Chronic non-cancer pain in older people: current evidence for prescribing.
Chronic pain is a serious problem for many older people, yet its management in this population is often less than satisfactory. The high incidence of toxicity and side effects with some medications and irrational fears of opioid dependence are significant barriers to effective pain management. In this article, the research evidence relating to these issues is examined, and their impact on nurse prescribing considered. More studies are needed to assess the veracity of opposing arguments, and to support effective assessment and prescribing by nurses.
Cowan
David T
DT
Primary Care Research Group, Florence Nightingale School of Nursing and Midwifery, King's College London, London, UK.
D000368:Aged; D000700:Analgesics / Q000145:classification / Q000494:pharmacology / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects / Q000627:therapeutic use; D002908:Chronic Disease; D011307:Drug Prescriptions; D019317:Evidence-Based Medicine; D006801:Humans; D020380:Needs Assessment; D024802:Nurse's Role; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D018579:Patient Selection; D017009:Professional Autonomy; D012449:Safety; D016896:Treatment Outcome
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal