Pain in the Elderly 2025

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Finally, mental pain can be exasperated by dementia. Patients may experience significant loss or grief, even when confused or disoriented. This can lead to social, spiritual or emotional pain, which is felt physically like other types of pain.
Acetaminophen (Tylenol) is usually safer for older adults than other pain medicines. Topical pain medicines (also called topical analgesics) can also help. When common pain medicines dont work to manage pain, your healthcare provider may suggest other medicines, such as antidepressants or anticonvulsants.
Unfortunately, many patients with dementia are left with only basic expressions of pain presented through negative behaviors. These include screaming, cursing or striking out, particularly at caregivers. Untreated pain also may cause patients to become more withdrawn or fatigued.
2. Wandering. Six out of 10 people living with dementia wander at least once, ing to the Alzheimers Association. For some, the urge to wander often occurs later in the day because of sundowning.
Aging and disability increases the potential for chronic pain (Molton et al 2014). The common pain sites are knees, hips, and low back often associated with osteoarthritis and osteoporosis. Females are more likely to develop chronic pain, and it is often associated with obesity (McCarthy et al 2009, Patel et al 2013).
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Someone with dementia might express pain with: Facial expressions. You may see blinking, frowning, grimacing, or a sad or fearful look. Sounds. You may hear crying, groaning, or grunting. Changes in behaviour. You may notice sudden aggression, confusion, fatigue, or restlessness. Changes in activity.

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