Journal of pain & palliative care pharmacotherapy
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J Pain Palliat Care Pharmacother · Jan 2003
Palliative care: an emerging issue for American Indians and Alaskan Natives.
Over 4 million American Indians and Alaskan Natives live in communities that receive health care primarily from the federal Indian Health Service or tribal health programs. Palliative care has only recently been formally addressed for these communities. An Indian Health Service program introduced the topic and several programs are ongoing. Needs for and barriers to palliative care in native peoples' communities are discussed and several successful programs at various stages of development and implementation are described.
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J Pain Palliat Care Pharmacother · Jan 2003
Management of chronic central neuropathic pain following traumatic spinal cord injury: executive summary of evidence report/technology assessment: number 45.
The Executive summary of the federal report on available evidence for management of chronic central neuropathic pain following traumatic spinal cord injury is presented. This report is one in a series of technology assessment monographs commissioned by the Department of Health and Human Services to define current state of the art in important health care issues. A comprehensive literature search led to conclusions about the diagnosis, assessment and natural history of central neuropathic pain. The report documents a dearth of evidence on pharmacological therapy and addresses available evidence on central nervous system stimulation and lesioning.
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J Pain Palliat Care Pharmacother · Jan 2003
Palliative care behind bars: the New Zealand prison hospice experience.
The provision of palliative care for convicted criminals ignites debate about morality and equality. The New Zealand prison population includes a higher proportion of smokers, Maori (native New Zealanders), and intravenous drug users than is found in the general community; prisoners as a group are therefore at greater risk of developing a terminal illness. ⋯ This paper examines some of the issues surrounding the provision of palliative care for prisoners in the New Zealand correction system. These issues may challenge some of the basic principles on which modern hospice care has been developed.