Mechanism-based classification of pain for physical therapy management in palliative care: A clinical commentary

Autor: Sourov Saha, Senthil P Kumar
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Palliative care
Psychological intervention
Mechanism based
Nurses
Palliative care in HIV/AIDS
Hemimaxillectomy
Not for resuscitation
Practitioner Section
Cervix
Metastasis
Hematological malignancies
Palliative sedation
Training effectiveness
Multidisciplinary approach
Professional training
Health care
Medicine
Pain sciences
Hospice
Cancer pain
PPC units
Pain control
Practice
lcsh:R5-920
Low molecular weight heparin
Health Policy
Chronic pain
Palliative caregivers
Anaplastic thyroid carcinoma
Mechanism-based classification
Knowledge
Medical interns
Retention
Palliative care giving
Thyroidectomy
Maxillectomy
lcsh:Medicine (General)
Stability
medicine.medical_specialty
Structured intervention
People living with HIV/AIDS
Palliative physical therapy care
Reporting characteristics
India
Documentation
Program evaluation
Physicians
Community home-based care program
Curriculum development
Curative care
Palliative
business.industry
Mechanism (biology)
Bleeding
Public Health
Environmental and Occupational Health
Neighborhood network in palliative care
Audit
Acenocumarine
Educational intervention
Palliative care research
Definitive closed hollow bulb obturator
medicine.disease
Support groups
Friedman repeated measures analysis of variance on ranks
Attitude
Attitudes
Physical therapy
Warfarin
business
Active bleeding
Pain rehabilitation
Zdroj: Indian Journal of Palliative Care, Vol 17, Iss 1, Pp 80-86 (2011)
Indian Journal of Palliative Care
ISSN: 1998-3735
0973-1075
Popis: Pain relief is a major goal for palliative care in India so much that most palliative care interventions necessarily begin first with pain relief. Physical therapists play an important role in palliative care and they are regarded as highly proficient members of a multidisciplinary healthcare team towards management of chronic pain. Pain necessarily involves three different levels of classification-based upon pain symptoms, pain mechanisms and pain syndromes. Mechanism-based treatments are most likely to succeed compared to symptomatic treatments or diagnosis-based treatments. The objective of this clinical commentary is to update the physical therapists working in palliative care, on the mechanism-based classification of pain and its interpretation, with available therapeutic evidence for providing optimal patient care using physical therapy. The paper describes the evolution of mechanism-based classification of pain, the five mechanisms (central sensitization, peripheral neuropathic, nociceptive, sympathetically maintained pain and cognitive-affective) are explained with recent evidence for physical therapy treatments for each of the mechanisms.
Databáze: OpenAIRE
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