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Grand Rounds 05/28/14 @ BID-Needham - Angela Catic, MD  

Geriatric Pain Management: A Practical Approach
Last Updated: Aug 12, 2014 URL: http://bidmc.libguides.com/Catic Print Guide RSS Updates
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Speaker: Date: Topic

Angela Catic, MD

May 28, 2014

Geriatric Pain Management: A Practical Approach

      

    Responsibility for Content

    The WebEx video, PowerPoint presentation, take-away points, and article links were sent by the Medical Library and the CME Committee.

    Diane E. Young, Information Specialist

    dyoung3@bidmc.harvard.edu

     

        

      Take-Away Points of the Presentation

      1.       Pain is common and underreported in patients age 65 years and older. It is important to ask patients about their pain during every clinical encounter. In elders with advanced dementia who are nonverbal, an observational tool such as the PAINAD scale should be used to assess pain.

      2.       Scheduled acetaminophen is the first line analgesic agent in patients age 65 years and older. NSAIDs should be used sparingly only in situations where an anti-inflammatory effect is needed and their use should be time limited. They should be given with food or a gastro protective agent. 

      3.       Be aware that tramadol has a similar side effect profile as the stronger opioids and is often not as efficacious in elders. Oxycodone at low doses is often well tolerated among geriatric patients.

      4.       Anticipate side effects before they occur. Always start a bowel regimen with any opioid based analgesic agent. 

          
         

        Links to Articles Cited in the Presentation

         

        PDF of the PowerPoint Presentation

        WebEx Video of the Presentation

         

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