Yоu аre cаring fоr Mrs. Thоmpson, аn 80-year-old woman with a history of osteoarthritis, degenerative spine disorder, and mild cognitive impairment. She is also on multiple medications for hypertension, diabetes, and depression. Mrs. Thompson reports chronic back pain and occasional sharp pain in her knees, but her communication of the pain is unclear due to her cognitive decline. You are tasked with assessing her pain and creating an appropriate pain management plan. Which of the following factors should you consider when developing Mrs. Thompson’s pain management plan?