Pain management is a medical branch employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain. Pain management facilities, including non-hospital based facilities, physician offices specializing in pain management, and hospitals which provide pain management services. Pain Management facilities are specialized clinics that focus on diagnosis and management of patients with chronic pain or which may specialize in specific diagnosis of pain related to certain regions of the body. These specialized centers/institutes provide treatment such as nerve blocks, transcutaneous nerve stimulation, acupuncture, and biofeedback.
It is the
clinician’s responsibility to determine the nature and cause of the pain and
its appropriate treatment:-
• Experience shows that the longer pain is left untreated the
more difficult it is to treat.
• Constant pain requires constant analgesia - don’t rely on
PRN dosing.
• Patients often have more than one site and mechanism of
pain operating at any given time, and these may require different treatments.
• Uncontrolled severe pain is a medical emergency. It
requires urgent effective treatment, often by subcutaneous infusion and the use
of several drugs in combination.
• The answer to pain is not always more medication. The
psychological and emotional dimensions of pain and suffering require attention
at all times.
Establishing a timeline of the pain is often useful in
establishing a cause and deciding on a treatment that may be useful for
managing the pain. Treating a pain that lasts for 20 minutes with a drug that
lasts for three to four hours will lead to accumulation of redundant medication
and added side effects, whilst treating a persistent pain with short duration
PRN medication will consign the patient to a cycle of recurrent pain and
distress.
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