Take an individualized approach when managing pain in the elderly at the end of life

2012 ◽  
Vol 28 (9) ◽  
pp. 10-12
Author(s):  
&NA;
Drugs & Aging ◽  
2012 ◽  
Vol 29 (4) ◽  
pp. 285-305 ◽  
Author(s):  
Eric Prommer ◽  
Brandy Ficek

2021 ◽  
pp. 104365962110214
Author(s):  
Lei Lei ◽  
Quanxi Gan ◽  
Chunyan Gu ◽  
Jing Tan ◽  
Yu Luo

Introduction With the global aging process intensified, the demand for end-of-life care has surged, especially in China. However, its development is restricted. Understanding the life and death attitude among the elderly and its formation process, and clarifying their needs, are so important to promote social popularization of end-of-life care. Methodology This qualitative study included 20 elderly residents in Nan and Shuangbei Communities, Chongqing City, People’s Republic of China. Data were collected through semistructured in-depth individual interviews and processed by thematic analysis method. Results Three themes and eight subthemes were identified: Characteristics of formation process (passive thinking, closed and single), life-and-death attitude (cherish and enjoy life, quality of life priority, let death take its course) and expectations of end-of-life care (preferences, basic needs, good death). Discussion Life-and-death attitude and end-of-life care expectations of the elderly support the development and delivery of end-of-life care. Furthermore, the individual-family-hospital linkage discussion channel needs to be further explored.


2009 ◽  
Vol 13 (S1) ◽  
Author(s):  
G.P. Pickering ◽  
E. Scherder ◽  
S. Lautenbacher ◽  
S. Mercadante

2021 ◽  
pp. 56-57
Author(s):  
Rohit Arora ◽  
D.K Sharma

Hypertension is a common disease in the elderly associated with signicant morbidity and mortality. Due to the complexity of this population, the optimal target of blood pressure (BP) control is still controversial. In this article, we conduct a literature review of trials published in English in the last 10 years which were specically designed to study the efcacy and safety of various BP targets in patients who are 70 years or older. Using these criteria, we found that the benets in the positive studies were demonstrated even with a minimal BPcontrol (systolic BP[SBP] <150 mmHg) and continued to be reported for a SBP<120 mmHg. On the other hand, keeping SBP<140 mmHg seemed to be safely achieved in elderly patients. Although the safety of lowering SBP to <120 mmHg is debated, Systolic Blood Pressure Intervention Trial study has shown no increased risk of falls, fractures, or kidney failure in elderly patients with SBP lower than this threshold. While the recent guidelines recommended to keep BP <130/80 mmHg in the elderly, more individualized approach should be considered to achieve this goal in order to avoid undesirable complications. Furthermore, further studies are required to evaluate BPtarget in very old patients or those with multiple comorbidities.


Ból ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 31-44
Author(s):  
Françoise Capriz ◽  
Sylvie Chapiro ◽  
Laurence David ◽  
Marie Floccia ◽  
Cyril Guillaumé ◽  
...  

The aim of this study is to publish recommendations on the use of painkillers in the elderly, in sensitive, isolated or highly dependent patients. These recommendations have been prepared by a group of experts in the field of pain and geriatrics from several scientific societies: French Society for Research and Pain Treatment (SFETD), French Society of Geriatrics and Gerontology (SFGG), French Society for Palliative Support and Care (SFAP), French Society for Assistive Oncology (AFSOS).


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