Regarding the study, it is apparent that management of pain among the aged is a question of fact as to what pain the patient is suffering from. This is clearly depicted by the variation in areas of pain experienced by the patients. This work highlights specific management approach for nurses. Correct medication and control are therefore made possible. Text in this work can be adopted in the assessment and management of chronic pain in the elderly. The work by Monti and Kunkel (1538) elaborates not only the use of palliative care in the management of elderly people but also emphasizes the importance of pain management. The explanation is given in the fact that pain management alone has been found to be inadequate. Knowledge of chronic pain management upon assessment requires supplementation in the use of the improvements studied. “Inadequate assessment strategies result in inadequate pain management. It is important for the clinician to perform a careful history and physical examination, use appropriate pain assessment instruments, and evaluate the patient for psychiatric co-morbidity”. Improvement of pain assessment in the elderly is a major area of research embarked by geriatric specialists which mainly incorporates advancement of knowledge on detection, pain analysis, and the relevant treatment. Pharmacological prescriptions have to target a specific problem since the elderly are prone to drug interaction conditions. There was a great revelation in the work done by Manfredi et al (49) by virtue of finding out that facial expressions as commonly used in the detection of pain in an individual could not be reliable in dementia affected old. Conversely, it is hard to ask questions regarding pain perception by a dementia patient who is old.

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