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In hospitalized older adults, uncontrolled pain is a major risk factor for delirium, immobility, and poor recovery in hospitalized older adults. We should always start with non-opioid strategies including scheduled acetaminophen, topical agents, positioning, and other supportive measures. But when pain is still significant, carefully dosed short-acting opioids may be appropriate. Geriatrics isn’t about blanket rules like “avoid opioids.” It’s about balancing risks while making sure patients aren
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