Depression as Part of Comprehensive Geriatric Assessmenta Persistent Pain using Multiple Drug: Case Report
Background: Pain management in the elderly is not only focused on the cause because there are many other aspects that can affect pain such as depression fear of making movements so that passive motion ends in stiffness which ultimately increases the level of pain which can actually be improved comprehensively.
Method: This is a retrospective case report following analysis of patient clinical data. The patient provided written informed consent to publish details of their case and accompanying images. The study protocol complies with the requirements of the institute committee of Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Results: A 66-year-old female patient was admitted to the hospital because of complaints of back pain that she had been experiencing for 4 months and which had worsened within 1 day before she was admitted to the hospital. The patient was assessed for persistent pain low back pain thoracic and lumbar vertebral compression fractures chronic kidney disease stage 5 (hemodialysis) symptomatic epilepsy focal clonic seizures without impaired awareness infiltrating intracranial cause plasmacytoma hospital acquired pneumonia hyperkalemia hypomagnesaemia multiple cystic causes multiple myeloma. Comprehensive geriatric assessment is a very important modality in managing problems related to the elderly pain. Pain is an unpleasant condition that is often experienced by the elderly. The modality for overcoming pain is not only done by giving drugs but Comprehensive Geriatric Assessment (CGA) can also be performed to manage pain in the elderly.
Conclusion: Comprehensive Geriatric Assessment (CGA) is a very important modality in screening to look for other factors that can affect the condition of the disease the therapeutic modality to be given and the prognosis.