Pain Medicine in Older Adults: How Should It Differ?

Debra K. Weiner; Jordan F. Karp; Cheryl D. Bernstein; Natalia E. Morone

doi:10.1007/978-1-4939-1821-8_19

Pain Medicine in Older Adults: How Should It Differ?

Debra K. Weiner
, Jordan F. Karp
, Cheryl D. Bernstein
, Natalia E. Morone

Research output: Chapter in Book/Report/Conference proceeding › Chapter

2 Scopus citations

Abstract

Older adults (commonly defined as those ≥ age 65) are not simply a chronologically older version of younger patients. Homeostenosis, that is, progressive restriction of an aging organism’s capacity to respond to stress because of diminution of its biological, psychological, and social reserves, underlies the distinction of old from young. As pain is a stressor that commonly accompanies aging, the provision of safe, clinically effective, and cost-effective pain care to older adults requires awareness of these specific aging-related changes. The main goals of this chapter are to (1) educate the pain practitioner in basic principles of aging needed to guide the evaluation and treatment of older adults, (2) provide clinical case examples to illustrate the advantages of treatment that is guided by these principles as compared with traditional pain care and why traditional pain care may actually harm these patients, and (3) offer specific therapeutic guidelines for the treatment of nociceptive, neuropathic, and widespread pain in older patients.

Original language	English (US)
Title of host publication	Treatment of Chronic Pain by Integrative Approaches
Subtitle of host publication	the AMERICAN ACADEMY of PAIN MEDICINE Textbook on Patient Management
Publisher	Springer New York
Pages	233-258
Number of pages	26
ISBN (Electronic)	9781493918218
ISBN (Print)	9781493918201
DOIs	https://doi.org/10.1007/978-1-4939-1821-8_19
State	Published - Jan 1 2014
Externally published	Yes

Keywords

Chronic Pain
Myofascial Pain Syndrome
Neuropathic Pain
Nociceptive Pain
Trigeminal Neuralgia

ASJC Scopus subject areas

General Medicine
General Psychology
General Nursing

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10.1007/978-1-4939-1821-8_19

Cite this

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title = "Pain Medicine in Older Adults: How Should It Differ?",

abstract = "Older adults (commonly defined as those ≥ age 65) are not simply a chronologically older version of younger patients. Homeostenosis, that is, progressive restriction of an aging organism{\textquoteright}s capacity to respond to stress because of diminution of its biological, psychological, and social reserves, underlies the distinction of old from young. As pain is a stressor that commonly accompanies aging, the provision of safe, clinically effective, and cost-effective pain care to older adults requires awareness of these specific aging-related changes. The main goals of this chapter are to (1) educate the pain practitioner in basic principles of aging needed to guide the evaluation and treatment of older adults, (2) provide clinical case examples to illustrate the advantages of treatment that is guided by these principles as compared with traditional pain care and why traditional pain care may actually harm these patients, and (3) offer specific therapeutic guidelines for the treatment of nociceptive, neuropathic, and widespread pain in older patients.",

keywords = "Chronic Pain, Myofascial Pain Syndrome, Neuropathic Pain, Nociceptive Pain, Trigeminal Neuralgia",

author = "Weiner, \{Debra K.\} and Karp, \{Jordan F.\} and Bernstein, \{Cheryl D.\} and Morone, \{Natalia E.\}",

note = "Publisher Copyright: {\textcopyright} American Academy of Pain Medicine 2015.",

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doi = "10.1007/978-1-4939-1821-8\_19",

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T2 - How Should It Differ?

AU - Weiner, Debra K.

AU - Karp, Jordan F.

AU - Bernstein, Cheryl D.

AU - Morone, Natalia E.

N1 - Publisher Copyright: © American Academy of Pain Medicine 2015.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Older adults (commonly defined as those ≥ age 65) are not simply a chronologically older version of younger patients. Homeostenosis, that is, progressive restriction of an aging organism’s capacity to respond to stress because of diminution of its biological, psychological, and social reserves, underlies the distinction of old from young. As pain is a stressor that commonly accompanies aging, the provision of safe, clinically effective, and cost-effective pain care to older adults requires awareness of these specific aging-related changes. The main goals of this chapter are to (1) educate the pain practitioner in basic principles of aging needed to guide the evaluation and treatment of older adults, (2) provide clinical case examples to illustrate the advantages of treatment that is guided by these principles as compared with traditional pain care and why traditional pain care may actually harm these patients, and (3) offer specific therapeutic guidelines for the treatment of nociceptive, neuropathic, and widespread pain in older patients.

AB - Older adults (commonly defined as those ≥ age 65) are not simply a chronologically older version of younger patients. Homeostenosis, that is, progressive restriction of an aging organism’s capacity to respond to stress because of diminution of its biological, psychological, and social reserves, underlies the distinction of old from young. As pain is a stressor that commonly accompanies aging, the provision of safe, clinically effective, and cost-effective pain care to older adults requires awareness of these specific aging-related changes. The main goals of this chapter are to (1) educate the pain practitioner in basic principles of aging needed to guide the evaluation and treatment of older adults, (2) provide clinical case examples to illustrate the advantages of treatment that is guided by these principles as compared with traditional pain care and why traditional pain care may actually harm these patients, and (3) offer specific therapeutic guidelines for the treatment of nociceptive, neuropathic, and widespread pain in older patients.

KW - Chronic Pain

KW - Myofascial Pain Syndrome

KW - Neuropathic Pain

KW - Nociceptive Pain

KW - Trigeminal Neuralgia

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M3 - Chapter

AN - SCOPUS:105009047324

SN - 9781493918201

SP - 233

EP - 258

BT - Treatment of Chronic Pain by Integrative Approaches

PB - Springer New York

ER -

Pain Medicine in Older Adults: How Should It Differ?

Abstract

Keywords

ASJC Scopus subject areas

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