The Role of Neurologists in Pain Management – Based on the Survey Conducted by the Korean Neurological Association in 2020

Background: Pain is one of the most common chief complaints in neurological field. Authors try to inform the current situation of pain medicine in neurological practice and present an effective method for pain-related education during neurology residency and for practicing neurologists.Methods: A survey was conducted from November 16 to November 27, 2020 for members of the Korean Neurological Association, and the results were analyzed.Results: About two-thirds of neurologists replied that more than 25% of their patients were suffered from diverse pain including headache, spine pain or neuropathic pain. Despite many patients are visiting to neurologist for pain treatment, most neurologists are aware that they have not received sufficient practical pain education in the past and present. Therefore, they want more educational opportunities in pain medicine including interventional pain management and physical and pharmacologic therapies for more effective treatment.Conclusions: More follow-up studies on pain treatment and education should be conducted. It is also essential that the members of the society continue to interest and participate in the change of the pain education program.

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Impact of applying brief educational program on nurses knowledge, attitude, and practices toward pain management

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v4i2.5278 ◽

2015 ◽

Vol 4 (2) ◽

pp. 164 ◽

Cited By ~ 1

Author(s):

Shalabia El-Sayead Abozead ◽

Mahmoud Al-Kalaldeh ◽

Omar Al-Tarawneh

Keyword(s):

Pain Management ◽

Pain Assessment ◽

Educational Program ◽

Pain Education ◽

Knowledge And Attitudes ◽

Post Test ◽

Knowledge And Attitude ◽

Nurses Knowledge

Background: The role of pain education is well established in improving knowledge and attitude towards the adherence to pain assessment and management.Methods: A brief pain education program was delivered to assess nurses' knowledge and attitude towards pain assessment and management. The "KASRP" scale was used at three phases; pre, post, and three months' follow-up phases. Subsequent eight months observation on using pain assessment sheets was also performed.Results: One hundred and four nurses were assessed at the beginning, followed by 92 at the immediate post-test, and 70 at the follow-up. Although nurses scored lowest in having knowledge and attitudes prior to the program, a significant improvement was evident after delivering pain education. In addition, nurses' competency in pain assessment was maintained over the three months of assessment. Younger nurses with shorter clinical experience were found more reactive to the program than older nurses.Conclusions: A brief nurse-driven pain education has improved nurses' knowledge and attitude towards pain management.

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Role of Radiotherapy in Recurrent Intra-Abdominal Yolk Sac Tumor

Case Reports in Oncology ◽

10.1159/000517022 ◽

2021 ◽

pp. 1010-1018

Author(s):

Marhendra Satria Utama ◽

Andi Kurniadi ◽

A.A. Citra Yunda Prahastiwi ◽

Antony A. Adibrata

Keyword(s):

Case Reports ◽

Yolk Sac ◽

Yolk Sac Tumor ◽

Appropriate Treatment ◽

Curative Radiotherapy ◽

Chief Complaints ◽

Abdominal Mri ◽

Malignant Germ Cell Tumor

Yolk sac tumor (YST) is a rare malignant germ cell tumor with no appropriate treatment strategy to date. However, patients are treated on a case-to-case basis as per various case reports that have been published. Here, we present a case of 27-year-old female patient who presented to us with chief complaints of severe abdominal pain associated with leucorrhea. She previously had a similar pain episode, which was then evaluated by a multidisciplinary team. She was diagnosed with YST. After that, she underwent 6 cycles of chemotherapy, but there was no improvement. Then the medical oncologist referred her to performed radiotherapy. Then, the radiation oncologist decided to give her curative radiotherapy of 3D-CRT. After completing her sessions, she felt better and clinically improving. After that, she was discharged and scheduled a follow-up visit for first evaluation. At her follow-up visit, she was feeling well, and we decided to have an abdominal MRI.

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Development, Implementation and Evaluation of A Pain Management and Palliative Care Educational Seminar for Medical Students

Pain Research and Management ◽

10.1155/2014/240129 ◽

2014 ◽

Vol 19 (5) ◽

pp. 230-234 ◽

Cited By ~ 4

Author(s):

Denise Paneduro ◽

Leah R Pink ◽

Andrew J Smith ◽

Anita Chakraborty ◽

Albert J Kirshen ◽

...

Keyword(s):

Palliative Care ◽

Pain Management ◽

Medical Students ◽

Test Scores ◽

Pain Education ◽

Post Test ◽

Based Instruction ◽

One Year ◽

Educational Seminar

BACKGROUND: Despite calls for the development and evaluation of pain education programs during early medical student training, little research has been dedicated to this initiative.OBJECTIVES: To develop a pain management and palliative care seminar for medical students during their surgical clerkship and evaluate its impact on knowledge over time.METHODS: A multidisciplinary team of palliative care and pain experts worked collaboratively and developed the seminar over one year. Teaching methods included didactic and case-based instruction, as well as small and large group discussions. A total of 292 medical students attended a seminar during their third- or fourth-year surgical rotation. A 10-item test on knowledge regarding pain and palliative care topics was administered before the seminar, immediately following the seminar and up to one year following the seminar. Ninety-five percent (n=277) of students completed the post-test and 31% (n=90) completed the follow-up test.RESULTS: The mean pretest, post-test and one-year follow-up test scores were 51%, 75% and 73%, respectively. Mean test scores at post-test and follow-up were significantly higher than pretest scores (all P<0.001). No significant difference was observed in mean test scores between follow-up and post-test (P=0.559), indicating that students retained knowledge gained from the seminar.CONCLUSIONS: A high-quality educational seminar using interactive and case-based instruction can enhance students’ knowledge of pain management and palliative care. These findings highlight the feasibility of developing and implementing pain education material for medical students during their training.

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Acute Pain Management and Tissue Pain

10.1093/med/9780190217518.003.0016 ◽

2017 ◽

Author(s):

Ignacio Badiola

Keyword(s):

Pain Management ◽

Acute Pain ◽

Pain Treatment ◽

Pain Medicine ◽

Acute Pain Management ◽

Certification Exam ◽

Adults And Children

This chapter on acute pain medicine examines the themes represented on the American Board of Anesthesiology’s pain medicine certification exam. It covers Part 6 (tissue pain), Section 1 (acute pain). In detail, the epidemiology of acute pain, current inadequacy of acute pain therapies, the physiology of acute pain, and both pharmacologic and nonpharmacologic aspects of acute pain treatment are discussed. Tools for assessing acute pain are reviewed, as well as the roles of both patient and family as they relate to adults and children in acute pain.

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Chronic pain – the idea of mechanism orientated treatment

Ból ◽

10.5604/01.3001.0012.5319 ◽

2018 ◽

Vol 19 (1) ◽

pp. 42-49

Author(s):

Magdalena Kocot-Kępska ◽

Renata Zajączkowska ◽

Jan Dobrogowski ◽

Anna Przeklasa-Muszyńska

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Pain Treatment ◽

Current Knowledge ◽

Empiric Therapy ◽

Pain Medicine ◽

Significant Progress ◽

Pain Syndromes ◽

Pain Chronification ◽

Rational Mechanism

Understanding the neurobiological mechanisms underlying chronic pain syndromes is a significant progress in modern pain medicine. Understanding the basic differences between acute and chronic pain processes, learning about the mechanisms of transition from acute to chronic pain, allows us to change the approach to pain management from commonly used empirical approach to more rational mechanism-oriented pain treatment. In many patients with chronic pain, empiric therapy, which does not consider the mechanisms of pain, is not fully effective. Often, when planning pharmacotherapy, current knowledge about the pain etiology and mechanisms of pain chronification is not considered. Management based on already known mechanisms of pain, using rational pharmacotherapy and non-pharmacological methods, may improve the quality and effectiveness of pain management.

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The Role of Placebo and Nocebo Effects of Perioperative Administration of Sedatives and Opioids in Interventional Pain Management

January 2018 - Pain Physician ◽

10.36076/ppj.2005/8/349 ◽

2005 ◽

Vol 4;8 (10;4) ◽

pp. 349-355

Author(s):

Laxmaiah Manchikanti

Keyword(s):

Pain Management ◽

Interventional Pain Management ◽

Nocebo Effects

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The role of home healthcare in managing cancer-related pain during COVID-19 pandemic: ‘The Triple Triage Protocol’

Anaesthesia, Pain & Intensive Care ◽

10.35975/apic.v25i1.1430 ◽

2021 ◽

Vol 25 (1) ◽

pp. 1-4

Author(s):

Tolga Ergönenç ◽

Jalan Şerbetçigil Ergönenç ◽

Eve Yamak Altınpulluk

Keyword(s):

Chronic Pain ◽

Clinical Practice ◽

Pain Management ◽

Cancer Pain ◽

Healthcare Services ◽

Home Healthcare ◽

Human Right ◽

Triage Protocol ◽

Interventional Pain Management

The coronavirus disease 2019 (COVID-19) can be responsible for severe acute respiratory syndrome and death. To limit the infection spread, non-urgent surgical procedures, day procedures, including interventional pain management, and patient visits, have been postponed or interrupted during the COVID-19 pandemic. Pain management is defined as a fundamental human right, but the rapidly changing nature of the COVID-19 outbreak requires revisions in clinical practice for chronic pain. This article describes the role of home healthcare services in managing cancer pain based on clinical practice during the COVID-19 pandemic and emphasizes the triple triage concept and the use of telemedicine. Key words: Coronavirus; COVID-19; Telemedicine; Home care; Cancer Pain Citation: Ergönenç T, Ergönenç JS, Altınpulluk EY. The role of home healthcare in managing cancer-related pain during COVID-19 pandemic: ‘The Triple Triage Protocol’. Snaesth. Pain intensive care 2021;25(1):1-4. DOI: 10.35975/apic.v25i1.1430 Received: 4 January 2021, Reviewed & Accepted: 8 January 2021

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Prospective, Observational Study of Pain and Analgesic Prescribing in Medical Oncology Outpatients With Breast, Colorectal, Lung, or Prostate Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2011.39.2381 ◽

2012 ◽

Vol 30 (16) ◽

pp. 1980-1988 ◽

Cited By ~ 168

Author(s):

Michael J. Fisch ◽

Ju-Whei Lee ◽

Matthias Weiss ◽

Lynne I. Wagner ◽

Victor T. Chang ◽

...

Keyword(s):

Pain Management ◽

Pain Treatment ◽

Performance Status ◽

Multivariable Analysis ◽

Initial Assessment ◽

Explanatory Variables ◽

Patients With Cancer ◽

Pain Management Index ◽

Treatment Adequacy

Purpose Pain is prevalent among patients with cancer, yet pain management patterns in outpatient oncology are poorly understood. Patients and Methods A total of 3,123 ambulatory patients with invasive cancer of the breast, prostate, colon/rectum, or lung were enrolled onto this prospective study regardless of phase of care or stage of disease. At initial assessment and 4 to 5 weeks later, patients completed a 25-item measure of pain, functional interference, and other symptoms. Providers recorded analgesic prescribing. The pain management index was calculated to assess treatment adequacy. Results Of the 3,023 patients we identified to be at risk for pain, 2,026 (67%) reported having pain or requiring analgesics at initial assessment; of these 2,026 patients, 670 (33%) were receiving inadequate analgesic prescribing. We found no difference in treatment adequacy between the initial and follow-up visits. Multivariable analysis revealed that the odds of a non-Hispanic white patient having inadequate pain treatment were approximately half those of a minority patient after adjusting for other explanatory variables (odds ratio, 0.51; 95% CI, 0.37 to 0.70; P = .002). Other significant predictors of inadequate pain treatment were having a good performance status, being treated at a minority treatment site, and having nonadvanced disease without concurrent treatment. Conclusion Most outpatients with common solid tumors must confront issues related to pain and the use of analgesics. There is significant disparity in pain treatment adequacy, with the odds of undertreatment twice as high for minority patients. These findings persist over 1 month of follow-up, highlighting the complexity of these problems.

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