In terms of pain management in older adults, which factor should be prioritized by the nurse?

Prioritizing the assessment for underlying conditions related to pain is crucial in managing pain effectively in older adults. This population often experiences complex health issues, including comorbidities that can contribute to the experience or expression of pain. An accurate assessment of these underlying conditions allows the nurse to identify the root causes of pain, which can lead to a more targeted and effective intervention strategy.

Moreover, older adults may exhibit atypical presentations of pain due to age-related physiological changes or cognitive impairments that affect their ability to communicate discomfort. Understanding the medical history, current diagnoses, and potential sources of pain can assist in developing a holistic pain management plan tailored to each individual.

While non-pharmacological interventions and opioid use are present in pain management strategies, they should not take precedence over understanding the underlying conditions that may be causing pain. Identifying and treating these underlying issues can often mitigate the need for more aggressive treatment measures, thereby improving the patient's overall well-being.