Assessment and Management of Cancer Pain in Older Adults: Strategies for Success
- PMID: 29963586
- PMCID: PMC5996586
- DOI: 10.4103/apjon.apjon_11_18
Assessment and Management of Cancer Pain in Older Adults: Strategies for Success
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.
Conflict of interest statement
There are no conflicts of interest.
References
-
- 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
-
- 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
-
- Dunham M, Allmark P, Collins K. Older people's experiences of cancer pain: A qualitative study. Nurs Older People. 2017;29:28–32. - PubMed
-
- 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.
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
