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Clinical Case Studies in Long-Term Care Psychiatry Pain Control in MNCD
Published online by Cambridge University Press: 31 October 2024
The implications of unrecognized pain in those with MNCD are far-reaching. Untreated pain can lead to the destabilization of psychiatric conditions such as anxiety, depression, and agitation. Those with cognitive impairments are more likely to have longer waits for the evaluation of pain and receive weaker analgesia.As needed pain medications given to those with MNCD in the LTC setting may depend too heavily on the judgment of those inadequately trained to assess pain. Regularly scheduled pain medications may be a more appropriate option. Always keep the possibility of medication error in the differential diagnosis for apparent changes in mental status. Inadequate pain control negatively impacts mental health in older adults. Those with MNCD with inadequately controlled pain may present with atypical symptoms when compared to those without MNCD. Consider both pharmacologic and nonpharmacologic interventions when formulating a treatment plan for chronic pain in older adults. Opiates may have the best benefit/risk ratio for the treatment of chronic pain in some older adults.
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