Articles: pain-management.
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Background: Medical marijuana (MM) and cannabidiol (CBD) have received increasing attention to manage pain and other symptoms even with limited scientific evidence. Objectives: We examined the attitudes and beliefs of health care providers toward MM and CBD compared to standard treatments for cancer-associated pain and various symptoms. Design: Two sets of anonymous surveys (MM and CBD) containing similar items were completed by clinicians of four symptom-focused specialties. ⋯ Respondents did not favor MM or CBD over common treatment options for nonpain symptoms. Conclusion: MM and CBD were not preferred over current standard treatments for pain and other symptoms. Responses from the four specialties aligned with unique aspects of their clinical practice.
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The acute inflammatory reaction induced by tissue trauma causes pain but also promotes recovery. Recovery is highly variable among peoples. Effective acute pain (AP) management is very important but remains suboptimal what could affect long term outcomes. The review questions the impact of either failure or effectiveness of AP treatments and the choice of analgesic drugs on different long-term outcomes after tissue trauma. ⋯ Effective and safe AP management is of far greater importance than previously realized. Evidence of suboptimal AP management in many patients and recent reports pointing out the impact of current treatments on long term outcomes argue for further research in the field.
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Review
Barriers and Facilitators of Pain Self-Management Among Patients with Cancer: An Integrative Review.
Defining the main barriers and facilitators of cancer pain self-management are essential to improve patients' overall quality of life. ⋯ Patients with cancer pain experience multiple barriers and facilitators when attempting to take on an active role in managing their pain.
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Arch Orthop Trauma Surg · Apr 2023
Randomized Controlled TrialLiposomal bupivacaine nerve block provides better pain control post-total shoulder arthroplasty than continuous indwelling catheter.
Pain control is essential to successful total shoulder arthroplasty (TSA). ⋯ Level I, Prospective, Randomized.