Title: Assessment of Chronic Musculoskeletal Pain Management in Elderly Patient at General Hospital in Patna City, India
Author: Dr MD. Farid Alam Ansari
Back Ground& Objective: Chronic musculoskeletal pain conditions are a major burden on individuals, health systems, and social care systems, with indirect costs being predominant. This burden has been recognized by the United Nations and WHO, by endorsing the Bone and Joint Decade 2000–2010. The four major musculoskeletal conditions: Gout arthritis, rheumatoid arthritis and low back pain. Rheumatoid arthritis, which is characterized by loss of joint cartilage that leads to pain and loss of function primarily in the knees and hips, affects 9.6% of men and 18% of women aged >60 years. Increases in life expectancy and ageing populations are expected to make Rheumatoid arthritis the fourth leading cause of disability by the year 2020. Objective of this trial was to assess chronic musculoskeletal pain management in elderly patient at Patna Medical College & Hospital.
Methodology: A cross sectional study involving patient chart review was conducted to assess chronic musculoskeletal pain management in Patna Medical College & Hospital from May 1, 2018 to July 30,2018.
Result: From a total of 131 chronic musculoskeletal pain management in elderly patient those registered at Patna Medical College Hospital from May 1,2018 to Jul30,2018, of these 82(62.6%)were male and 49(37.4%)were female. This study shows that male were more affected with chronic musculoskeletal pain 82(62.6%) than female 49(37.4%) among this with gout arthritis 26(86.6%)were male and 4(13.3%)were female, Rheumatoid arthritis 46(58.9%)were male and 32(41.1%)were female whereas with low back pain 10(43.5%)were male and 13(56.5%)were female.
Conclusion: This study shows, from chronic musculoskeletal pain, Rheumatoid arthritis was more prevalent 78(59.5%) when compared with other type of chronic musculoskeletal pain in elderly while, low back pain is the least10(43.5%) and gout arthritis30(22.90%) have moderate prevalence and chronic musculoskeletal pain was more prevalent in male elderly patient82(62.6%)when compared with female elderly patient 49(37.4%) as indicated from patient chart which were recorded from May 1,2018 to Jul 30,2018 at Patna Medical College & Hospital. Since treating elderly patient need great precaution regarding drug metabolism and excretion so prior to prescribing NSAID, Steroid and other anti-pain to treat Chronic MSK pain management in elderly, pertinent lab finding such as Liver function test, Renal function test are essential.
Keywords: Pain Management, Chronic Musculoskeletal, Elderly Patients Rheumatoid arthritis.