Acute Postoperative Pain Management in Elderly Patients

  • Jack M. Berger


In their review article, Brennan, Carr, and Cousins conclude that “because pain management is the subject of many initiatives within the disciplines of medicine, ethics, and law, we are at an ‘inflection point’ in which unreasonable failure to treat pain is viewed worldwide as poor medicine, unethical practice, and an abrogation of a fundamental human right” [1]. In coming to this conclusion these authors review much of the medical ethics literature which taken together is summarized in their statement that “…a virtue ethics approach to bioethics would also yield a clear response to patient’s pain. A virtuous doctor would place the recognition, monitoring, and treatment of pain as a high priority. To this end, a virtuous doctor would inquire regularly about pain, respond appropriately, and refer wisely if unable to control it” [1]. This of course became mandated by the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) in 2000–2002, and the declaration by the US Congress calling 2001–2010 the “Decade of Pain Control and Research” [1].


Neuropathic Pain Epidural Analgesia Oral Morphine Epidural Infusion Intravenous Morphine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Anesthesiology, Keck School of MedicineUniversity of Southern California, LAC + USA Medical CenterLos AngelesUSA

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