Principles of Pain Management: Difference between revisions

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== Introduction ==
== Introduction ==
Pain is an unpleasant sensation ,additionally it is physiological and psychological experience that is subjective in nature. Accurate assessment of pain along with implementation of effective interventions is necessary for successful management program . Untreated pain can lead to reduction in quality of life for patients and their families which in turn increases the burden of health care professionals and hospitals.
Pain is an unpleasant sensation ,additionally it is physiological and psychological experience that is subjective in nature. Accurate assessment of pain along with implementation of effective interventions is necessary for successful management program . Untreated pain can lead to reduction in quality of life for patients and their families which in turn increases the burden of health care professionals and hospitals.<ref>Alkhatib GS, Al Qadire M, Alshraideh JA. Pain management knowledge and attitudes of healthcare professionals in primary medical centers. Pain Management Nursing. 2020 Jun 1;21(3):265-70.</ref>


Persistent pain is the major cause of disability. Various factors like biological, psychological and socio-environmental play role in pain manifestation. The central principle of pain is to protect the body from perceived or real danger.<ref>Mankelow J, Ryan CG, Green PW, Taylor PC, Martin D. An exploration of primary care healthcare professionals’ understanding of pain and pain management following a brief pain science education. BMC medical education. 2022 Mar 28;22(1):211.</ref>Studies support the use of non pharmacological strategies such as physiotherapy, cognitive behavioral therapy approaches, TENS, acupressure to reduce or cut down the use of medications.<ref>Schofield P, Dunham M, Martin D, Bellamy G, Francis SA, Sookhoo D, Bonacaro A, Hamid E, Chandler R, Abdulla A, Cumberbatch M. Evidence-based clinical practice guidelines on the management of pain in older people–a summary report. British Journal of Pain. 2022 Feb;16(1):6-13.</ref>
Persistent pain is the major cause of disability. Various factors like biological, psychological and socio-environmental play role in pain manifestation. The central principle of pain is to protect the body from perceived or real danger.<ref>Mankelow J, Ryan CG, Green PW, Taylor PC, Martin D. An exploration of primary care healthcare professionals’ understanding of pain and pain management following a brief pain science education. BMC medical education. 2022 Mar 28;22(1):211.</ref>Studies support the use of non pharmacological strategies such as physiotherapy, cognitive behavioral therapy approaches, TENS, acupressure to reduce or cut down the use of medications.<ref>Schofield P, Dunham M, Martin D, Bellamy G, Francis SA, Sookhoo D, Bonacaro A, Hamid E, Chandler R, Abdulla A, Cumberbatch M. Evidence-based clinical practice guidelines on the management of pain in older people–a summary report. British Journal of Pain. 2022 Feb;16(1):6-13.</ref>

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Introduction[edit | edit source]

Pain is an unpleasant sensation ,additionally it is physiological and psychological experience that is subjective in nature. Accurate assessment of pain along with implementation of effective interventions is necessary for successful management program . Untreated pain can lead to reduction in quality of life for patients and their families which in turn increases the burden of health care professionals and hospitals.[1]

Persistent pain is the major cause of disability. Various factors like biological, psychological and socio-environmental play role in pain manifestation. The central principle of pain is to protect the body from perceived or real danger.[2]Studies support the use of non pharmacological strategies such as physiotherapy, cognitive behavioral therapy approaches, TENS, acupressure to reduce or cut down the use of medications.[3]


From the IASP Curriculum Outline on Pain for Physical Therapy[4]

  1. Demonstrate an ability to integrate the patient assessment into an appropriate management plan using the concepts and strategies of clinical reasoning
  2. Understand the principles of an effective therapeutic patient/professional relationship to reduce pain, promote optimal function and reduce disability through the use of active and where appropriate, passive pain management approaches
  3. Assist patients to develop a daily routine to support achievement and, where necessary, readjustment of habits and roles according to individual capacity and life situation
  4. Understand the need to involve family members and significant others including employers where appropriate.
  5. Use a person-centered perspective to formulate collaborative intervention strategies consistent with a physical therapy perspective

References[edit | edit source]

  1. Alkhatib GS, Al Qadire M, Alshraideh JA. Pain management knowledge and attitudes of healthcare professionals in primary medical centers. Pain Management Nursing. 2020 Jun 1;21(3):265-70.
  2. Mankelow J, Ryan CG, Green PW, Taylor PC, Martin D. An exploration of primary care healthcare professionals’ understanding of pain and pain management following a brief pain science education. BMC medical education. 2022 Mar 28;22(1):211.
  3. Schofield P, Dunham M, Martin D, Bellamy G, Francis SA, Sookhoo D, Bonacaro A, Hamid E, Chandler R, Abdulla A, Cumberbatch M. Evidence-based clinical practice guidelines on the management of pain in older people–a summary report. British Journal of Pain. 2022 Feb;16(1):6-13.
  4. IASP Curriculum Outline on Pain for Physical Therapy. Task Force Members: Helen Slater, Kathleen Sluka, Anne Söderlund, Paul J. Watson