PHTY306 Lecture Notes - Lecture 3: Hip Fracture, Polypharmacy, Sepsis
Document Summary
Week 3 practical phty306: pain in older adults. 31% of women & 19% of men>75yrs report pain in 3 or more sites. Up to 75% of hospitalized adults experience severe pain at some time during admission. Many hospitalized older adults have acute and persistent pain. Pain in older adults is often under assessed and under managed. Polypharmacy and increased sensitivity to medication effects. Issues that make assessment difficult in older people. Concerns about addiction, side effects and tolerance of medications. Nothing can be done to relieve the pain . Older adults are less sensitive to pain. I don"t have any pain but i"m sore most of the time . I"m fine as long as i don"t move . Delirium acute episode where the brain has signs of parkinson"s related dementia, episodes of psychosis, sepsis, hallucinations, Signs of pain in older people: facial expressions. Frowning, grimacing, rapid blinking, sad expression: movements.