title: Effective pain management in the long-term care setting.
abstract: It is essential that physicians and midlevel practitioners who care for residents in long-term care facilities be proficient in the recognition, assessment, and treatment of chronic pain. A holistic approach to the physical, emotional, social, and spiritual components of a resident's total pain and distress must be integrated into the palliative aspects of long-term care medicine. Furthermore, all practitioners must recognize and effectively manage, prevent, and/or minimize the occurrence of acute pain, breakthrough pain, incidental pain, and disturbance pain that frequently are superimposed on a resident's chronic pain.
authors.affiliation: Geriatrics Program, Residency Division, Department of Family Medicine, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, USA.
authors.forename: Peter A S
authors.initials: PA
authors.lastname: Winn
authors.forename: Andrew N
authors.initials: AN
authors.lastname: Dentino
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D002983:Clinical Competence; D003266:Continuity of Patient Care / Q000592:standards*; D006801:Humans; D008134:Long-Term Care / Q000592:standards; D009735:Nursing Homes / Q000592:standards*; D010146:Pain / Q000517:prevention & control; D059408:Pain Management; D010166:Palliative Care / Q000592:standards*; D010348:Patient Care Team; D010819:Physician's Role; D011369:Professional-Patient Relations; D011785:Quality Assurance, Health Care; D012307:Risk Factors; D014481:United States