Hot Off the Press: Use of Shared Decision-Making for Management of Acute Musculoskeletal Pain in Older Adults Discharged from the Emergency Department

Abstract

The proportion of patients over age 65 who seek care in the Emergency Department (ED) has been increasing for decades and many of these visits are related to musculoskeletal injury or pain. The elderly are less likely to have their pain appropriately assessed and managed in the ED in comparison to younger adults, although gender and ethnic disparities in oligoanalgesia occur across all age groups. Emergency medicine resident geriatric core competencies include the assessment and management of pain in accordance with the patient's goals of care. In spite of this, the Society for Academic Emergency Medicine Geriatric Task Force identified pain management in the elderly as one condition for which there is a significant quality gap.

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