JAMA : the journal of the American Medical Association
The most recent articles from:
JAMA
2014
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Review Case Reports
Management of persistent pain in the older patient: a clinical review.
Persistent pain is highly prevalent, costly, and frequently disabling in later life. ⋯ Treatment planning for persistent pain in later life requires a clear understanding of the patient's treatment goals and expectations, comorbidities, and cognitive and functional status, as well as coordinating community resources and family support when available. A combination of pharmacologic, nonpharmacologic, and rehabilitative approaches in addition to a strong therapeutic alliance between the patient and physician is essential in setting, adjusting, and achieving realistic goals of therapy.