RESUMO
El dolor irruptivo se define como una exacerbación aguda del dolor de rápida aparición, corta duración y de intensidad moderada o elevada, que ocurre de forma espontánea o en relación con un evento predecible o no predecible a pesar de existir un dolor basal estabilizado y controlado. Sin embargo, existen dudas sobre la definición, terminología, epidemiología y valoración del dolor irruptivo sin una clara contestación y consenso, especialmente en la población anciana. En esta revisión no sistematizada se intentarán sintetizar y resumir los aspectos más relevantes del dolor irruptivo en los ancianos en base a las escasas publicaciones existentes en dicho grupo poblacional (AU)
Breakthrough pain is defined as an acute exacerbation of pain with rapid onset, short duration and moderate or high intensity, which occurs spontaneously or in connection with a predictable or unpredictable event despite there being stabilised and controlled baseline pain. However, there are doubts about the definition, terminology, epidemiology, and assessment of breakthrough pain, with no clear answers or consensus, especially in the elderly population. This non-systematic review summarises the most important aspects of breakthrough pain in the elderly, based on the limited publications there are in that population group (AU)
Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Dor/epidemiologia , Manejo da Dor/métodos , Dor Crônica/terapia , Erros de Medicação/efeitos adversos , Erros de Medicação/prevenção & controle , Neoplasias/tratamento farmacológico , Espanha/epidemiologia , Prognóstico , Analgésicos/administração & dosagemRESUMO
Breakthrough pain is defined as an acute exacerbation of pain with rapid onset, short duration and moderate or high intensity, which occurs spontaneously or in connection with a predictable or unpredictable event despite there being stabilised and controlled baseline pain. However, there are doubts about the definition, terminology, epidemiology, and assessment of breakthrough pain, with no clear answers or consensus, especially in the elderly population. This non-systematic review summarises the most important aspects of breakthrough pain in the elderly, based on the limited publications there are in that population group.
Assuntos
Dor do Câncer , Idoso , Algoritmos , Dor do Câncer/diagnóstico , Dor do Câncer/terapia , Progressão da Doença , Humanos , Manejo da Dor , Medição da DorRESUMO
El dolor es un síntoma muy prevalente en los pacientes geriátricos oncológicos, apareciendo hasta en el 90% en las fases finales de la enfermedad. Requiere de un manejo multidimensional, con un alto porcentaje de valoración y tratamiento inadecuado. El dolor no reconocido o tratado deficientemente en la población geriátrica, y especialmente en los pacientes oncológicos, conlleva la aparición de síntomas invalidantes como depresión, ansiedad, aislamiento, alteraciones del sueño y del apetito, y muy especialmente pérdida de la capacidad funcional y de la calidad de vida. En esta revisión pretendemos analizar los estudios más relevantes sobre el diagnóstico y manejo del dolor en población de edad avanzada con patología oncológica (AU)
Pain is a prevalent symptom in cancer geriatric patients, appearing in up to 90% of patients with terminal cancer. This requires a multidimensional approach, as there is a high percentage of inappropriate assessments and treatments. Unrecognized or poorly treated pain in the geriatric population, especially in cancer patients, leads to the development of disabling symptoms such as depression, anxiety, isolation, sleep disturbances, and appetite, and very especially, loss of functional capacity and quality of life. In this review an analysis is made on the most relevant studies on the diagnosis and management of cancer pain in the geriatric population (AU)
Assuntos
Idoso de 80 Anos ou mais , Idoso , Feminino , Humanos , Masculino , Neoplasias/complicações , Dor/epidemiologia , Manejo da Dor/métodos , Manejo da Dor , Ansiedade/complicações , Ansiedade/terapia , Doença Crônica/tratamento farmacológico , Doença Crônica/epidemiologia , Doença Crônica/prevenção & controle , Analgésicos/uso terapêutico , Manejo da Dor/normas , Manejo da Dor/tendências , Depressão/complicações , Dor/prevenção & controle , Depressão/epidemiologia , Sociedades Médicas/ética , Sociedades Médicas/organização & administração , Sociedades Médicas/normas , Comissão de Ética/organização & administração , Comissão de Ética/normasRESUMO
Pain is a prevalent symptom in cancer geriatric patients, appearing in up to 90% of patients with terminal cancer. This requires a multidimensional approach, as there is a high percentage of inappropriate assessments and treatments. Unrecognized or poorly treated pain in the geriatric population, especially in cancer patients, leads to the development of disabling symptoms such as depression, anxiety, isolation, sleep disturbances, and appetite, and very especially, loss of functional capacity and quality of life. In this review an analysis is made on the most relevant studies on the diagnosis and management of cancer pain in the geriatric population.
