scholarly journals PAIN MANAGEMENT IN PRIMARY DYSMENORRHOEA AND ENDOMETRIOSIS- AYURVEDIC PERSPECTIVE

2021 ◽  
pp. 84-88
Author(s):  
Asitha.H
Keyword(s):  
Pain Management ◽  
Treatment Modalities ◽  
Clear View ◽  
Unpleasant Sensation ◽  
Primary Dysmenorrhoea ◽  
Adolescent Period ◽  
Experience Pain

Pain is generally described as an unpleasant sensation and a universally understood sign of disease. Around 80% of women experience pain during periods from adolescent period right up to menopause. Dysmenorrhoea literally means painful menstruation. Primary dysmenorrhoea is one where there is no identifiable pelvic pathology. The pain begins a few hours before or just with the onset of menstruation and lasts for 24-48 hours. Secondary dysmenorrhoea is normally considered to be menstruation –associated pain occurring in the presence of pelvic pathology. Pain starts 7-8 days before menstruation. Endometriosis is one of the main causes of secondary dysmenorrhoea. Dysmenorrhoea can be correlated to Udavarta and endometriosis to Vatiki. In Udavarta, Sanga and Vimargagamana of Vata and derangement of Kapha pitta is responsible for pain. In Vatiki there is Apana vata vimargagamana, Vyana vata and Pitta vitiation causes Artava dusti and Dusta artava sthana samsraya in Kha vaigunya sites. So administration of drugs and treatment modalities crackling these factors involved in the etiopathogenesis do the work. Ayurvedic classic textbook along with available modern literatures were referred to make a clear view regarding the concept of pain and the main Yonirogas causing pain during menstruation and its management.

scholarly journals Pain experience, pain management strategies and satisfaction of hospitalized trauma patients in Indonesia

2017 ◽  
Vol 8 (1) ◽  
pp. 79
Author(s):  
Deya Prastika ◽  
Luppana Kitrungrote ◽  
Jintana Damkliang
Keyword(s):  
Pain Management ◽  
Pain Intensity ◽  
Management Strategies ◽  
Healthcare Providers ◽  
Pain Interference ◽  
Trauma Patients ◽  
Pain Experience ◽  
Analgesic Drugs ◽  
Effective Strategies ◽  
Experience Pain

Although trauma is a common cause of greater pain and interference on daily activities, little is known about pain experience, pain management strategies and pain management outcomes in hospitalized trauma patients in Indonesia. This descriptive study aimed (1) to assess the pain experience, (2) to describe pain management strategies, and (3) to describe satisfaction with pain management conducted by healthcare providers as perceived by trauma patients. A total of 154 hospitalized trauma patients from a teaching hospital in Indonesia were recruited from January to March 2016. Data were analyzed using descriptive and inferential statistics. The study found that most of the hospitalized trauma patients had single extremity fractures (56.49%) and mild head injury (20.13%). They have experienced a mild to moderate level of pain intensity and pain interference during the first three days of admission. These pain intensity and pain interference levels were found to be significantly decreased from the first to the third day. The pain management strategies often used by the healthcare providers were showing interest and asking about pain, assessing the outcomes after receiving analgesic drugs, and giving information about pain. The pain management strategies often used by patients were praying (86.36%), slow and deep breathing (77.27%), and reciting Dzikir (meditation) (68.18%). Patients reported that performing Dzikir and praying were the effective strategies to reduce their pain. The patients rated moderate to high levels of satisfaction with pain management conducted by healthcare providers. Therefore, combinations analgesic drugs with praying and performing Dzikir related to cultural contexts are crucial to alleviate pain among hospitalized trauma patients in Indonesia.

Pharmacologic and Technological Innovations in Pain Medicine

2016 ◽  
Author(s):  
Anita Gupta ◽  
Hawa Abubakar
Keyword(s):  
Pain Management ◽  
Disease Process ◽  
Multimodal Analgesia ◽  
Underlying Disease ◽  
Antiinflammatory Drug ◽  
Treatment Modalities ◽  
Technological Innovations ◽  
Duration Of Action ◽  
Key Words Pain ◽  
Opioid Receptor Antagonists

The experience of pain is subjective, and treatment modalities should aim at providing the greatest amount of pain relief while minimizing adverse effects. Pharmacologic and technological innovations are making this possible. By taking advantage of new manufacturing processes, the pharmaceutical industry is retooling old and effective drugs. SoluMatrix diclofenac uses nanotechnology to address the need for an effective nonsteroidal antiinflammatory drug at the lowest possible dose to minimize risks associated with cardiac, renal, and gastrointestinal side effects. Intravenous acetaminophen provides an additional alternative in multimodal analgesia in instances when the oral or rectal route of delivery is not desirable. Liposomal bupivacaine uses liposomal encapsulated, resulting in a local anesthetic with a prolonged duration of action that can be used effectively in the management of postoperative pain. With the recognition that opioid therapy still remains a mainstay in pain management, advances in science have allowed for the development of peripherally acting mu opioid receptor antagonists such as naloxegol, which minimize the bothersome side effect of opioid-induced constipation. In terms of interventional pain management, advances in radiofrequency ablation (RFA) technology have resulted in cooled RFA, which allows for the creation of larger spherical lesions, thereby alleviating pain by interfering with neurotransmission. Advances in stem cell research have led to the application of multipotent cells with the aim of treating the underlying disease process and thereby eliminating pain. Finally, pharmacogenetics testing and smart drugs provide an avenue via which issues surrounding how medication is consumed, determination of effectiveness, and ensuring compliance and adherence can be optimized. Key words: Pain, Pharmacology, Medications, Technology, Innovation, Smart Pills, Personalized Medicine, Biotechnology, Device, Surgery, Multimodal

Interventional pain management techniques for chronic pain

2013 ◽  
pp. 474-485
Author(s):  
Navil F. Sethna ◽  
Pradeep Dinakar ◽  
Karen R. Boretsky
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Case Series ◽  
Pain Syndrome ◽  
Treatment Modalities ◽  
Neuraxial Blockade ◽  
Paediatric Case ◽  
Injection Techniques ◽  
Interventional Pain Management ◽  
Management Techniques

As part of multidisciplinary management of paediatric chronic pain, interventional pain management techniques can play an important role when pain is unrelieved by conventional treatment modalities. Many procedures and indications are extrapolated from adult studies, and evidence for long-term efficacy in paediatric populations is limited. Interventions range from injection techniques with local anaesthetic and/or corticosteroids to neuraxial blockade with implanted catheters. Paediatric case series have reported benefit in selected patients with complex regional pain syndrome and cancer-related pain.

Postoperative Pain Management

2018 ◽  
Author(s):  
Q. Cece Chen ◽  
Shengping Zou
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Pain Treatment ◽  
Postoperative Pain Management ◽  
Cost Of Care ◽  
Patient Comfort ◽  
Treatment Modalities ◽  
Surgical Patient ◽  
Coordinated Care ◽  
Unrealistic Expectations

Postoperative pain management is an important aspect of caring for a surgical patient as inadequate pain control can be associated with increased morbidity and mortality. Failure to effectively control postoperative pain is often due to poor communication and poorly coordinated care between the care teams, poor communication with the patient, insufficient education, unrealistic expectations, fear of complications from the pain regimen, inaccurate pain assessment, and limited effective pain treatment modalities. An effective pain management can therefore lead to improved patient comfort, satisfaction, earlier ambulation, faster recovery time, decreased hospital stay and cost of care, and reduced postoperative complications.

scholarly journals Perception and Attitudes of Medical Students Regarding Postoperative Pain Management

2021 ◽  
Author(s):  
Fatema Johora ◽  
Asma Akter Abbasy ◽  
Fatiha Tasmin Jeenia ◽  
Ferdaush Ahmed Sojib ◽  
Mohsena Aktar ◽  
...  
Keyword(s):  
Pain Management ◽  
Medical Students ◽  
Postoperative Pain ◽  
Essential Element ◽  
Postoperative Pain Management ◽  
Multimodal Analgesia ◽  
Treatment Modalities ◽  
Early Recovery ◽  
Medical College ◽  
Medical Colleges

Background: Postoperative pain remains a challenging problem, which requires a dynamic approach using a variety of treatment modalities to obtain an optimal outcome with respect to enhancing patient comfort and facilitating the recovery process. Multimodal analgesia signifies an increasingly popular approach to prevent postoperative pain. The approach includes administering a combination of opioid and nonopioid analgesics that act at different sites within the central and peripheral nervous systems in an effort to improve pain control while eliminating opioid-related adverse effects. Materials and Methods: To understand the perception and attitude of 4th year medical students, a structured questionnaire survey was done among six different medical colleges including government (Armed Forces Medical College, Cumilla Medical College and Colonel Malek Medical College, Manikganj) and non-government medical colleges (Army Medical College Bogura, Brahmanbaria Medical College and Chattogram International Medical College) of Bangladesh in October 2019. Total 340 students participated in the study. Result: Among the 340 students, almost 336 (98.2%) students were agreed that postoperative pain management is an essential element of patient care. Only 4 (1.18%) respondents disagreed. On the other hand, regarding its influence on early recovery and reduction of hospital staying, 311 (91.47%) respondents agreed and 29 (8.53%) respondents were found as disagreed. Regarding the issue of opioid commonly induced respiratory depression, 257 (75.59%) respondents thought it is a common adverse event and 81 (23.82%) respondents disagreed. 206 (60.59%) respondents did not agree that opioid always produce addiction or tolerance and 134 (39.71%) respondents disagreed with the same issue. 294 (86) respondents agreed that multimodal analgesia increases patients cost and 46 (14%) disagreed. 249 (74%) students agreed that regional techniques are useful for postoperative pain management and 89 (26%) respondents disagreed. Conclusion: Adequate post-operative pain management knowledge is necessary to reduce post-operative complications.

scholarly journals AYURVEDIC PERSPECTIVE OF PRIMARY DYSMENORRHOEA - REVIEW ARTICLE

2021 ◽  
Vol p5 (03) ◽  
pp. 2780-2786
Author(s):  
Asitha. H ◽  
Vijayakumar N.
Keyword(s):  
Review Article ◽  
Menstrual Blood ◽  
Reverse Direction ◽  
Clear View ◽  
Menstrual Flow ◽  
Primary Dysmenorrhoea ◽  
High Prevalence ◽  
Medical Term

The medical term for painful period is "dysmenorrhoea". Dysmenorrhoea among adolescents is of primary in nature that is without any pelvic pathology. Among Vimshati yonirogas described in Ayurveda classics Udavarta is men- tioned as a condition with painful and difficult menstruation, so it can be correlated to primary dysmenorrhoea. In this condition the Rajas flow in reverse direction hence the term Udavartini. Women feel immediate relief following discharge of menstrual blood. Normal menstrual flow is the function of Apana vata therefore Apana vata dushti can be considered as the responsible factor for Udavarta. Because of the high prevalence of dysmenorrhoea in adoles- cents and extent of its potential daily interference it should be seriously taken into consideration. Ayurvedic classic textbook along with available modern literatures were referred to make a clear view regarding the concept of Uda- varta and its possible correlation with primary dysmenorrhoea. Keywords: Primary dysmenorrhoea, Udavarta, dysmenorrhea

scholarly journals PAIN CARE ESSENTIALS

2021 ◽  
Vol 25 (2) ◽  
Author(s):  
Professor Liaquat Ali
Keyword(s):  
Pain Management ◽  
Care Management ◽  
Treatment Modalities ◽  
Integrative Care ◽  
Therapeutic Approaches ◽  
Management Options ◽  
Nerve Blocks ◽  
Pain Mechanisms ◽  
Wide Range ◽  
Pain Care

The best kept secret in pain management is in your own hands. Pain Care Essentials offers the readers a fingertip access to numerous topics in still emerging   field of pain medicine, including physical rehabilitation in pain management, peripheral nerve blocks, neuropathic pain, pediatric and elderly pain. This book provides an overview of pain mechanisms as currently understood, and details a variety of approaches to pain management used across a wide range of complementary disciplines. Divided into four convenient sections; the book addresses Fundamentals and Evaluation, Treatment Modalities (including opioids, interventions and alternative medicine), common Chronic Pain and Urgent Pain Problems. Integrative care concepts are presented, emphasizing multi-disciplinary approaches to address the pain. Expert contributors describe therapeutic approaches of various pain conditions and implementing self-care management options.

The Management of Opioid and Benzodiazepine Dependence in Infants, Children, and Adolescents

PEDIATRICS ◽  
1996 ◽  
Vol 98 (1) ◽  
pp. 135-140 ◽  
Author(s):  
Myron Yaster ◽  
Sabine Kost-Byerly ◽  
Charles Berde ◽  
Carol Billet
Keyword(s):  
Pain Management ◽  
Hospital Stay ◽  
Children And Adolescents ◽  
Stress Responses ◽  
Early Mobilization ◽  
Morbidity And Mortality ◽  
Patient Morbidity ◽  
Benzodiazepine Dependence ◽  
The Common ◽  
Experience Pain

As physicians and nurses, we have a fundamental obligation to manage pain and relieve patient suffering as a crucial element of our professional commitment to patient care.1,2 These are not merely lofty ideals; effective pain management produces a myriad patient benefits including reduced morbidity and mortality, early mobilization, and shortened hospital stay.3 Historically, children were undertreated for pain and for painful procedures because of the common wisdom that children neither responded to, nor remembered, painful experiences to the same degree that adults did. This is simply untrue. We now know that even neonates experience pain and that all children, even the critically ill, respond to noxious stimuli with biochemical and physiologic stress responses that if untreated can lead to increased patient morbidity and mortality.4,5

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