What should be the primary goal in treating chronic pain in the elderly?

The primary goal in treating chronic pain in the elderly is to improve quality of life. In this patient population, chronic pain can be complex due to coexisting medical conditions, polypharmacy, and the potential for age-related changes in pharmacokinetics and pharmacodynamics.

Focusing on enhancing quality of life acknowledges that complete pain relief may not always be feasible or realistic. Instead, the aim is to help patients manage their pain to the extent that it allows them to engage in daily activities, maintain independence, and enjoy social interactions. This holistic approach recognizes the importance of psychological, social, and emotional factors in overall well-being, ensuring that treatment aligns with the individual's goals and values.

Improving quality of life may involve balancing pain management strategies, including medications, physical therapy, psychosocial support, and alternative therapies. It fosters a comprehensive approach where the focus is on functional outcomes and the patient's overall satisfaction with life rather than solely on the number of pain levels or the complete eradication of pain.