Acute Pain Management in Older Adults

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Acute Pain Management in the Older Adult

Pain is a complex, subjective, and multidimensional experience without objective biological markers and is a prevalent problem in a growing segment of the population. In developed countries, older adults comprise 20% of the population and by 2050 is estimated to be a third of the population. Research demonstrates older adults receive significantly less analgesic medication than younger adults experiencing similar painful conditions or procedures, leading to inadequate pain relief in these older adults. Undertreated acute pain correlates with poorer outcomes during hospital stays including the development of persistent pain, longer length of stay in the hospital, ineffective physical therapy sessions, ambulation delays, and delirium

This evidence-based practice guideline provides recommendations for the management of acute pain in older adults. Studies have shown that when evidence-based practice guidelines are effectively implemented, patient outcomes improve and resource use declines. Written 1997; Revised 2000; 2003; 2006; 2016.

Toolkit Included in Guideline:

Pain Intensity Rating Tools
Strategies for Obtaining Pain Intensity Report in Older Persons with Cognitive Impairment
Checklist of Non-Verbal Pain Indicators (CNPI)
Pain Assessment in Advanced Dementia (PAINAD)
Screening for Cognitive Impairment (Mini COG)
Five-Item Geriatric Depression Scale (GDS-5)
Functional Pain Scale (modified)
Brief Pain Inventory Short Form
CAGE Questionnaire
Types of Pain and Examples
Selected Nonopioids Analgesics: Older Adult Dosage and Comparative Efficacy to Standards
Opioid Analgesics Commonly Used in Older Adults for Management of Mild to Moderate Acute Pain
Opioid Analgesics Commonly Used in Older Adults for Management of Moderate to Severe Acute Pain
Risk Factors for Opioid-Induced Respiratory Depression
Pasero Opioid-Induced Sedation Scale
Jaw Relaxation Technique
Nursing Interventions Classification (NIC): Pain Management – 1400
Nursing Outcomes Classification (NOC): Pain Control - 1605
Knowledge Assessment Test
Process Evaluation Monitor
Outcomes Monitor

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