The management of chronic pain in older persons

Journal of the American Geriatrics Society

Volumn 46, Issue 5, 1998, Pages 635-651

  Connelly, Patricia ^a  

^a American Geriatrics Society   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; ANTACID AGENT; ANTICONVULSIVE AGENT; ANTIDEPRESSANT AGENT; BACLOFEN; CHOLINE MAGNESIUM TRISALICYLATE; CODEINE; CONTIN; FENTANYL; HISTAMINE H2 RECEPTOR ANTAGONIST; HYDROCODONE; HYDROMORPHONE; IBUPROFEN; LIDOCAINE; MEXETIL; MEXILETINE; MISOPROSTOL; MORPHINE SULFATE; NAPROXEN; OXYCODONE; PARACETAMOL; PREDNISONE; PROTON PUMP INHIBITOR; TYLOX; UNCLASSIFIED DRUG; VICODEN;

AGED; BLOOD DYSCRASIA; CHRONIC PAIN; DRUG CHOICE; DRUG EFFICACY; DRUG SAFETY; GASTROINTESTINAL TOXICITY; HUMAN; LEUKOPENIA; LIVER TOXICITY; NEUROTOXICITY; PAIN ASSESSMENT; REVIEW; THROMBOCYTOPENIA; TREATMENT PLANNING;

EID: 0031836923     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1532-5415.1998.tb01084.x     Document Type: Review

References (116)

1. Merskey H, Bogduk N, eds Classification of Chronic Pain, 2nd Ed. Seattle: IASP Press, 1994, p xi.
2. Sternbach RA. Clinical aspects of pain. In: Sternbach RA, ed. The Psychology of Pain. New York: Raven Press, 1978.
3. Turk DC, Meizack R. The measurement of pain and the assessment of people experiencing pain. In: Turk DC, Meizack R, eds. Handbook of Pain Assessment. New York: Guilford Press, 1992.
4. Helme RD, Gibson SJ. Pain in the elderly. In: Jensen TS, Turner JA, Wiesenfeld-Hallin Z, eds. Proceedings of the 8th World Congress on Pain: Progress in Pain Research and Management, Vol. 8. Seattle: IASP Press, 1997, pp 919-944.
5. Ferrell BA. Pain management in elderly people. J Am Geriatr Soc 1991;3:64-73.
6. Cooner E, Amorosi S. The Study of Pain and Older Americans. New York: Louis Harris and Associares, 1997.
7. Crook J, Rideout E, Browne G. The prevalence of pain complaints in a general population. Pain 1984;18:299-314.
8. Brattberg G, Thorsland M, Wikman A. The prevalence of pain in a general population: The results of a postal survey in a county of Sweden. Pain 1989;37:215-222.
9. Andersen S, Worm-Pedersen J. The prevalence of persistent pain in a Danish population. In: Proceedings 5th World Congress on Pain. Pain Suppl 1987;4:S332.
10. Lau-Ting C, Phoon WO. Aches and pains among Singapore elderly. Singapore Med J 1988;29:164-167.
11. Magni G, Marchetti M, Moreschi C et al. Chronic musculoskeletal pain and depressive symptoms in the National Health and Nutrition Examination: I. Epidemiologic follow-up study. Pain 1993;53:163-168.
12. Mobily PR, Herr KA, Clark MK, Wallace RB. An epidemiologic analysis of pain in the elderly: The Iowa 65+ Rural Health Study. J Aging Health 1994;6:139-145.
13. Ferrell BA. Pain evaluation and management in the nursing home. Ann Intern Med 1995;123:681-687.
14. Ferrell BA, Ferrell BR, Osterweil D. Pain in the nursing home. J Am Geriatr Soc 1990;38:409-414.
15. Roy R. A psychosocial perspective on chronic pain and depression in the elderly. Soc Work Health Care 1986;12:27-36.
16. Ferrell BA, Ferrell BR, Rivera L. Pain in cognitively impaired nursing home patients. J Pain Symptom Manage 1995;10:591-598.
17. Dworkin SF, Von Korff M, LeResche L. Multiple pains and psychiatric disturbance: An epidemiologic investigation. Arch Gen Psychiatry 1990;47:239-244.
18. Parmelee PA, Katz IR, Lawton MP. The relarion of pain to depression among institutionalized aged. J Gerontol 1991;46:15-21.
19. Lavsky-Shulan M, Wallace RB, Kohout FJ et al. Prevalence and functional correlates of low back pain in the elderly: The Iowa 65+ Rural Health Study. J Am Geriatr Soc 1985;33:23-28.
20. Keefe FJ, Caldwell DS, Queen KT et al. Pain coping strategies in osteoarthritis patients. J Consult Clin Psychol 1987;55:208-212.
21. Ferrell BR, Ferrell BA, Ahn C, Tran K. Pain management for elderly patients with cancer at home. Cancer 1994;74:2139-2146.
22. Ferrell BR, Rhiner M, Cohen MZ, Grant M. Pain as a metaphor for illness, Part I: Impact of cancer pain on family caregivers. Oncol Nurs Forum 1991;18:1303-1309.
23. Foley KM. Pain management in the elderly. In: Hazzard WR, Bierman EL, Blass JP, Ettinger WH, Halter JB, eds. Principles of Geriatric Medicine and Gerontology, 3rd Ed. New York: McGraw Hill, 1994, pp 317-331.
24. Meyer RA, Campbell JN, Raja SN. Peripheral and neural mechanisms of nociception. In: Wall PD, Melzack R, eds. Textbook of Pain, 3rd Ed. New York: Churchill Livingstone, 1994, pp 13-44.
25. Bennett GF. Neuropathic pain. In: Wall PD, Melzack R, eds. Textbook of Pain, 3rd Ed. New York: Churchill Livingstone, 1994, pp 201-224.
26. Lipman AG. Analgesic drugs for neuropathic and sympathetically maintained pain. Clin Geriatr Med 1996;12:501-515.
27. Craig KD. Emotional aspects of pain. In: Wall PD, Melzack R, eds. Textbook of Pain, 3rd Ed. New York: Churchill Livingstone, 1994, pp 261-274.
28. Bayer AG, Chadha JS, Farag RR, Pathy MSJ. Changing presentations of myocardial infarction with increasing old age. J Am Geriatr Soc 1986;34:263-266.
29. Barsky AJ, Hochstrasser B, Coles NA et al. Silent myocardial ischemia: Is the person or the event silent? JAMA 1990;364:1132-1135.
30. Kauvar DR. The geriatric acute abdomen. Clin Geriarr Med 1993;9:547-558.
31. Norman DC, Toledo SD. Infections in elderly persons: An altered clinical presentation. Clin Geriatr Med 1992;8:713-719.
32. Guilbaud G, Bernard JF, Besson JM. Brain areas involved in nociception and pain. In: Wall PD, Melzack R, eds. Textbook of Pain, 3rd Ed. New York: Churchill Livingstone, 1994, pp 113-128.
33. Wall RT III. Use of analgesics in the elderly. Clin Geriatr Med 1990;6:345-364.
34. Yaksh TL, Malmberg AB. Central pharmacology of nociceprive transmission. In: Wall PD, Melzack R, eds. Textbook of Pain, 3rd Ed. New York: Churchill Livingstone, 1994, pp 165-200.
35. Chakour MC, Gibson SJ, Bradbeer M, Helme RD. The effect of age on A-delta and C fibre thermal pain perception. Pain 1996;64:143-152.
36. Harkins SW. Geriatric pain: Pain perceptions in the old. Clin Geriatr Med 1996;12:435-459.
37. Rochon PA, Fortin PR, Dear KB et al. Reporting of age data in clinical trials of arthritis: Deficiencies and solutions. Arch Intern Med 1993;15:243-248.
38. Kaiko RF. Age and morphine analgesia in cancer patients with postoperative pain. Clin Pharmacol Ther 1980;28:823-826.
39. Bellville WJ, Forrest WH Jr, Miller E, Brown BW Jr. Influence of age on pain relief from analgesics: A study of postoperative patients. JAMA 1971;217:1835-1841.
40. Kaiko RF, Wallenstein SL, Rogers AG et al. Narcotics in the elderly. Med Clin North Am 1982;66:1079-1089.
41. Portenoy RK. Opioid therapy for chronic non-malignant pain: Current status. In: Fields HL, Liebeskind JC, eds. Pharmacological Approaches to the Treatment of Chronic Pain: New Concepts and Critical Issues: Progress in Pain Research and Management, Vol 1. Seattle: IASP Press, 1994, pp 247-288.
42. Melzack R. The tragedy of needless pain. Sci Am 1990;262:27-33.
43. Porter J, Jick H. Addiction rare in patients treated with narcotics. N Engl J Med 1980;302:123.
44. Perry S, Heidrich G. Management of pain during debridement: A survey of U.S. burn units. Pain 1982;13:267-280.
45. Medina JL, Diamond S. Drug dependency in patients with chronic headaches. Headache 1977;17:12-14.
46. AGS Ethics Committee. The care of dying patients: A position statement from the American Geriatrics Society. J Am Geriatr Soc 1995;43:577-578.
47. AGS Ethics Committee. Physician-assisted suicide and voluntary active euthanasia. J Am Geriatr Soc 1995;43:579-580.
48. Carr DB, Jacox AK, Chapman CR et al. Acute Pain Management: Operative or Medical Procedures and Trauma. Clinical Practice Guideline No. 1. AHCPR Pub. No 92-0032. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, Feb. 1992.
49. Jacox A, Carr DB, Payne R et al. Management of Cancer Pain. Clinical Practice Guideline No. 9. AHCPR Publication No. 94-0592. Rockville, MD: Agency for Health Care Policy and Research, U.S. Department of Health and Human Services, Public Health Service, March 1994.
50. Bigos S, Bower O, Braen G et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No. 14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December 1994.
51. Max MB, Payne R, Edwards WT et al. Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain, 3d Ed. Skokie, IL: American Pain Society, 1992.
52. Nishikawa ST, Ferrell BA. Pain assessment in the elderly. Clin Geriatr Issues Long Term Care 1993;1:15-28.
53. Helme RD, Katz B, Gibson SJ et al. Multidisciplinary pain clinics for older people: Do they have a role? Clin Geriatr Med 1996;12:563-582.
54. Parmelee PA. Pain in cognitively impaired older persons. Clin Geriatr Med 1996;12:473-478.
55. Parmelee AP, Smith BD, Katz IR. Pain complaints and cognitive status among elderly institution residents. J Am Geriatr Soc 1993;41:517-522.
56. Ferrell BA. Pain management in long-term care. In: Katz PR, Kane RL, Mezey, MD, eds. Quality Care in Geriatric Settings: Focus on Ethical Issues. New York: Springer, 1995, pp 195-209.
57. Parmelee PA. Assessment of pain in the elderly. In: Lawton MP, Teresi J, eds. Annual Review of Gerontology and Geriatrics. New York: Springer, 1994, pp 281-301.
58. Herr KA, Mobily PR, Kohout FJ, Wagenaar D. Evaluation of the faces pain scale for use with elderly. Pain 1998;14:29-38.
59. Stein WM, Ferrell BA. Pain in the nursing home. Clin Geriatr Med 1996;12:601-613.
60. Katz S, Ford AB, Moskowitz RW et al. Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. JAMA 1963;185:914-919.
61. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179-186.
62. Keith RA, Granger CV, Hamilton BB, Sherwin FS. The functional independence measure: A new tool for rehabilitation. Adv Clin Rehab 1987;1:6-18.
63. Mahoney FI, Barthel DW. Functional evaluation: The Barthel Index. Md Med J 1965;14:61-65.
64. Podiasdlo D, Richardson S. The Timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142.
65. Tinetti M. Performance oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34:119-125.
66. Yesavage JA, Brink TL, Rose TL et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res 1983;17:37-49.
67. Radloff LS. The CES-D Scale. A self-report depression scale for research in the general population. Appl Psychol Meas 1977;1:385-401.
68. Herr K, Mobily P. Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res 1993;6:39-46.
69. McCaffery M, Beebe A Pain. Clinical Manual for Nursing Practice. St. Louis: Mosby, 1989, p 27.
70. Popp B, Portenoy RK. Management of chronic pain in the elderly: Pharmacology of opioids and other analgesic drugs. In: Ferrell BR, Ferrell BA, eds. Pain in the Elderly. Seattle: IASP Press, 1996, pp 21-34.
71. Forman WB. Opioid analgesic drugs in the elderly. Clin Geriatr Med 1996;12:489-500.
72. Ferrell BR. Patient education and nondrug interventions. In: Ferrell BR, Ferrell BA, eds. Pain in the Elderly. Seattle: IASP Press, 1996, pp 35-44.
73. Roth SH. Merits and liabilities of NSAID therapy. Rheum Dis Clin North Am 1989;15:479-498.
74. Gurwitz JH, Avorn J, Ross-Degnan D, Lipsitz LA. Nonsteroidal anti-inflammatory drug-associated azotemia in the very old. JAMA 1990;264:471-475.
75. Pope JE, Anderson JJ, Felson DT. A meta-analysis of the effects of nonsteroidal anti-inflammatory drugs on blood pressure. Arch Intern Med 1993;153:477-484.
76. Griffin MR, Piper JM, Daugherty JR et al. Nonsteroidal anti-inflammatory drug use and increased risk for peptic ulcer disease in elderly persons. Ann Intern Med 1991;114:257-263.
77. Greenberger NJ. Update in gastroenterology. Ann Intern Med 1997;12:827-834.
78. Bradley JD, Brandt KD, Katz BP et al. Comparison of an antiinflammatory dose of ibuprofen, an analgesic dose of ibuprofen and acetaminophen in the treatment of patients with osteoarthritis of the knee. N Engl J Med 1991;325:87-91.
79. Avorn J, Gurwitz JH. Drug use in nursing homes. Ann Intern Med 1995;123:195-204.
80. Graham DY, White RH, Moreland LW et al. Duodenal and gastric ulcer prevention with misoprostol in arthritis patients taking NSAIDs: Misoprostol Study Group. Ann Intern Med 1993;119:257-262.
81. Ehsanullah RS, Page MC, Tildesley G, Wood JR. Prevention of gastroduodenal damage induced by non-steroidal anti-inflammatory drugs: Controlled trial of ranitidine. Br Med J 1988;297:1017-1021.
82. Taha AS, Hudson N, Hawkey CJ et al. Famotidine for the prevention of gastric and duodenal ulcers caused by nonsteroidal anti-inflammatory drugs. N Engl J Med 1996;334:1435-1439.
83. Stucki J, Johannesson M, Liang MH. Use of misoprostol in the elderly: Is the expense justified? Drugs Aging 1996;8:84-88.
84. Shuckit MA. Geriatric alcoholism and drug abuse. Gerontologist 1977;17:168-174.
85. Joranson DE. Federal and state regulation of opioids. J Pain Symptom Manage 1990;5(Suppl 1): S12-23.
86. Joranson DE. State medical board guidelines for treatment of intractable pain. Am Pain Soc Bull 1995;5:1-5.
87. Joranson DE, Gilson AM. State intractable pain policy: Current status. Am Pain Soc Bull 1997;7:7-9.
88. Onghena P, Van Houdenhove B. Antidepressant-induced analgesia in chronic non-malignant pain: A meta-analysis of 39 placebo-controlled studies. Pain 1992;49:205-219.
89. Max MB. Antidepressants and analgesics. In: Fields HL, Liebeskind JC, eds. Pharmacological Approaches to the Treatment of Chronic Pain: New Concepts and Critical Issues: Progress in Pain Research and Management. Seattle: IASP Press, 1994, pp 229-246.
90. Ferrell BR, Grant M, Dean GE et al. 'Bone Tired'. The experience of fatigue and its impact on quality of life. Oncol Nurs Forum 1996;23:1539-1547.
91. Ferrell BA, Stein W. Pain. In: Yoshikawa TT, Cobbs EL, Brummel-Smith K, eds. Practical Ambulatory Geriatrics, 2nd Ed. St. Louis: Mosby, 1998.
92. Ferrell BR, Griffith H. Cost issues related to pain management: Report from the Cancer Pain Panel of the Agency for Health Care Policy and Research. J Pain Symptom Manage 1994;9:221-234.
93. Ferrell BR, Rhiner M, Ferrell BA. Development and implementation of a pain education program. Cancer 1993;72(Suppl 11):3426-3432.
94. Ferrell BA, Josephson KR, Pollan AM et al. A randomized trial of walking versus physical methods for chronic pain management. Aging (Milano) 1997;9:99-105.
95. Ettinger WH Jr, Burns R, Messier SP et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis: The fitness arthritis and seniors trial (FAST). JAMA 1997;277:25-31.
96. Kovar PA, Allegrante JP, MacKenzie CR et al. Supervised fitness walking in patients with osteoarthritis of the knee: A randomized, controlled trial. Ann Intern Med 1992;116:529-534.
97. Keefe FJ, Beaupré PM, Weiner DK, Siegler IC. Pain in older adults: A cognitive-behavioral perspective. In: Ferrell BR, Ferrell BA, eds. Pain in the Elderly. Seattle: IASP Press, 1996, pp 11-19.
98. Junnila SY. Long-term treatment of chronic pain with acupuncture: Part II. Acupunct Electrother Res 1987;12:125-138.
99. Thorsteinsson G. Chronic pain: Use of TENS in the elderly. Geriatrics 1987;42:75-82.
100. Eisenberg DM, Kessler RC, Foster C et al. Unconventional medicine in the United States: Prevalence, costs and patterns of use. N Engl J Med 1993;328:246-252.
101. Puder RS. Age analysis of cognitive-behavioral group therapy for chronic pain outpatients. Psychol Aging 1988;3:204-207.
102. Keefe FJ, Van Horn Y. Cognitive behavioral treatment of rheumatoid arthritis pain: Maintaining treatment gains. Arthritis Care Res 1993;6:213-222.
103. Chow R, Harrison J, Dornan J. Prevention and rehabilitation of osteoporosis program: Exercise and osteoporosis. Int J Rehabil Res 1989;12:49-56.
104. Dexter PA. Joint exercises in elderly persons with symptomatic osteoarthritis of the hip or knee: Performance patterns, medical support patterns and the relationship between exercising and medical care. Arthritis Care Res 1992;5:36-41.
105. Khalil TM, Abdel-Moty E, Diaz EL et al. Efficacy of physical restoration in the elderly. Exp Aging Res 1994;20:189-199.
106. Mangione KK, Axen K, Haas F. Mechanical unweighting effects on treadmill exercise and pain in elderly people with osteoarthritis of the knee. Phys Ther 1996;76:387-394.
107. Miller C, LeLieuvre RB. A method to reduce chronic pain in elderly nursing home residents. Gerontologist 1982;22:314-317.
108. Mulrow CD, Gerety MB, Kanten D et al. A randomized trial of physical rehabilitation for very frail nursing home residents. JAMA 1994;271:519-524.
109. Mulrow CD, Gerety MB, Kanten D et al. Effects of physical therapy on functional status of nursing home residents. J Am Geriatr Soc 1993;41:326-328.
110. Von Roenn JH, Cleeland CS, Gonin R et al. Physician attitudes and practice in cancer pain management: A survey from the Eastern Cooperative Oncology Group. Ann Intern Med 1993;119:121-126.
111. Stein WM. The Rhode Island cancer pain initiative and its role in physician education. R I Med 1996;79:139-142.
112. Jones JS, Johnson K, McNinch M. Age as a risk factor for inadequate emergency department analgesia. Am J Emerg Med 1996;14:157-160.
113. Lay TD, Puntillo KA, Miasfcowski CA, Wallhagen MI. Analgesics prescribed and administered to intensive care cardiac surgery patients: Does patient age make a difference? Prog Cardiovasc Nurs 1996;11:17-24.
114. Rumble RH, Morgan K. Longitudinal trends in prescribing for elderly patients: Two surveys four years apart. Br J Gen Pract 1994;44:571-575.
115. Ryan P, Vortherms R, Ward S. Cancer pain: Knowledge, attitudes of pharmacological management. J Gerontol Nurs 1994;20:7-16.
116. Walker JM, Akinsanya JA, Davis BD, Marcer D. The nursing management of elderly patients with pain in the community: Study and recommendations. J Adv Nurs 1990;15:1154-1161.