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Pain
Published in Michele Barletta, Jane Quandt, Rachel Reed, Equine Anesthesia and Pain Management, 2023
Jarred Williams, Katie Seabaugh, Molly Shepard, Dana Peroni
There are many methods of pain management. When considering medications, routes, and dosing regimens, it is important to understand where on the pain pathway the medication may alter the nerve impulse (i.e. peripheral vs central).
Early Analgesia on Arrival
Published in Kajal Jain, Nidhi Bhatia, Acute Trauma Care in Developing Countries, 2023
In addition to relieving suffering, early pain management carries advantages including reduction of the emotional (e.g. anxiety) and functional consequences of uncontrolled severe pain as well as reduced risk of infection and chronic pain development. This in turn optimizes patient satisfaction and recovery time. Although a vital component of emergency triage care, meagre standards of managing and assessing acute pain, especially in trauma situations, remains a matter of concern globally.
Pelvic Pain
Published in S Paige Hertweck, Maggie L Dwiggins, Clinical Protocols in Pediatric and Adolescent Gynecology, 2022
For intractable pain, consider a pain syndrome.Referral to a pain management specialist, use of alternative therapies such as acupuncture, yoga, Reiki, and massage, as well as psychological support (online resources, support groups, chat rooms) may be helpful
Human trafficking in the health care setting: recommendations for the physical medicine and rehabilitation provider
Published in Disability and Rehabilitation, 2023
Shayan N. Bhathena, Mollie R. Gordon, Carolina Gutierrez, Phuong Nguyen, John H. Coverdale, Jeannie Harden
PM&R physicians, also referred to as physiatrists, are well suited to identify, treat and respond to the bio-psycho-social needs of trafficked persons. The American Academy of Physical Medicine and Rehabilitation (AAPM&R) asserts that physiatrists have received adequate training to practice across a range of settings, including but not limited to:Inpatient and outpatient musculoskeletal and neuromuscular diagnosis and rehabilitation.Acute and chronic pain management.Non-surgical spine medicine.Assessments of function, disability and impairment.Rehabilitative care of brain and spinal cord disorders.Post fracture and joint arthroplasty rehabilitative care.Tissue disorders such as burns, ulcers, and wound care.Rehabilitation of polydisease and general debilitation [7].
Pain and mental health symptom patterns and treatment trajectories following road trauma: a registry-based cohort study
Published in Disability and Rehabilitation, 2022
Sherry Huang, Joanna F. Dipnall, Belinda J. Gabbe, Melita J. Giummarra
Payments by the TAC were used to identify pain and mental health treatments for each participant, which were summarised as the number of treatments for pain or mental health symptoms accessed in each 91-day (3 month) period. Treatments were identified using a combination of TAC benefit codes, Medicare Benefits Schedule, and Pharmaceutical Benefit Schedule item numbers, based on previously published codes [6]. Pain treatments included medications for pain (i.e., Schedule 8 opioid medications, codeine, neuropathic medications, Non-Steroidal Anti-Inflammatories, and migraine medications), treatment from a network pain management provider, pain specialist consultations, pain-related hospital admissions, and pain-related surgeries. Mental health treatments included medications for mental health symptoms (i.e., antidepressants, sedatives, or antipsychotics), and psychiatry, psychology, counselling, or social work consultations.
Preclinical discovery and development of oliceridine (Olinvyk®) for the treatment of post-operative pain
Published in Expert Opinion on Drug Discovery, 2022
Ammar A.H. Azzam, David G. Lambert
Designing high affinity, highly selective MOP opioids has been the mainstay of opioid-based analgesic drug design for many years. Bearing in mind that as well as analgesia opioids also produce a range of side effects, is this the right approach? Side effects include opioid-induced respiratory depression [1], nausea/vomiting, constipation, tolerance, and addiction/abuse [2]; these side effects are problematic for the individual and wider society. Societal impact is based on rewarding action leading to abuse; this fuels the opioid epidemic [3]. Pain management is a significant subject in pharmacotherapy and a major part of clinical practice in primary, secondary, and tertiary care settings. Pain can be acute (less than 3 months duration) or chronic (more than 3 months duration). Despite poor/variable efficacy in chronic non-cancer pain, these drugs are often still extensively used. In contrast, the efficacy in acute pain is clear and there is recent UK guidance for perioperative use [4].