Pain assessment is likely to be most challenging when providing care for which of the following older adult clients?
A) A 90-year-old client who takes multiple medications for cardiac and respiratory conditions
B) A 77-year-old man who has sustained burns on the lower part of his body
C) An 82-year-old woman who has been diagnosed with diabetes and an anxiety disorder
D) An 87-year-old man with vascular dementia and other health problems like heart failure
Ans: D
Feedback:
Pain in the elderly has been associated with impaired appetite, increased sleep disturbances, and in some cases a decrease in cognitive functions. Anxiety, polypharmacy, and the presence of acute pain are factors that may also influence the assessment process, but these are more likely to have a bearing on pain treatment and management than on pain assessment.
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