Pain management in nursing homes presents a significant challenge, with 45–80% of residents experiencing chronic pain. While traditional opioids are common, they come with notable limitations: frequent dosing requirements, challenges for residents with swallowing difficulties, high costs, and concerns about renal impairment. Low-dose methadone (LDM) offers a promising yet underutilized alternative for long-acting pain relief in this population. 

Nursing home residents often face complex health challenges, including atrial fibrillation (AF) and cardiovascular conditions requiring...

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