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British Journal of Pain

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https://www.readbyqxmd.com/read/30057764/lidocaine-5-medicated-plaster-versatis-for-localised-neuropathic-pain-results-of-a-multicentre-evaluation-of-use-in-children-and-adolescents
#1
John M Goddard, Rebecca L Reaney
The Lidocaine 5% plaster is licensed for the symptomatic relief of neuropathic pain associated with post-herpetic neuralgia in adult patients over 18 years of age. Studies in adults also demonstrate efficacy of Lidocaine 5% plasters in other neuropathic pain conditions. Case reports and experience suggested efficacy of Lidocaine 5% plasters in children and adolescents with localised neuropathic pain. Initiated by the Pain in Children Special Interest Group (PICSIG) of the British Pain Society, a 3-year prospective multicentre service evaluation was undertaken to document the usage and efficacy of the Lidocaine 5% plaster in paediatric patients being managed by paediatric pain teams in the United Kingdom...
August 2018: British Journal of Pain
https://www.readbyqxmd.com/read/30057763/a-philosophical-critique-of-the-uk-s-national-institute-for-health-and-care-excellence-guideline-palliative-care-for-adults-strong-opioids-for-pain-relief
#2
David Fearon, Sean Hughes, Sarah G Brearley
The National Institute for Health and Care Excellence (NICE) promotes evidence-based medicine throughout contemporary health care. Its guidelines are employed in the United Kingdom and elsewhere, influencing the type and quality of health care provided. NICE considers a range of evidence in the process of creating guidelines; however, the research accepted as evidence greatly relies on positivist methodologies. At times, it is unnecessarily restricted to quantitative methods of data collection. Using the Clinical Guideline 140, opioids in palliative care, as an example, it is demonstrated that the research accepted as evidence is unable to provide answers to complex problems...
August 2018: British Journal of Pain
https://www.readbyqxmd.com/read/30057762/opioid-prescribing-in-general-practice-use-of-a-two-stage-review-tool-to-identify-and-assess-high-dose-prescribing
#3
Rhys Ponton, Richard Sawyer
Background: Long-term opioid analgesic prescribing in chronic non-cancer pain (CNCP) is a growing worldwide concern. This has implications for optimal healthcare management in general and chronic pain management specifically. This work documents the development of a review tool and its use in the South West of England in a locality that showed opioid prescribing levels higher than surrounding localities. Methods: An electronic tool which enabled calculation of total prescribed morphine-equivalent doses was developed to allow general practitioners (GPs) to undertake reviews of CNCP patients...
August 2018: British Journal of Pain
https://www.readbyqxmd.com/read/30057761/-put-the-illness-in-a-box-a-longitudinal-interpretative-phenomenological-analysis-of-changes-in-a-sufferer-s-pictorial-representations-of-pain-following-participation-in-a-pain-management-programme
#4
Isabella E Nizza, Jonathan A Smith, Jamie A Kirkham
Combining participant drawings with interviews can stimulate deep reflection and allow the inexpressible to be expressed. This case study uses visual methods to illustrate the 9-month self-management journey of a female chronic pain sufferer. The participant drew a picture of her pain at each of three interviews, and the drawings were used to discuss the changing impact pain was having on her life. Drawings and transcripts were jointly analysed longitudinally using interpretative phenomenological analysis, revealing how, as control is regained, a sufferer's relationship with their chronic pain can visibly change and how the drawings, when reviewed retrospectively, enable insight and ownership of progress...
August 2018: British Journal of Pain
https://www.readbyqxmd.com/read/30057760/the-use-of-fentanyl-in-pain-management-in-head-and-neck-cancer-patients-a-narrative-review
#5
Raffaele Giusti, Paolo Bossi, Marco Mazzotta, Marco Filetti, Daniela Iacono, Paolo Marchetti
Background: Head and neck (H&N) cancers account for about 5% of all malignant tumours. Pain is one of the most feared consequences of H&N neoplasms and is experienced by up to 80% of patients and worsens their quality of life inhibiting speaking, eating, drinking or swallowing. Nevertheless, pain is still often underestimated and undertreated. Objectives: The role of opioids in cancer pain has been well established but evidences about the role and the relative effectiveness of opioids such as fentanyl in the context of H&N cancer pain remains unclear...
August 2018: British Journal of Pain
https://www.readbyqxmd.com/read/30057759/ultrasound-guided-radiofrequency-ablation-of-genicular-nerves-of-knee-for-relief-of-intractable-pain-from-knee-osteoarthritis-a-case-series
#6
Arif Ahmed, Divesh Arora
Introduction: The knee arthroplasty is the best option for patients with advanced osteoarthritis who have failed all other conservative options, but regrettably many patients fail to undergo surgery due to co-morbidities or other reasons. So, new alternative modes are always in demand for these patients. Methods: The ultrasound-guided radiofrequency ablation (RFA) of all the genicular nerves of knee joint was done in patients with grade III and IV osteoarthritis of knee joint, with severe pain (numerical rating scale (NRS) > 7) who had failed conservative management and intra-articular injections after a positive genicular nerve block with local anaesthetics...
August 2018: British Journal of Pain
https://www.readbyqxmd.com/read/30057758/chronic-pain-loss-and-the-future-development-and-evaluation-of-an-innovative-interactive-pain-education-tool
#7
Sally Anne Curtis, Katrina Ishbel Pirie
Background: The development of chronic pain can result in multiple losses to an individual, which can negatively impact their quality of life. Presentation of the concepts of loss and grief as an interactive educational tool may help those who live with chronic pain gain a deeper understanding of their condition. This in turn may enable more effective management of their pain. This study aims to explore the effectiveness of such a tool through the perceptions and experiences of people living with chronic pain...
August 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29799539/retraction-notice
#8
(no author information available yet)
[This retracts the article DOI: 10.1177/2049463717728039.].
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29796264/using-patient-experiences-to-develop-services-for-chronic-pain
#9
Peter Outlaw, Shiva Tripathi, Jacqueline Baldwin
Purpose: The aim of this study was to improve the overall experience for patients using chronic pain services at a large teaching hospital in England. Experience-based co-design methodology was used to gain a greater understanding of patients' experiences and to produce a list of priorities for change when improving the patient experience. Method: A total of seven video-recorded patient interviews were conducted to capture a range of patient experiences of using the chronic pain service...
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29796263/five-years-of-a-community-pain-service-solution-focused-pain-management-programme-extended-data-and-reflections
#10
Rebecca Simm, Chris Barker
1. This article aims to provide a long-term update 2 years on from our initial paper and summarises service evaluation data collected from 21 pain management programmes, using a solution-focused approach in a community pain service. 2. An examination of the larger baseline and subsequent follow-up data suggests an improvement in participants' function, pain self-efficacy and mental well-being following CPS PMP, and corroborates the findings of the earlier dataset. 3. Additional findings suggest that CPS PMP may help pain interfere less in participants' lives (post-PMP and at 10-week follow-up) and that improvements in mental well-being and self-efficacy are maintained on a long-term basis (at 6- and 12-month follow-up)...
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29796262/evaluation-of-uptake-and-effect-on-patient-reported-outcomes-of-a-clinician-and-patient-co-led-chronic-musculoskeletal-pain-self-management-programme-provided-by-the-uk-national-health-service
#11
Joanna K Anderson, Louise M Wallace
In the United Kingdom, chronic pain affects approximately 28 million adults, creating significant healthcare and socio-economic costs. The aim was to establish whether a programme designed to use best evidence of content and delivery will be used by patients with significant musculoskeletal pain problems. Of 528 patients recruited, 376 participated in a 7-week-long group-based self-management programme (SMP) co-delivered by clinical and lay tutors. Of these, 308 patients (mean age, 53 years; 69% females, 94% White) completed at least five SMP sessions...
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29796261/listening-to-and-letting-pain-speak-poetic-reflections
#12
Richard B Hovey, Valerie Curro Khayat, Eugene Feig
The humanities invite opportunities for people to describe through their metaphors, symbols and language a means in which to interpret their pain and reinterpret their new lived experiences. The patient and family all live with pain and can only use their pain narratives of that experience to confront or even to begin to understand the quantifiable discipline of medicine. The patient and family narratives act to retain meaning within a lived pained experience. These narratives add meaning to the person as a stay against only having a clinical-pathological understanding of what is happening to our body and as a person...
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29796260/understanding-the-link-between-feelings-of-mental-defeat-self-efficacy-and-the-experience-of-chronic-pain
#13
Charlotte E Hazeldine-Baker, Paul M Salkovskis, Mike Osborn, Jeremy Gauntlett-Gilbert
Objectives: 'Mental defeat' (MD) has been identified among people with chronic pain as a type of self-processing related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression, remains poorly understood. This study considers the association between MD, pain symptomatology and self-efficacy in the context of other cognitive factors. Methods: In total, 59 participants completed a questionnaire pack assessing anxiety, depression, hopelessness, pain catastrophising and MD in order to examine the relationship with pain symptomatology and self-efficacy...
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29796259/analgesic-reduction-during-an-interdisciplinary-pain-management-programme-treatment-effects-and-processes-of-change
#14
Beth J Guildford, Aisling Daly-Eichenhardt, Bethany Hill, Karen Sanderson, Lance M McCracken
Long-term use of opioid medication is associated with a host of negative effects on health and quality of life. Guidelines state that people with chronic pain taking high doses of opioids without benefit should be supported to discontinue them. Little research has investigated psychological processes associated with analgesic use and tapering. This study investigated (1) analgesic use pre- and post-participation in an interdisciplinary pain management programme and its relationship to functioning and (2) psychological processes associated with analgesic use...
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29796258/guest-editorial-for-may-issue
#15
EDITORIAL
Zoey Malpus
No abstract text is available yet for this article.
May 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416865/a-week-of-pain-in-the-emergency-department
#16
Hilary Sarah Thornton, Joseph Reynolds, Timothy J Coats
Background: Pain is a common complaint in patients attending the emergency department (ED), and historically, it is under-assessed and undertreated. Previous research is heterogeneous and does not well describe pain in EDs over time. Our aim was to describe pain in a UK ED using a sample that included every adult attendance over the course of 1 week. Methods: We retrospectively reviewed every adult attendance (N = 1872) over 1 week to the ED of a large English NHS District General Hospital...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416864/a-national-survey-of-pain-clinics-within-the-united-kingdom-and-ireland-focusing-on-the-multidisciplinary-team-and-the-incorporation-of-the-extended-nursing-role
#17
Pungavi Kailainathan, Stephen Humble, Helen Dawson, Fiona Cameron, Shyam Gokani, Gursimren Lidder
Inconsistencies in the availability and quality of pain service provision have been noted nationally, as have lengthy waiting times for appointments and lack of awareness of the Pain Clinic role. The 2013 NHS England report stated that specialist pain services must offer multispecialty and multidisciplinary pain clinics. This national survey of multidisciplinary pain service provision in the United Kingdom and Ireland provides a snapshot of pain service provision in order to review and highlight what variations exist in multidisciplinary team (MDT) provision and working patterns...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416863/dimension-of-pain-related-quality-of-life-and-self-reported-mental-health-in-men-and-women-of-the-european-prospective-investigation-into-cancer-norfolk-cohort-a-population-based-cross-sectional-study
#18
Anna Wiedemann, Adrian D Wood, Robert N Luben, Daniel Vogel, Gareth T Jones, Kay-Tee Khaw, Phyo K Myint
Both cognitive and behavioural factors are linked to the experience of pain as well as its interference with quality of life. Psychological distress has been shown to be associated to several emotional and social impairments. Although, the association between pain and mental health has been widely discussed, the understanding of life interference and outcome is not fully understood. This study examined the association of pain dimension and mental health domain in 16,051 participants of the EPIC-Norfolk cohort (mean age = 58...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416862/tramadol-sparing-effect-of-dexmedetomidine-as-an-adjuvant-with-lignocaine-in-preoperative-stellate-ganglion-block-for-postoperative-pain-relief-following-upper-limb-surgeries
#19
Deepak Thapa, Deepanshu Dhiman, Vanita Ahuja, Satinder Gombar, Ravi K Gupta
Background: Recent literature has established the role of stellate ganglion block (SGB) for management of acute postoperative pain. The effects of dexmedetomidine as an adjuvant to lignocaine in a preoperative SGB for postoperative pain relief have not been evaluated so far. Methods: The following randomised, double-blinded, control trail included 54 patients scheduled for upper limb orthopaedic surgery under general anaesthesia. Preoperative ultrasound-guided (USG) SGB was performed in all patients...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416861/prevalence-and-management-of-intrathecal-morphine-induced-pruritus-in-new-zealand-m%C3%A4-ori-healthcare-recipients
#20
Jennifer M Woods, Anecita Gigi Lim
Aims and objectives: The aim of this article was to determine whether the incidence of intrathecal morphine-induced pruritus (ITMI) was influenced by ethnicity, age or gender in relation to orthopaedic versus caesarean surgeries. Background: The use of intrathecal morphine for patients undergoing total hip and knee joint replacements and for lower segment caesarean sections (LSCS) has gained popularity worldwide since its introduction over 30 years ago. Several international studies show that morphine delivered via the intrathecal route is an effective and safe method of pain relief...
February 2018: British Journal of Pain
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