Articles: pain-management.
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This self-directed learning module highlights advances in therapeutic options in pain management. It is part of the chapter on pain rehabilitation for the Self-Directed Medical Knowledge Program for practitioners and trainees in physical medicine and rehabilitation. This section discusses pharmacologic agents, modalities, behavioral strategies, and invasive techniques in pain management, with case studies illustrating pain management approaches in clinical practice. Advances that are covered include use of opioid receptors, receptor-specific categories of drugs used in painful conditions, components of behavioral programming for chronic pain, and the limitations of invasive techniques in chronic pain patients.
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Mayo Clinic proceedings · May 1994
ReviewTreatment of cancer-related pain: when orally administered medications fail.
To summarize the available pain-relieving interventions other than oral medications for cancer-related pain. ⋯ Cancer-related pain continues to be a major problem, and clinicians should be aware of the availability of effective treatment strategies and techniques. When orally administered medications fail to control pain or cause excessive side effects, patients should be referred to an appropriate specialist or medical center for consideration of other pain-relieving techniques.
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Comparative Study
Successful treatment of low back pain and neck pain after a motor vehicle accident despite litigation.
This prospective study evaluated 39 consecutive patients with low back pain (LBP) or neck pain that resulted from a motor vehicle accident who had litigation pending. ⋯ Patients with low back pain or neck pain resulting from a motor vehicle accident showed a statistically significant improvement with treatment despite ongoing litigation.
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J Pain Symptom Manage · May 1994
Cost issues related to pain management: report from the Cancer Pain Panel of the Agency for Health Care Policy and Research.
The clinical problem of unrelieved pain has received much attention over the previous decade with a major focus on cancer pain and acute postoperative pain. Organizations such as the World Health Organization (WHO), the National Cancer Institute, the American Pain Society (APS), and others have addressed the previously neglected areas of pain assessment, pharmacologic treatment, and the knowledge and attitudes of health-care providers. ⋯ This 13-point framework is an attempt to isolate specific cost issues, identify what is known in these areas, and address implications for future research. A brief synopsis of these 13 areas of cost analysis is provided including comments regarding work in progress by the panel and directions for future health-policy research related to pain management.
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Perceptions of nurses and physicians regarding pain management of pediatric emergency room patients.
To explore perceptions of pain and pain management by nurses and physicians who care for pediatric emergency room patients. ⋯ Nurses and physicians need a stronger knowledge base regarding pain management practices.