[Unhelpful believes about pain. Brief pain advice in primary

Atencion primaria · Dec 2024

[Unhelpful believes about pain. Brief pain advice in primary care].

In chronic non-oncological pain, there is a gap between the recommendations and the usual clinical practice. To improve this situation, it is essential to address unhelpful beliefs about pain in patients and health professionals. We address cultural beliefs such as thinking that pain means damage to the tissue where it is felt, that pain originates in the area where it is perceived, that it is important to rest for the tissues to heal, or that drugs and surgery are the best treatments for pain. First, professionals need to reflect on their own beliefs and question their own clinical practice: what do I believe about pain? Are these beliefs in line with current evidence? Do I follow the recommendations of clinical practice guidelines? In this way, by aligning their beliefs with the evidence, professionals will be able to begin to give appropriate educational advice to patients.

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- María Victoria García Espinosa, Silvia Fernanda García Vila, María Fernández de Paul, Patricia Moreno Carrero, Isabel Prieto Checa, and Gema Izquierdo Enríquez.
- Gerencia de Atención Primaria, Centro de salud Los Alpes, Madrid, España. Electronic address: vgespinosa@gmail.com.
- Aten Primaria. 2024 Dec 1; 56 (12): 103120103120.
AbstractIn chronic non-oncological pain, there is a gap between the recommendations and the usual clinical practice. To improve this situation, it is essential to address unhelpful beliefs about pain in patients and health professionals. We address cultural beliefs such as thinking that pain means damage to the tissue where it is felt, that pain originates in the area where it is perceived, that it is important to rest for the tissues to heal, or that drugs and surgery are the best treatments for pain. First, professionals need to reflect on their own beliefs and question their own clinical practice: what do I believe about pain? Are these beliefs in line with current evidence? Do I follow the recommendations of clinical practice guidelines? In this way, by aligning their beliefs with the evidence, professionals will be able to begin to give appropriate educational advice to patients.Copyright © 2024 The Authors. Publicado por Elsevier España S.L.U. All rights reserved.

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