Ibuprofen and Pain Management in Elderly Patients on Blood Thinners

This report presents an assessment of the impact of ibuprofen on pain management in elderly individuals who are also prescribed blood-thinning medication. The introduction highlights the importance of pain management in the aging population and outlines the study's focus on ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID). The clinical problem addressed is the challenge of pain management in older adults, considering the increased prevalence of chronic conditions and the potential risks associated with NSAIDs when combined with blood thinners. The report uses the PICO framework (Population, Intervention, Comparison, Outcome) to structure a clinical question regarding ibuprofen's effectiveness in pain control for this specific patient group. The study emphasizes the need for careful evaluation of ibuprofen's effects due to potential adverse reactions and interactions with anticoagulants, aiming to provide insights into safe and effective pain management strategies for elderly patients on blood-thinning medications. References are included to support the discussion.

Assessment of Ibuprofen impact on pain management among older people on a blood
thinner
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Ibuprofen impact assessment among older persons Name 2
Assessment of Ibuprofen impact on pain management among older people on a blood
thinner
Introduction
Pain management is an essential aspect of the recovery process. Pain during aging often
reflects underlying health problems. Among elderly persons, pain management is an essential aspect
of the care management process. Pain can occur in various forms; acute pain occurs suddenly and
lasts for a short period while chronic pain lasts for a longer duration of time. This study aims at
assessing the use of NSAID-ibuprofen on the management of pain among elderly person under
blood-thinning medication. This study aims to assess the impact of ibuprofen among elderly on
managing pain. To focus on this aspect PICO framework is being applied to study this phenomenon.
Clinical problem
Pain among older persons is often a common prevalent health problem. With the continued
advances in age, frailty and chronic disease continue to increase pain levels among the older
persons. More often primary care physicians and health care often experience challenges in
managing pain conditions for the elderly persons (Reid, Eccleston & Pillemer, 2015). The elderly
often experience arthritis, bone and joint disorders, and other related chronic diseases. It is
estimated that about 25%-50% of community-dwelling persons in nursing homes have increased the
occurrence of pain. Geriatric nursing home elderly persons have an increased rate of occurrence
between 45-80% (Nahin, 2015).
Majority of the elderly persons encounter less treatment management for pain.
Consequences and effects on the undertreatment of pain can have negative effects on the overall
quality of health leading to depression, anxiety, cognitive impairment, sleep disturbances and
immobility.most often the health care professionals can encounter problems associated with pain
management. Various aspects have been attributed to lack of effective training, inadequate pain
assessment and the reluctance of opioids prescription.
Pain classification among elderly persons can be termed as nociceptive or neuropathic. Pain
can be mixed with having both the components. Nociceptive pain is linked as either visceral or
somatic due to painful inflammation on the receptors. During old age, it can lead to musculoskeletal
or inflammatory disorders. Patients having nociceptive symptoms are managed using the
administration of opioids and nonopioid and other nonpharmacological based interventions.
Neuropathic pain can lead to disturbances of path physiologic on the peripheral or the central

Ibuprofen impact assessment among older persons Name 3
nervous system. Older patients complaining of neuropathic pain are less likely to respond effectively
to agents used to manage nociceptive pain (West, Severtson, Green & Dart, 2015).
Pharmacological management of older persons can lead to increased risks of adverse
reactions due to analgesic administration. The reaction is likely to be associated with declined renal
secretion and metabolism of hepatic valves and other pharmacological dynamics which occur during
old age (Malec & Shega, 2015). Other complications have been observed among older persons taking
blood thinner medication management. Blood thinners are essential in the prevention of clots in legs
and lungs. Intake of blood thinners can at times affect the overall reaction for patients taking
NSAIDs. Often the common complications associated with NSAID intake and anticoagulants are
increased risks of bleeding rates, worsened in atrial fibrillation state. A study report published in an
online journal in JAMA Internal Medicine has observed that bleeding can be fatal at times. Intake of
aspirin can lead to double risks of bleeding. Ibuprofen has been used as part of the NSAID
medication regime for managing pain, however, its impacts among elderly persons under blood
thinner medication have not been established effectively (Volkow & McLellan, 2016).
This study seeks to evaluate the overall impacts of ibuprofen interaction and mechanism on
pain management among patients under blood thinners. Assessing the impact of ibuprofen on the
overall process of managing pain is essential. This assessment study assesses ibuprofen interaction
among older persons taking blood-thinning medications for pain management.
PICO
PICO application in nursing research is essential in establishing a comprehensive framework
for understanding research study. It is essential for farming and answering clinical related questions
(Twa, 2016). The critical components of PICO entail patient population, intervention, and
comparison and outcomes levels.
Patient ; Elderly persons
Intervention ; Ibuprofen administration
Comparison ; drug placebo for control aspects
Outcome ; Pain control management
The research study assesses the impact of the ibuprofen management control aspects in
reducing the level of pain among elderly people under blood thinner medication. Ibuprofen has been
used as NSAID drug regime for pain relief for a long duration in medical practices. It works by

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blocking inflammation in the body that generates inflammation thus essential to assess the impact
among the older people on blood thinning management (Bushra & Aslam, 2014).
Conclusion
Pain management is often a serious health issue in health care practice. Among older
persons, they face pain occurs due to the frailty of their bodies. Various medication regimes such as
acetaminophen, NSAIDs and other pain medication process have been used. Ibuprofen has been
demonstrated to aid in lowering pain swelling and pain. Interaction of some of the NSAIDs has been
shown to offer counter interactions with blood-thinning medication. These study asses the impact of
Ibuprofen medication on the management of pain among older persons undertaking blood-thinning
drugs.

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References
Bushra, R., & Aslam, N. (2014). An overview of clinical pharmacology of Ibuprofen. Oman medical
journal, 25(3), 155–1661. doi:10.5001/omj.2010.49
Malec, M., & Shega, J. W. (2015). Pain management in the elderly. Medical Clinics, 99(2), 337-350.
Nahin, R. L. (2015). Estimates of pain prevalence and severity in adults: United States, 2012. The
Journal of Pain, 16(8), 769-780.
Reid, M. C., Eccleston, C., & Pillemer, K. (2015). Management of chronic pain in older adults. Bmj,
350, h532.
Twa, M. D. (2016). Evidence-Based Clinical Practice: Asking Focused Questions (PICO).
Volkow, N. D., & McLellan, A. T. (2016). Opioid abuse in chronic pain—misconceptions and
mitigation strategies. New England Journal of Medicine, 374(13), 1253-1263.
West, N. A., Severtson, S. G., Green, J. L., & Dart, R. C. (2015). Trends in abuse and misuse of
prescription opioids among older adults. Drug and alcohol dependence, 149, 117-121.