Practical approach to a patient with chronic pain of uncertain etiology in primary care
| Autor: | Johan A. Smuts, Eugene Allers, Fanie Meyer, Sudha Bechan, Helgard Pieter Meyer, David Webb, Eileen Vuong, R. Eric Hodgson, Shaquir Salduker |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Biopsychosocial model
medicine.medical_specialty business.industry Chronic pain Primary care medicine.disease 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Mood 030202 anesthesiology Multidisciplinary approach Personality style Health care medicine Etiology Intensive care medicine business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Pain Research. 12:2651-2662 |
| ISSN: | 1178-7090 |
| DOI: | 10.2147/jpr.s205570 |
| Popis: | Chronic pain of uncertain etiology often presents a challenge to both patients and their health care providers. It is a complex condition influenced by structural and physiological changes in the peripheral and central nervous systems, and it directly influences, and is modulated by, psychological well-being and personality style, mood, sleep, activity level and social circumstances. Consequently, in order to effectively treat the pain, all of these need to be evaluated and addressed. An effective management strategy takes a multidisciplinary biopsychosocial approach, with review of all current medications and identification and careful withdrawal of those that may actually be contributing to ongoing pain. The management approach is primarily nonpharmacological, with carefully considered addition of medication, beginning with pain-modulating treatments, if necessary. In this article, we present a primary care approach to the assessment and management of a patient with chronic pain where the cause cannot be identified. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|