Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Jul-Sep;5(3):248-253.
doi: 10.4103/apjon.apjon_11_18.

Assessment and Management of Cancer Pain in Older Adults: Strategies for Success

Affiliations
Review

Assessment and Management of Cancer Pain in Older Adults: Strategies for Success

Jeannine M Brant. Asia Pac J Oncol Nurs. 2018 Jul-Sep.

Abstract

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.

Keywords: Cancer; elderly; geriatrics; older adults; pain; pharmacodynamics; pharmacokinetics.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Similar articles

Cited by

References

    1. van den Beuken-van Everdingen MH, Hochstenbach LM, Joosten EA, Tjan-Heijnen VC, Janssen DJ. Update on prevalence of pain in patients with cancer: Systematic review and meta-analysis. J Pain Symptom Manage. 2016;51:1070–90000000000. - PubMed
    1. Baker TA, Krok-Schoen JL, O'Connor ML, Brooks AK. The influence of pain severity and interference on satisfaction with pain management among middle-aged and older adults. Pain Res Manag. 2016:9561024. DOI: 10.1155/2016/9561024. - PMC - PubMed
    1. Dunham M, Ingleton C, Ryan T, Gott M. A narrative literature review of older people's cancer pain experience. J Clin Nurs. 2013;22:2100–13. - PubMed
    1. Dunham M, Allmark P, Collins K. Older people's experiences of cancer pain: A qualitative study. Nurs Older People. 2017;29:28–32. - PubMed
    1. Brant JM, Stringer LH. Cancer Pain. Cancer Nursing: Principles and Practice. In: Yarbro CH, Wujcik D, Gobel BH, editors. 8th ed. Burlington, MA: Jones and Bartlett; 2018. pp. 781–816.