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Pain Management Interventions for Hip Fracture

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Implementation of Hip Fracture Pain Management (3)

Treatment of moderate to severe pain in older adults relies on systemic analgesia, primarily with nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids. Systemic opioid analgesics present complications that include alterations in mental status, nausea and vomiting, and respiratory depression; tolerance is also a clinical issue. The risk of each of these adverse events is aggravated by comorbidities that are typical in the population of elderly patients with hip fracture. In this regard, it is important to know which alternative or adjunctive options for pain management are safe and effective in the clinical circumstances surrounding hip fracture in the elderly.