Robert D. Helme

TL;DR: Recommendations are provided regarding the physical examination and the assessment of pain using self-report and observational methods (suitable for seniors with dementia) and the physical and emotional functioning of older adults experiencing pain.

TL;DR: There is a divergence between an increasing load of pain-associated disease and a plateau of chronic pain complaint in old age that probably reflects impairment in the nociceptive function of the nervous system.

TL;DR: The clinical and laboratory-based evidence for age-related differences in pain perception and report are reviewed in this article, where the authors suggest a relative decrease in the frequency and intensity of pain symptoms associated with myocardial complaints, visceral infections, musculoskeletal conditions, and postoperative and malignant pain problems in adults of advanced age.

TL;DR: The results indicate that patients with FS exhibit a significant reduction in heat pain threshold when tested on the dorsal surface of the hand and a greater activation of central nervous system (CNS) pathways following noxious input.

TL;DR: Age differences in the efficacy of endogenous analgesic systems may be expected to reduce the ability of older adults to cope with severe persistent pain states and may help explain some of the variation in the literature on pain report.