Sensory problems such as visual and hearing changes may also interfere with the use of some pain assessment scales. However, as with other patients, the clinician should be able to obtain an accurate self-report of pain from most patients. When verbal report is not possible, clinicians should observe for behavioral cues to pain such as restlessness or agitation. The absence of pain behaviors does not negate the presence of pain. Opioids are safe and effective when used appropriately in elderly patients.
Elderly people are more sensitive to analgesic effects of opiate drugs.
They experience higher peak effect and longer duration of pain relief.