Pain in the Elderly

The receipts behind Chapter 16

The quietest patient on a nursing-home floor is often the one in the most pain. In Chapter 16 I follow an eighty-four-year-old sedated for agitation who was actually lying on a broken back, show how the chart records half the pain of a person who cannot speak, and why a precise procedure done awake is the conservative option and the pill is the aggressive one.

The book makes the argument. This supplement shows the evidence, claim by claim: the study, who was in it, the number and where it sits in the paper, what it does not show — and the questions to bring to your own physician. It is written to be handed to your doctor.

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Educational material. Not medical advice. If you are in the St. Louis area and want this looked at properly, that is what the Padda Institute is for.