Pain
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Pain Control in Older Adults
Many older adults experience pain, but there are limited guidelines to appropriately manage their pain. Additionally, assessment of pain control in older adult patients can be difficult because of impairments in cognition, hearing, and sight. Increasingly, acute care providers are challenged to manage pain in this unique population. This article will discuss the epidemiology and etiology of pain in the older adult population, the pathophysiology, tools for diagnosing pain in older adults with cognitive impairment, and appropriate multimodal pain management for older adult patients.
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Can Antidepressants Help Patients Manage Chronic Pain?
Antidepressant medications have been widely used for treating a variety of chronic pain disorders, but strong evidence to support their efficacy is lacking. Some patients may respond, but available data do not help us determine which agents may be helpful in a specific type of chronic pain condition.
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Walk! A Long-Term Observational Investigation of Knee Osteoarthritis
The results of an observational study of more than 1,000 individuals age 50 years and older with knee arthritis revealed regular walking for exercise correlated with fewer reports of new knee pain and slower disease progression, as verified by radiographic evidence at eight-year follow-up.
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Antidepressants for Chronic Pain: Do They Work?
Antidepressant medications have been widely used for treating a variety of chronic pain disorders, but strong evidence to support their efficacy is lacking. Some patients may respond, but available data do not help us determine which agents may be helpful in a specific type of chronic pain condition.
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Pain Researchers Are Engaging Patients as Partners
Pain researchers would benefit by enacting a comprehensive approach to patient engagement, perhaps engaging people with lived experience of chronic pain in developing study recruitment materials.
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Do Anti-Inflammatory Drugs Cause More Chronic Pain?
Acute inflammation may protect against the development of chronic pain through neutrophil activation. Using nonsteroidal anti-inflammatory drugs may blunt that response and contribute to chronic pain.
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Atogepant Tablets (Qulipta)
Atogepant can be prescribed to prevent episodic migraine in adults.
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Prednisone vs. Placebo in Short-Term Prevention of Episodic Cluster Headaches
Prednisone, given at 100 mg for five days and then tapering by 20 mg every three days, is a safe and effective short-term prevention for episodic cluster headaches while waiting for longer-acting preventive agents to be initiated.
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Oral Calcitonin Gene-Related Peptide Antagonist for Migraine Prevention
Atogepant, an oral calcitonin gene-related peptide antagonist, was shown to be effective and safe for migraine prevention.
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Oliceridine Injection (Olinvyk)
Oliceridine should be prescribed to adults to manage acute pain severe enough to require intravenous opioid analgesic and for whom alternative treatment has not worked.