Articles: chronic-pain.
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Previous studies suggest that pain management by analgesic medications may be low among children. This study aims to investigate analgesic use and its correlates among children in Germany. ⋯ Analgesic use appears to be low among children in Germany, reflecting largely the fact that pain perceived among children under ambulant care may be mild to moderate and does not need analgesic medications. As the majority of paediatric analgesics were self-medicated, use of analgesics still should be closely monitored particularly among specific subpopulations such as adolescents to avoid potential abuse.
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Most people suffer musculoskeletal pain sometime in their lives. Although the pain usually disappears with the healing, it may become chronic. Recent evidence suggests that high-level cortical representations play a role in chronic pain. ⋯ However, patients with chronic shoulder pain were specifically impaired to judge the weight from observed manual transfer movements, whereas chronic low-back pain patients were specifically impaired for trunk-rotation movements. This result gives important new insights into chronic pain. Also, this new impairment of biological motion perception is unique in that it is unrelated to visual deficits.
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J Cardiopulm Rehabil Prev · Jul 2012
Relationship between acceptance of illness and functional outcomes following cardiac rehabilitation.
Acceptance, a cognitive-behavioral concept successfully applied to chronic pain and chronic illness in an HIV/AIDS population, was examined for applicability in patients in a cardiac rehabilitation program. The study examined the internal reliability of the Activities Engagement (AE) and Illness Willingness (IW) scales of the Chronic Illness Acceptance Questionnaire (CIAQ), their relationships with functional outcomes, and their ability to predict functional outcomes after controlling for demographic and medical variables. ⋯ The AE aspect of acceptance was related to emotional outcomes and predicted these outcomes beyond demographic and medical variables. Lack of a relationship between IW and any outcomes may have been due to a small sample size or that acceptance is a one-dimensional construct.
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The use of opioids for chronic non-cancer pain has grown exponentially in the last 15 years. Associated with that, dramatic increases in abuse and overdose deaths from opioid use have been noted. ⋯ This algorithmic approach may enable physicians to prescribe opioids for patients with chronic pain and also to reduce opioid abuse.