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Bruce A. Ferrell M.D.

In: Improving Care in the Nursing Home: Comprehensive Reviews of Clinical Research

Chapter 9: The Assessment and Control of Pain in the Nursing Home

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The Assessment and Control of Pain in the Nursing Home
The assessment and control of pain in the nursing home
BruceA.FerrellM.D.
Introduction

That the proper assessment and management of pain is an important problem among elderly people is only recently acknowledged in the medical literature (1,8,12,20). In the past, pain research has been essentially limited to younger patients, patients in acute care settings, and patients with cancer. Pain assessment and management remain understudied in the nursing home (NH) population. Thus, strategies for pain control among elderly NH residents remain based largely on anecdotal experiences rather than on empirically derived data (1,8). Because elderly people are at such great risk for chronic and often painful illnesses, it is unfortunate and ironic that pain is so often underrecognized and undetected ...

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