估和处理导致疼痛的因素,该方法包括在患者、护理人员和多学科团队之间建立强有力的治疗关系的背景下使用药物和非药物治疗。本文综述了目前对老年人持续性疼痛的认识,并提出了评估和管理此类疼痛的一般方法,然后针对老年人中常见的肌肉骨骼疼痛疾病提出了具体的考虑。