Geriatric patients often have multiple care providers. It will also be advantageous and necessary for the patient's other care providers to be informed of the treatment plan and therapeutic goals. This can prevent inadvertent duplication of therapy or potential therapeutic interaction. Drug interactions increase exponentially with the number of medications used (39-46). Statistically, the average patient older than 65 years takes nine prescription medications; frequently, these medications are prescribed by several prescribers. Over-the-counter medications further complicate this issue.
Communication among the providers as an essential part of pain management planning cannot be overemphasized. If the best therapeutic plans are not conveyed to the appropriate providers, the patient may not receive the appropriate treatment or, worse yet, may receive inappropriate or counterproductive treatment (47-53).
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