{"id":501,"date":"2021-01-16T19:19:46","date_gmt":"2021-01-16T18:19:46","guid":{"rendered":"http:\/\/niemusibolec.com\/?p=501"},"modified":"2023-05-14T18:36:14","modified_gmt":"2023-05-14T16:36:14","slug":"leczenie-bolu-u-pacjentow-w-podeszlym-wieku","status":"publish","type":"post","link":"https:\/\/niemusibolec.com\/index.php\/2021\/01\/16\/leczenie-bolu-u-pacjentow-w-podeszlym-wieku\/","title":{"rendered":"Leczenie b\u00f3lu u pacjent\u00f3w w podesz\u0142ym wieku"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#f0b800&#8243; _builder_version=&#8221;4.0.4&#8243; bottom_divider_style=&#8221;slant&#8221; bottom_divider_flip=&#8221;horizontal&#8221;][et_pb_fullwidth_header title=&#8221;B\u00f3l u senior\u00f3w&#8221; subhead=&#8221;jak go leczy\u0107 skutecznie i bezpiecznie?&#8221; text_orientation=&#8221;center&#8221; background_overlay_color=&#8221;rgba(52,81,104,0.8)&#8221; _builder_version=&#8221;4.0.4&#8243; title_font=&#8221;Lato|700|||||||&#8221; title_font_size=&#8221;46px&#8221; title_line_height=&#8221;1.5em&#8221; content_font=&#8221;Lato||||||||&#8221; content_font_size=&#8221;20px&#8221; content_line_height=&#8221;1.8em&#8221; subhead_font=&#8221;Lato|700|||||||&#8221; subhead_font_size=&#8221;25px&#8221; subhead_line_height=&#8221;1.5em&#8221; background_color=&#8221;#afafaf&#8221; background_image=&#8221;httpss:\/\/niemusibolec.com\/wp-content\/uploads\/2020\/12\/20.png&#8221; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;5vw||150px||false&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;top&#8221; animation_intensity_slide=&#8221;2%&#8221; title_font_size_tablet=&#8221;36px&#8221; title_font_size_phone=&#8221;&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; next_background_color=&#8221;#ffffff&#8221; admin_label=&#8221;Quote&#8221; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#f0b800&#8243; custom_padding=&#8221;||150px||false&#8221; bottom_divider_style=&#8221;slant&#8221; bottom_divider_flip=&#8221;horizontal&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; width=&#8221;90%&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.4&#8243; text_font=&#8221;Farsan||||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;27px&#8221; text_line_height=&#8221;1.5em&#8221; header_font=&#8221;||||||||&#8221; text_orientation=&#8221;center&#8221; max_width=&#8221;800px&#8221; module_alignment=&#8221;center&#8221; text_font_size_tablet=&#8221;36px&#8221; text_font_size_phone=&#8221;26px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<p>Leczenie b\u00f3lu u pacjent\u00f3w w podesz\u0142ym wieku stanowi wyzwanie pocz\u0105wszy od w\u0142a\u015bciwej i adekwatnej oceny b\u00f3lu, poprzez dob\u00f3r odpowiednich lek\u00f3w i uzyskanie satysfakcjonuj\u0105cych rezultat\u00f3w bez utrudniaj\u0105cych funkcjonowanie dzia\u0142a\u0144 niepo\u017c\u0105danych.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; next_background_color=&#8221;#f0b800&#8243; admin_label=&#8221;About Me&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#ffffff&#8221; custom_padding=&#8221;||150px||false|false&#8221; bottom_divider_style=&#8221;slant&#8221; bottom_divider_flip=&#8221;horizontal&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.7.7&#8243; text_font=&#8221;Lato||||||||&#8221; text_font_size=&#8221;18px&#8221; text_line_height=&#8221;1.8em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Lato|700|||||||&#8221; header_2_font_size=&#8221;30px&#8221; header_2_letter_spacing=&#8221;1px&#8221; header_2_line_height=&#8221;1.5em&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221; animation_intensity_slide=&#8221;5%&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;22px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h3><strong>Jak oceni\u0107 nat\u0119\u017cenie b\u00f3lu u senior\u00f3w?<\/strong><\/h3>\n<p>W przypadku pacjent\u00f3w w wieku podesz\u0142ym u kt\u00f3rych nie wsp\u00f3\u0142istniej\u0105 zaburzenia funkcji poznawczych mo\u017cemy z powodzeniem stosowa\u0107 skale oceny b\u00f3lu takie jak NRS (skala numeryczna), VAS (skala wzrokowo-analogowa), FPS (Faces Pain Scale &#8211; skala obrazkowa). Wi\u0119cej o pomiarze nat\u0119\u017cenia b\u00f3lu przeczytasz w artykule <a href=\"httpsss:\/\/niemusibolec.com\/index.php\/2020\/09\/13\/twoj-bol-jest-wiekszy-niz-moj\/\">Tw\u00f3j b\u00f3l jest wi\u0119kszy ni\u017c m\u00f3j &#8211; jak zmierzy\u0107 b\u00f3l<\/a>.<\/p>\n<p>Problem z ocen\u0105 nasilenia b\u00f3lu pojawia si\u0119 u senior\u00f3w z\u00a0 zaburzeniami funkcji poznawczych, np. demencj\u0105, chorob\u0105 Alzheimera. Ze wzgl\u0119du na os\u0142abienie pami\u0119ci pacjent mo\u017ce rzadziej relacjonowa\u0107 b\u00f3l ni\u017c on w rzeczywisto\u015bci wyst\u0119puje, dlatego w diagnostyce warto oprze\u0107 si\u0119 na obserwacji pacjenta i relacji opiekun\u00f3w. B\u0119dziemy zwraca\u0107 uwag\u0119 na wyraz twarzy (np. marszczenie brwi, zaciskanie powiek, grymas, szybkie mruganie), postaw\u0119 cia\u0142a (kr\u0119cenie si\u0119 i wiercenie, sztywno\u015b\u0107, zmiany w sposobie poruszania si\u0119), objawy werbalne (j\u0119ki, wo\u0142anie o pomoc, g\u0142o\u015bne oddychanie czy nadmierna gadatliwo\u015b\u0107) oraz zmiany w zachowaniu.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.7.7&#8243; text_font=&#8221;Lato||||||||&#8221; text_font_size=&#8221;18px&#8221; text_line_height=&#8221;1.8em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Lato|700|||||||&#8221; header_2_font_size=&#8221;30px&#8221; header_2_letter_spacing=&#8221;1px&#8221; header_2_line_height=&#8221;1.5em&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221; animation_intensity_slide=&#8221;5%&#8221; hover_enabled=&#8221;0&#8243; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;22px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>W celu dok\u0142adnej oceny b\u00f3lu u chorych w podesz\u0142ym wieku stosuje si\u0119 skal\u0119 obserwacyjn\u0105 Doloplus-2. W tej skali oceniamy 10 parametr\u00f3w, kt\u00f3re pogrupowane s\u0105 w 3 sekcje:<\/p>\n<ul>\n<li>reakcje somatyczne (uskar\u017canie si\u0119 na dolegliwo\u015bci, przyjmowanie pozycji chroni\u0105cej przed b\u00f3lem, chronienie bolesnego obszaru, wyraz twarzy, ewentualne problemy ze snem)<\/li>\n<li>reakcje psychomotoryczne (mycie si\u0119 i\/lub ubieranie si\u0119, mobilno\u015b\u0107)<\/li>\n<li>reakcje psychosocjalne (komunikacja, \u017cycie spo\u0142eczne, problemy z zachowaniem)<\/li>\n<\/ul>\n<p>Ka\u017cdy z parametr\u00f3w oceniamy na 1 z 4 mo\u017cliwych sposob\u00f3w, do kt\u00f3rych przyporz\u0105dkowana jest punktacja &#8211; od 0 do 3 punkt\u00f3w. W pe\u0142nej ocenie mo\u017cna uzyska\u0107 od 0 do 30 punkt\u00f3w.<\/p>\n<p>Za punkt odci\u0119cia m\u00f3wi\u0105cy o wyst\u0119powaniu b\u00f3lu uznano warto\u015bci wi\u0119ksze lub r\u00f3wne 5 punktom.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/niemusibolec.com\/wp-content\/uploads\/2021\/01\/doloplus.jpg&#8221; alt=&#8221;b\u00f3l u seniora&#8221; title_text=&#8221;leczenie b\u00f3lu u os\u00f3b w wieku podesz\u0142ym&#8221; _builder_version=&#8221;4.7.7&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; next_background_color=&#8221;#ffffff&#8221; admin_label=&#8221;Quote&#8221; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#f0b800&#8243; custom_padding=&#8221;||150px||false&#8221; bottom_divider_style=&#8221;slant&#8221; bottom_divider_flip=&#8221;horizontal&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; width=&#8221;90%&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.4&#8243; text_font=&#8221;Farsan||||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;27px&#8221; text_line_height=&#8221;1.5em&#8221; header_font=&#8221;||||||||&#8221; text_orientation=&#8221;center&#8221; max_width=&#8221;800px&#8221; module_alignment=&#8221;center&#8221; text_font_size_tablet=&#8221;36px&#8221; text_font_size_phone=&#8221;26px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<p>Leczenie b\u00f3lu u pacjent\u00f3w w wieku podesz\u0142ym powinno by\u0107 wielodyscyplinarne &#8211; prowadzone w aspekcie nie tylko somatycznym, ale i psychologicznym, spo\u0142ecznym i rekreacyjnym.<\/p>\n<p>Aby by\u0142o skuteczne cz\u0119sto niezb\u0119dne jest zaanga\u017cowanie w proces terapeutyczny rodziny lub opiekun\u00f3w pacjenta.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; next_background_color=&#8221;#f0b800&#8243; admin_label=&#8221;About Me&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#ffffff&#8221; custom_padding=&#8221;43px||150px||false|false&#8221; bottom_divider_style=&#8221;slant&#8221; bottom_divider_flip=&#8221;horizontal&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.4&#8243; text_font=&#8221;Lato||||||||&#8221; text_font_size=&#8221;18px&#8221; text_line_height=&#8221;1.8em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Lato|700|||||||&#8221; header_2_font_size=&#8221;30px&#8221; header_2_letter_spacing=&#8221;1px&#8221; header_2_line_height=&#8221;1.5em&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221; animation_intensity_slide=&#8221;5%&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;22px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h3><strong>Leczenie farmakologiczne<br \/><\/strong><\/h3>\n<p>W przypadku pacjent\u00f3w mo\u017ce powodowa\u0107 pewne trudno\u015bci wynikaj\u0105ce np. z r\u00f3\u017cnic w metabolizmie lek\u00f3w czy interakcji z ju\u017c przyjmowanymi z powodu chor\u00f3b wsp\u00f3\u0142istniej\u0105cych lekami (a tak\u017ce samymi chorobami &#8211; pami\u0119tamy o interakcjach lek-lek, a tak\u017ce lek-choroba), dlatego nale\u017cy starannie rozwa\u017cy\u0107 korzy\u015bci i ryzyko zwi\u0105zane z wybran\u0105 terapi\u0119 i konkretnym preparatem. Leczenie farmakologiczne wykazuje wy\u017csz\u0105 skuteczno\u015b\u0107 w po\u0142\u0105czeniu z metodami niefarmakologicznymi.<\/p>\n<p>Rozpoczynaj\u0105c leczenie i wybieraj\u0105c lek kierujemy si\u0119 jego skuteczno\u015bci\u0105 (EBM), indeksem terapeutycznym, dzia\u0142aniami niepo\u017c\u0105danymi oraz interakcjami z innymi stosowanymi przez pacjenta lekami. Swoje zastosowanie znajduje tu zasada &#8222;start low, go slow&#8221; &#8211; czyli zacznij od niskiej dawki leku i w razie potrzeby powoli j\u0105 zwi\u0119kszaj, dodatkowo staramy si\u0119 w\u0142\u0105cza\u0107 do stosowania jeden lek na raz, chocia\u017c oczywi\u015bcie korzystne mo\u017ce by\u0107 zastosowanie po\u0142\u0105cze\u0144 lek\u00f3w, aby zredukowa\u0107 dawki poszczeg\u00f3lnych preparat\u00f3w. Bardzo wa\u017cne jest nie tylko monitorowanie efektu terapeutycznego, ale tak\u017ce ewentualnych dzia\u0142a\u0144 niepo\u017c\u0105danych. Zawsze wybieramy form\u0119 leku o ma\u0142o inwazyjnej drodze podania &#8211; doustnej albo przezsk\u00f3rnej.<\/p>\n<p><strong>O czym powinni\u015bmy pami\u0119ta\u0107 stosuj\u0105c poszczeg\u00f3lne leki?<\/strong><\/p>\n<ul>\n<li>\u00a0<strong>paracetamol<\/strong> &#8211; to bezpieczny i skuteczny lek, kt\u00f3ry mo\u017ce by\u0107 z powodzeniem stosowany u os\u00f3b w wieku podesz\u0142ym w dawkach &lt;4g\/dob\u0119 (u os\u00f3b z chorobami w\u0105troby dawki nale\u017cy zredukowa\u0107). Nale\u017cy uwa\u017ca\u0107 na przyjmowanie paracetamolu przez chorych leczonych warfaryn\u0105 &#8211; mo\u017ce wyst\u0105pi\u0107 wzrost INR (nawet przy dawkach ok. 1g\/dob\u0119). Paracetamolu nie \u0142\u0105czymy z karbamazepin\u0105, fenytoin\u0105, barbituranami czy izoniazydem, gdy\u017c wzrasta wtedy jego toksyczno\u015b\u0107 narz\u0105dowa, mo\u017cemy jednak bezpiecznie stosowa\u0107 go w po\u0142\u0105czeniu z opioidami czy NLPZ.<\/li>\n<li><strong>NLPZ<\/strong> &#8211; to leki odpowiednie do kr\u00f3tkotrwa\u0142ego i dora\u017anego stosowania, gdy\u017c przewlek\u0142e (&gt;5 dni) przyjmowanie lek\u00f3w z tej grupy w przypadku pacjent\u00f3w w wieku podesz\u0142ym znacz\u0105co zwi\u0119ksza ryzyko wyst\u0105pienia krwawie\u0144 z g\u00f3rnego odcinka przewodu pokarmowego, zmniejszenie przep\u0142ywu nerkowego (szczeg\u00f3lnie w po\u0142\u0105czeniu z lekami moczop\u0119dnymi), zaburzenia psychiczne czy zaburzenia krzepni\u0119cia. Alternatyw\u0105 mo\u017ce by\u0107 stosowanie NLPZ w formie preparat\u00f3w do stosowania powierzchniowego &#8211; np. ma\u015bci czy \u017cel\u00f3w &#8211; albo zastosowanie kortykosteroid\u00f3w (w niewielkich dawkach np. w zaostrzeniu choroby zwyrodnieniowej staw\u00f3w).<\/li>\n<li><strong>opioidy<\/strong> &#8211; zaczynaj\u0105c stosowanie opioid\u00f3w u senior\u00f3w powinni\u015bmy zredukowa\u0107 dawk\u0119 o 25-50% w stosunku do dawki pocz\u0105tkowej przeznaczonej dla m\u0142odszych pacjent\u00f3w. Bezpieczniejszy profil dzia\u0142ania maj\u0105 opioidy o kontrolowanym uwalnianiu i takie powinne by\u0107 stosowane w b\u00f3lu ci\u0105g\u0142ym, cz\u0119sto w dawkach rzadziej przyjmowanych, jednak w przypadku zaostrze\u0144 b\u00f3lu mo\u017cna zastosowa\u0107 tak\u017ce preparaty . Nale\u017cy zwr\u00f3ci\u0107 uwag\u0119 na fakt, \u017ce u starszych pacjent\u00f3w jest wi\u0119ksze ryzyko wyst\u0105pienia zapar\u0107 indukowanych opioidami, co powinni\u015bmy wzi\u0105\u0107 pod uwag\u0119 wybieraj\u0105c preparat, a tak\u017ce rozwa\u017cy\u0107 zastosowanie lek\u00f3w zapobiegaj\u0105cych zaparciom. Najbezpieczniejszym opioidem do zastosowania u starszych pacjent\u00f3w jest buprenorfina (bezpieczna r\u00f3wnie\u017c u pacjent\u00f3w z dysfunkcjami nerek i w\u0105troby), ale z powodzeniem mo\u017cemy r\u00f3wnie\u017c u\u017cywa\u0107 oksykodonu, morfiny (jednak w przypadku niewydolno\u015bci nerek mo\u017ce dochodzi\u0107 do nagromadzenia jej metabolit\u00f3w) czy fentanylu. W trakcie terapii warto monitorowa\u0107 st\u0119\u017cenie kreatyniny.<\/li>\n<li><strong>adjuwanty<\/strong> &#8211; mog\u0105 wykazywa\u0107 liczne interakcje, dlatego nale\u017cy stosowa\u0107 je ostro\u017cnie. W przypadku b\u00f3lu neuropatycznego o charakterze zlokalizowanym warto rozwa\u017cy\u0107 preparaty powierzchniowe (lignokaina, kapsaicyna). Z lek\u00f3w stosowanych og\u00f3lnie najbezpieczniejsze do zastosowania s\u0105 pregabalina i gabapentyna. TLPD nie s\u0105 zalecane u chorych powy\u017cej 65r\u017c ze wzgl\u0119du na ryzyko kardiotoksyczno\u015bci.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.0.4&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_divider _builder_version=&#8221;4.0.4&#8243;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.4&#8243; text_font=&#8221;Lato||||||||&#8221; text_font_size=&#8221;18px&#8221; text_line_height=&#8221;1.8em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Lato|700|||||||&#8221; header_2_font_size=&#8221;30px&#8221; header_2_letter_spacing=&#8221;1px&#8221; header_2_line_height=&#8221;1.5em&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221; animation_intensity_slide=&#8221;5%&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;22px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h3><strong>Fizjoterapia i rekreacja<\/strong><\/h3>\n<p>Aktywno\u015b\u0107 fizyczna (definiowana jako wszystkie wykonywane w \u017cyciu codziennym czynno\u015bci zwi\u0105zane z ruchem w przypadku os\u00f3b starszych) podejmowana regularnie pomaga w leczeniu zespo\u0142\u00f3w b\u00f3lowych oraz w pewnym zakresie zapobiega skutkom niepe\u0142nosprawno\u015bci, jednocze\u015bnie poprawiaj\u0105c samopoczucie. <\/p>\n<p>Zalecane s\u0105 r\u00f3wnie\u017c formy rehabilitacji takie jak metody fizykalne, ciep\u0142o, zimno, elektroterapia, jak r\u00f3wnie\u017c metody manualne &#8211; masa\u017ce, manipulacje lecznicze i mobilizacje. Ponadto nale\u017cy wdro\u017cy\u0107 strategi\u0119 dzia\u0142a\u0144 zapobiegaj\u0105cym upadkom jako form\u0119 przeciwdzia\u0142ania wzrostowi nat\u0119\u017cenia b\u00f3lu.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.0.4&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_divider _builder_version=&#8221;4.0.4&#8243;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.4&#8243; text_font=&#8221;Lato||||||||&#8221; text_font_size=&#8221;18px&#8221; text_line_height=&#8221;1.8em&#8221; link_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; quote_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Lato|700|||||||&#8221; header_2_font_size=&#8221;30px&#8221; header_2_letter_spacing=&#8221;1px&#8221; header_2_line_height=&#8221;1.5em&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221; animation_intensity_slide=&#8221;5%&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;22px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h3><strong>Psychoterapia<\/strong><\/h3>\n<p>Najcz\u0119\u015bciej stosowane metody to biofeedback, trening relaksacyjny oraz terapia poznawczo-behawioralna. Wszystkie przynosz\u0105 pozytywne efekty r\u00f3wnie\u017c u pacjent\u00f3w w wieku podesz\u0142ym (pomimo kr\u0105\u017c\u0105cego mitu, o nieskuteczno\u015bci tego typu interwencji u pacjent\u00f3w w wieku podesz\u0142ym). Umo\u017cliwiaj\u0105 zmniejszenie nat\u0119\u017cenia b\u00f3lu i redukcj\u0119 dawek przyjmowanych lek\u00f3w, u\u0142atwiaj\u0105 radzenie sobie z b\u00f3lem, pozwalaj\u0105 na zmodyfikowanie my\u015blenia i postrzegania b\u00f3lu. Ponadto obni\u017caj\u0105 poziom l\u0119ku i cz\u0119sto\u015b\u0107 wyst\u0119powania zaburze\u0144 depresyjnych, jednocze\u015bnie pozwalaj\u0105c na wzrost aktywno\u015bci fizycznej i zmniejszenie stopnia niepe\u0142nosprawno\u015bci. <\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; next_background_color=&#8221;#ffffff&#8221; admin_label=&#8221;Quote&#8221; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#f0b800&#8243; custom_padding=&#8221;||150px||false&#8221; bottom_divider_style=&#8221;slant&#8221; bottom_divider_flip=&#8221;horizontal&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; width=&#8221;90%&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.4&#8243; text_font=&#8221;Farsan||||||||&#8221; text_text_color=&#8221;#ffffff&#8221; text_font_size=&#8221;27px&#8221; text_line_height=&#8221;1.5em&#8221; header_font=&#8221;||||||||&#8221; text_orientation=&#8221;center&#8221; max_width=&#8221;800px&#8221; module_alignment=&#8221;center&#8221; text_font_size_tablet=&#8221;36px&#8221; text_font_size_phone=&#8221;26px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<p>Leczenie b\u00f3lu u pacjent\u00f3w w wieku podesz\u0142ym to wyzwanie dla lekarza. Warto w proces terapeutyczny zaanga\u017cowa\u0107 rodzin\u0119 lub opiekun\u00f3w pacjenta, a tak\u017ce stosowa\u0107 po\u0142\u0105czenie metod farmakologicznych, fizjoterapii, aktywizacji oraz metod psychologicznych. Celem leczenia jest nie tylko samo zmniejszenie nat\u0119\u017cenia b\u00f3lu, ale r\u00f3wnie\u017c (a mo\u017ce przede wszystkim) poprawa jako\u015bci \u017cycia, zwi\u0119kszenie sprawno\u015bci i uzyskanie samowystarczalno\u015bci.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#f0b800&#8243; _builder_version=&#8221;4.0.4&#8243; bottom_divider_style=&#8221;slant&#8221; bottom_divider_flip=&#8221;horizontal&#8221;][et_pb_fullwidth_header title=&#8221;B\u00f3l u senior\u00f3w&#8221; subhead=&#8221;jak go leczy\u0107 skutecznie i bezpiecznie?&#8221; text_orientation=&#8221;center&#8221; background_overlay_color=&#8221;rgba(52,81,104,0.8)&#8221; _builder_version=&#8221;4.0.4&#8243; title_font=&#8221;Lato|700|||||||&#8221; title_font_size=&#8221;46px&#8221; title_line_height=&#8221;1.5em&#8221; 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