Integrating Complementary Therapies in Managing Phantom Limb Pain: A Case Review.

Autor: ALfaifi NY; Patricia A. Chin School of Nursing, Rongxiang Xu College of Health and Human Services, California State University, Los Angeles, California. Electronic address: Njood-007@hotmail.com., Winokur EJ; Patricia A. Chin School of Nursing, Rongxiang Xu College of Health and Human Services, California State University, Los Angeles, California.
Jazyk: angličtina
Zdroj: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2024 Dec; Vol. 25 (6), pp. 659-665. Date of Electronic Publication: 2024 Aug 14.
DOI: 10.1016/j.pmn.2024.07.007
Abstrakt: Objectives: This paper describes phantom limb pain (PLP), its impact on patients, and the various treatment options, including pharmacologic and complementary therapies. It investigates the efficacy of incorporating complementary and alternative therapies, both invasive and noninvasive, for amputees who have not achieved satisfactory results with pharmacologic treatments and suffer from adverse drug events. Furthermore, with the predicted increase in limb amputations, it is crucial for nurses, as frontline providers, to understand PLP, be prepared to manage persistent pain and associated psychological and functional issues and educate patients and families about alternative treatment options.
Approach: The review includes recent studies on pharmacologic interventions for PLP, case reports, and randomized clinical trials on non-pharmacologic complementary therapies, covering both invasive and noninvasive modalities. Studies from 2013 to 2022 were identified using the PubMed search engine with terms such as "Amputation," "phantom limb pain," "invasive therapies," and "non-invasive therapies."
Results and Conclusion: The pathogenesis of PLP remains unclear, complicating the identification of causes and the selection of targeted therapies for each patient. Uncontrolled PLP can severely impact the quality of life, causing psychological distress and loss of productivity. Traditional pharmacologic therapy often requires supplementation with other options due to PLP's refractory nature. A comprehensive, multimodal treatment plan, including non-pharmacologic therapies, can enhance rehabilitation and reduce complications. Incorporating these therapies can decrease reliance on medications, particularly opioids, and mitigate side effects. Although many potential PLP treatments exist, further clinical studies are needed to determine their effectiveness and establish protocols for optimizing patient outcomes.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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