Articles: pain-management-methods.
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The purpose of this review is to look at the options available for the management of pain in victims of conflict, from the point of wounding, through a chain of evacuation, to rehabilitation in the home country. This is relevant for all healthcare workers as any could find themselves treating veterans and having a clear understanding of what occurred will help. ⋯ The current agents, routes and techniques found in any civilian medical service can be brought to bear with great benefit. However, the secret appears to lie in a robust approach to the importance of treating pain, encouraged in all healthcare professionals, and the recognition of the role of integrating the healthcare package throughout the chain of evacuation. Research remains difficult.
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Curr Opin Support Palliat Care · Jun 2012
ReviewAcute pain management in patients with persistent pain.
Over the past 20 years, prescriptions of opioids for chronic pain have increased dramatically. This review addresses the difficulties in managing acute pain in this growing group of patients and discusses evidence relating to opioid tolerance and hyperalgesia and new avenues of research in specific painful conditions. ⋯ Much of the evidence regarding the acute pain management of chronic pain patients is extrapolated from studies of opioid-naïve patients undergoing surgery. More focused research is needed to ascertain whether this model is an appropriate one to follow for such a complex group of patients.
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Pain is undertreated in children due to historical reasons. The pain afferent tracts are developed in 21 weeks of gestation and it is well documented that preterm and neonates can experience pain. Pain in neonates leads to ncreased distress and altered pain response later in life. pain assessment in children is chalLenging. ⋯ The family doctor may be looking for serious causes for the pain. Referrals to specialists can Leave children without proper pain management or treatment. The Pediatric Pain Clinic is a multidisciplinary program specifically aiming to provide treatment and support for acute and chronic pain in children to conquer pain, help children to cope with chronic pain and avoid future complications.
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J Altern Complement Med · Jun 2012
Western acupuncture in a NHS general practice: anonymized 3-year patient feedback survey.
The purpose of this study was to observe the response to Western acupuncture performed in a National Health Service (NHS) general practice. Outcomes, patient experience, impact on conventional therapies, and appropriateness of acupuncture in general practice were assessed. ⋯ This survey demonstrates the application of Western acupuncture within a NHS general practice administered by an individual GP. The patients' response scores from an anonymized questionnaire showed beneficial outcomes from acupuncture; patients also perceived that the treatment negated secondary care referral and reduction or cessation of pain-relieving medication.