Pain in Older Adults with Neuropsychiatric Symptoms

  • Susan S. Rose


The prevalence of persistent pain is high in older adults, and undertreated pain is disproportionately elevated in older adults with neurocognitive disorders (NCDs). This chapter will explore the concept of pain and how it may be expressed differently in an individual suffering from an NCD.

The expression of pain commonly occurs in the context of behavior as communication. Therefore, the main focus of this chapter is the behavioral expression of pain, as well as the physiological consequences of undertreated pain. Attention will be given to the assessment of pain in individuals with NCDs, as well as barriers to adequate treatment, including generational difference and ethnic disparities. Pharmacological and nonpharmacological treatment recommendations are included.


Persistent pain Barriers to pain Ethnic and racial disparities Sequelae of undertreated pain Assessment PAINAD Pharmacological interventions Nonpharmacological interventions AGS guidelines 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Susan S. Rose
    • 1
  1. 1.Legacy Medical Group – GeriatricsVancouverUSA

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