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Chronic Pain in the Outpatient Palliative
Date de l'article :
2013-05-30
Auteurs :
Jessica S. Merlin, MD, MBA1, Julie Childers, MD, MS2, and Robert M. Arnold, MD2
Affiliations :
1 Department of Medicine, Divisions of Infectious Diseases and Gerontology,
Geriatrics, and Palliative Care, University of Alabama at Birmingham (JSM),
Birmingham, AL, USA
2 Section of Palliative Care and Medical Ethics, Division of General Internal
Medicine, University of Pittsburgh Medical Center (JC, RMA), Pittsburgh, PA
USA
Source :
American Journal of Hospice & Palliative Medicine® 30(2) 197-203
Abstract :
Chronic pain is common. Many patients with cancer and other life-limiting illnesses have chronic pain that is related to their disease,
and some have comorbid chronic nonmalignant chronic pain. As palliative care continues to move upstream and outpatient
palliative care programs develop, palliative care clinicians will be called upon to treat chronic pain. Chronic pain differs from acute
pain in the setting of advanced disease and a short prognosis in terms of its etiology, comorbidities—especially psychiatric illness
and substance abuse—and management. To successfully care for these patients, palliative care providers will need to learn new
clinical competencies. This article will review chronic pain management core competencies for palliative care providers.
Keywords
chronic pain, pain, palliative care, opioid, psychiatric illness, substance abuse
Commentaires :
C'est intéressant de penser de faire le lien avec les douleurs cancéreuses qu'on doit traiter et qui sont associées à des douleurs chroniques sous jacentes […]