Pain management in hemophilia: expert recommendations
| Autor: | Sophie Helene Hemberger, Werner Streif, Josef Donnerer, Richard Crevenna, Waltraud Stromer, Ingrid Pabinger, Clemens Feistritzer, Rudolf Likar, Florian Sevelda, Katharina Thom, Cihan Ay, Barbara Wagner |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Analgesic Psychological intervention Review Article 030204 cardiovascular system & hematology Anxiety Hemophilia A 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Factor concentrate medicine Humans Pain Management Hemophilia Intensive care medicine Polypharmacy Pain chronification Modalities business.industry Chronic pain General Medicine Pain management medicine.disease Joint bleeds Pain therapy Quality of Life Chronic Pain business 030217 neurology & neurosurgery |
| Zdroj: | Wiener Klinische Wochenschrift |
| ISSN: | 1613-7671 |
| Popis: | Summary Introduction As a typical consequence of bleeding into muscles and joints, patients with severe hemophilia suffer from acute and chronic pain. In spite of its high prevalence, pain in this patient group is not always sufficiently considered or treated in an effective manner. Aim The recommendations presented in this paper address possible improvements in pain management in hemophilia patients and particularities that have to be taken into account in this patient group. Method The manifold aspects of pain management in hemophilia patients were discussed within the framework of an expert meeting. Based on the available literature and the experts’ clinical experience, the participants developed a set of recommendations presented in this paper. Results Pain management in patients with hemophilia is often insufficient, a fact that not only influences the patients’ quality of life but also implies the risk of difficult to manage chronic pain. Both the prevalent polypharmacy (due to comorbidities) as well as the underlying disease itself present special challenges to pain therapy in this patient group. The present review and recommendations are intended to support medical professionals in recognising the risks of pain chronicity, applying basic principles of multimodal pain therapy, including the options of psychological intervention and modalities of physical medicine in therapy concepts, and reaching a comprehensive understanding of the range of analgesic options available. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink