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Managing Non-Cancer Chronic Pain in Frail Older Adults: A Pilot Study Based on a Multidisciplinary Approach

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Listed:
  • Teodora Figueiredo

    (UCIBIO—Applied Molecular Biosciences Unit, Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal
    Porto4Ageing—Competences Centre on Active and Healthy Ageing, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal)

  • Luís Midão

    (UCIBIO—Applied Molecular Biosciences Unit, Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal
    Porto4Ageing—Competences Centre on Active and Healthy Ageing, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal
    School of Medicine and Biomedical Sciences, University of Porto, 4050-313 Porto, Portugal)

  • Rute Sampaio

    (Department of Biomedicine, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
    CINTESIS@RISE, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal)

  • Joana Carrilho

    (UCIBIO—Applied Molecular Biosciences Unit, Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal
    Porto4Ageing—Competences Centre on Active and Healthy Ageing, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal)

  • Constantino Coelho

    (UCIBIO—Applied Molecular Biosciences Unit, Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal
    Porto4Ageing—Competences Centre on Active and Healthy Ageing, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal)

  • Giovanni Cerullo

    (Palliative Care, Centro Hospitalar Universitário do Algarve, 8000-386 Algarve, Portugal)

  • Antonella Di Paola

    (Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy)

  • Angelo Carfì

    (Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy)

  • Graziano Onder

    (Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy
    Department of Geriatric and Orthopedic Sciences, Università Cattolica del Sacro Cuore, 00168 Rome, Italy)

  • Elísio Costa

    (UCIBIO—Applied Molecular Biosciences Unit, Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal
    Porto4Ageing—Competences Centre on Active and Healthy Ageing, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal)

Abstract

Considering the multidimensionality of chronic pain, it is crucial to develop comprehensive strategies for its effective management. However, establishing well-defined, evidence-based guidelines for such approaches remains challenging. To overcome this, we present the finding from a 4-month intervention to enhance the management of non-cancer chronic pain in older adults with pre-frailty and frailty. The intervention’s core elements comprised a multidisciplinary individualized plan, a case manager, and patient education. This pilot study involved 22 participants (≥65 years). It assessed changes in pain frequency and intensity (pain scale), frailty (Fried frailty phenotype criteria), and medication adherence (Brief Adherence Rating Scale) before and after the 4-month intervention. The results were encouraging: pain frequency and intensity and frailty score tended to decrease, and medication adherence showed significant improvement. This preliminary small-scale pilot study provides a foundation for further research and for exploring the potential scalability of this multidisciplinary patient-centred intervention.

Suggested Citation

  • Teodora Figueiredo & Luís Midão & Rute Sampaio & Joana Carrilho & Constantino Coelho & Giovanni Cerullo & Antonella Di Paola & Angelo Carfì & Graziano Onder & Elísio Costa, 2023. "Managing Non-Cancer Chronic Pain in Frail Older Adults: A Pilot Study Based on a Multidisciplinary Approach," IJERPH, MDPI, vol. 20(24), pages 1-9, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:24:p:7150-:d:1295270
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    References listed on IDEAS

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    1. Katie Palmer & Angelo Carfì & Carmen Angioletti & Antonella Di Paola & Rokas Navickas & Laimis Dambrauskas & Elena Jureviciene & Maria João Forjaz & Carmen Rodriguez-Blazquez & Alexandra Prados-Torres, 2019. "A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 16(24), pages 1-18, December.
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