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The bottom lineChronic pain in later life is a worldwide problemA comprehensive assessment can guide selection of treatments most likely to benefit the patient and identify targets for intervention besides pain reliefA multimodal approach that includes both drug and non drug modalities for pain is recommendedGiven the limited reach of cognitive behavioral and exercise approaches to manage pain in later life, patients should be encouraged to engage in and adopt these techniquesInvolve and engage family members and paid caregivers and seek out other resources that can help to reinforce adherence to treatment and maintain gains from treatmentChronic pain is one of the most common conditions encountered by healthcare professionals, particularly among older (65 years) patients.1 Pain is associated with substantial disability from reduced mobility, avoidance of activity, falls, depression and anxiety, sleep impairment, and isolation.1 2 3 Its negative effects extend beyond the patient, to disrupt both family and social relationships. Chronic pain poses a significant economic burden on society.1 Prevalence rates for pain are expected to increase as populations continue to age by 2035 an estimated one quarter of the population in the European Union will be 65 or older thereby increasing the public health impact of pain. Healthcare providers, irrespective of specialty, should develop competencies to assess and manage chronic pain in their older patients.

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