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Interdisciplinary pain

Carina R Angelini, Rodolfo C Pacagnella, Mary A Parpinelli, Carla Silveira, Carla B Andreucci, Elton C Ferreira, Juliana P Santos, Dulce M Zanardi, Renato T Souza, Maria H Sousa, Jose G Cecatti
Objective: To assess quality of life (QOL) in women who experienced a severe maternal morbidity (SMM) event and associated factors, in comparison to those who did not. Study Design: Retrospective cohort study performed at the maternity of the University of Campinas in Brazil, including 801 women with or without SMM, within 6 months to 5 years after delivery. Women were interviewed by phone and data were electronically stored, using the Brazilian version of the SF36 to assess women's self-perception of quality of life...
2018: BioMed Research International
Christoph Dybowski, Bernd Löwe, Christian Brünahl
OBJECTIVE: Chronic pelvic pain syndrome (CPPS) can affect both men and women and often causes substantial impairment to quality of life. Although cross-sectional studies have suggested that psychosocial aspects may constitute important factors in the etiology and maintenance of CPPS, longitudinal studies are rare. Therefore, the present study examines psychosocial factors as prospective predictors of pain intensity, urinary symptoms and impediments to quality of life in men and women with CPPS...
September 2018: Journal of Psychosomatic Research
Sabrina Grant, A W Blom, Michael R Whitehouse, Ian Craddock, Andrew Judge, Emma L Tonkin, Rachael Gooberman-Hill
INTRODUCTION: Over 160 000 people with severe hip or knee pain caused by osteoarthritis undergo total hip (THR) or knee replacement (TKR) surgery each year in the UK within the National Health Service (NHS), and this number is expected to increase. Innovative approaches to evaluating surgical outcomes will be needed to respond to the increasing burden of joint replacement surgery. The Sensor Platform for Healthcare in a Residential Environment, Interdisciplinary Research Collaboration (SPHERE-IRC) have developed a system of sensors that can monitor the health-related behaviours of people living at home...
July 28, 2018: BMJ Open
C Praz, J Ducki, M L Connaissa, P Terrier, P Vuistiner, B Léger, F Luthi
The profession of the health-care providers (HCPs) influences their recommendations to the patients. Conversely, interdisciplinarity seeks to challenge such differences, so that the patient receives one single and consistent therapeutic message. Some studies also suggest associations between HCPs life habits and recommendations. Our hypotheses were (1) that despite interdisciplinary work, the profession remains a predictor of recommendations and (2) that HCPs who are more physically active recommend more activity...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
Maya Aboumrad, Brian Shiner, Natalie Riblet, Peter D Mills, Bradley V Watts
OBJECTIVE: Vast efforts are directed toward curing or prolonging the life of patients with cancer. However, less attention is given to mental health aspects of cancer care, and there is elevated incidence of death by suicide in this population. Evaluating Root Cause Analyses (RCAs) of cancer-related suicides may further our understanding of system-level factors that may contribute to suicide in patients with cancer and highlight strategies to mitigate this risk. METHODS: We searched the Veterans Health Administration National Center for Patient Safety RCA database for cancer-related suicides between 2002 and 2017 to evaluate the context of the suicides and identify root causes and suggested actions...
July 18, 2018: Psycho-oncology
Katharina Pils
Proximal femoral fractures in old age are known as fragility fractures. They are the sequelae of osteoporosis and an expression of a general reduced capacity and an increase in sensory and functional deficits against the background of multimorbidity. They are often caused by reduced compensation strategies. Simultaneously, for many older people they represent a life event. Despite modern osteosynthesis techniques and less stressful anesthesia procedures, the occurrence of a proximal femoral fracture shakes the labile equilibrium of those affected...
August 2018: Zeitschrift Für Gerontologie und Geriatrie
Gadi Revivo, Diane K Amstutz, Christine M Gagnon, Zachary L McCormick
BACKGROUND: The relation between chronic musculoskeletal pain and joint hypermobility in a small percentage of the pediatric population is well described. However, literature discussing the treatment of chronic pain associated with joint hypermobility in pediatrics is limited. The present study examines the impact of interdisciplinary treatment on chronic pain in pediatrics with joint hypermobility syndrome. OBJECTIVE: To determine if pediatric patients with chronic pain related to joint hypermobility can be effectively treated with an intensive, interdisciplinary pain management program, as measured by changes in pain, psychosocial and physical functioning, as well as parental coping...
July 30, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
M I Hasenbring, R Klinger, K Thieme
No abstract text is available yet for this article.
July 13, 2018: Der Schmerz
Anna M Lafian, Karina D Torralba
Lumbar spinal stenosis (LSS) is a frequent cause of low back pain among adults, caused by a narrowing impinging on the spinal cord or nerve roots. Several conditions cause LSS, including disc herniation, spondylolisthesis, tumor, fractures, and other degenerative changes. Back pain is frequently experienced. MRI is the radiologic modality of choice. Radiographic evidence of LSS may not correlate well with symptoms. An increase in utilization of surgery has been noted. However, surgery has no significant benefit over more conservative options...
August 2018: Rheumatic Diseases Clinics of North America
John W Devlin, Yoanna Skrobik, Bram Rochwerg, Mark E Nunnally, Dale M Needham, Celine Gelinas, Pratik P Pandharipande, Arjen J C Slooter, Paula L Watson, Gerald L Weinhouse, Michelle E Kho, John Centofanti, Carrie Price, Lori Harmon, Cheryl J Misak, Pamela D Flood, Waleed Alhazzani
OBJECTIVES: To describe novel guideline development strategies created and implemented as part of the Society of Critical Care Medicine's 2018 clinical practice guidelines for pain, agitation (sedation), delirium, immobility (rehabilitation/mobility), and sleep (disruption) in critically ill adults. DESIGN: We involved critical illness survivors from start to finish, used and expanded upon Grading of Recommendations, Assessment, Development and Evaluation methodology for making recommendations, identified evidence gaps, and developed communication strategies to mitigate challenges...
July 6, 2018: Critical Care Medicine
Tobias Romeyke, Elisabeth Noehammer, Harald Stummer
Patients with fibromyalgia (FM) have often tried many outpatient treatments, and breakthrough pain frequently stops them from performing everyday tasks and participating in society. FM-pain that has become chronic, therefore, affects quality of life. This case study describes the administration of interdisciplinary inpatient pain therapy due to a primary diagnosis of fibromyalgia with integrated complementary medicine. The female patient, who had several concomitant disorders and had been suffering from pain for many years, benefited from the holistic treatment approach in terms of a reduction in pain and an improvement in physical functions and mental health...
June 2018: Integrative Medicine Research
Christian Ziegeler, Kathrin Wasiljeff, Arne May
Patients with non-dental orofacial pain syndromes will often primarily consult general dentists and other dental specialists. Early and correct diagnosis and therapy is crucial to prevent chronification. We assessed the experience of dentists (general dentists and dental specialists) (n=533) and knowledge level of dental students (n=130) on the diagnosis and treatment of non-dental orofacial pain. We used an anonymized survey containing 14 items with the 4 main themes (i) prescription patterns, (ii) treatment strategies in non-dental orofacial pain, (iii) interdisciplinary cooperation and (iiii) self-assessment of knowledge as well as post-graduate education...
July 5, 2018: European Journal of Pain: EJP
Ana Maria Rodriguez, Alyssa Komar, Jolie Ringash, Catherine Chan, Aileen M Davis, Jennifer Jones, Rosemary Martino, Sara McEwen
PURPOSE: The objectives of this scoping review were to summarize, understand, and disseminate findings from a broad body of literature on rehabilitation interventions used with survivors of head and neck cancer. METHOD: Searches were conducted in six databases. Inclusion criteria were studies of adult head and neck cancer survivors with a predefined primary rehabilitation outcome as a result of an intervention. Excluded were studies not written in English, opinion papers, or studies where the intervention was not carried out by a rehabilitation healthcare service...
July 6, 2018: Disability and Rehabilitation
Karleen F Giannitrapani, Peter A Glassman, Derek Vang, Jeremiah C McKelvey, R Thomas Day, Steven K Dobscha, Karl A Lorenz
BACKGROUND: Facilitating appropriate and safe prescribing of opioid medications for chronic pain management in primary care is a pressing public health concern. Interdisciplinary team-based models of primary care are exploring the expansion of clinical pharmacist roles to support disease management for chronic conditions, e.g. pain. Our study aims to 1) identify roles clinical pharmacists can assume in primary care team based chronic pain care processes and 2) understand the barriers to assuming these expanded roles...
July 3, 2018: BMC Family Practice
Mohammad Suliman
BACKGROUND: Low back pain (LBP) is a significant work-related problem, especially among nurses. This is due to its high prevalence and impact on the healthcare system, either directly through treating affected nurses, or indirectly through the decrease in nurses' productivity. AIM: The aim of this study is to measure the prevalence rates of LBP among nurses in Jordan, and to uncover the associated factors and consequences. METHODS: A cross-sectional design study...
July 2, 2018: Nursing Forum
K Alotaibi, I Higgins, J Day, S Chan
AIMS: To identify and synthesize evidence regarding the knowledge and attitudes of nurses, and barriers and facilitators to effective pain assessment and management in infants and children. BACKGROUND: Pain among children is a common experience. Relief from pain is a fundamental human right, yet hospitalized children continue to experience unrelieved pain. Provision of effective pain management is an integral part of the nurse's role. METHODS: Guided by Whittemore & Knafl's five-stage framework, primary peer-reviewed studies published in English between 2000 and 2018 were searched using CINAHL, PubMed, ProQuest, PsycINFO and Scopus...
June 29, 2018: International Nursing Review
David J DiBenedetto, Valerie F Weed, Kelly M Wawrzyniak, Matthew Finkelman, Jenelle Paolini, Michael E Schatman, David Herrera, Ronald J Kulich
Objective: Health care providers are likely to see an increase in the concomitant use of cannabis and opioids, particularly with the increased liberalization and ongoing research into the possible role of medical marijuana for chronic pain. Recent literature reports a prevalence of concurrent use ranging from 8.9% to 31.8%. The primary aim of this study was to determine the relationship between cannabis use and aberrant drug behaviors in noncancer pain patients receiving chronic opioid therapy...
October 9, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Winfried Häuser, Mary-Ann Fitzcharles
Fibromyalgia (FM) is characterized by chronic widespread pain, unrefreshing sleep, physical exhaustion, and cognitive difficulties. It occurs in all populations throughout the world, with prevalence between 2% and 4% in general populations. Definition, pathogenesis, diagnosis, and treatment of FM remain points of contention, with some even contesting its existence. The various classification systems according to pain medicine, psychiatry, and neurology (pain disease; persistent somatoform pain disorder; masked depression; somatic symptom disorder; small fiber neuropathy; brain disease) mostly capture only some components of this complex and heterogeneous disorder...
March 2018: Dialogues in Clinical Neuroscience
Isabelle Lang-Rollin, Götz Berberich
Medical progress, the improvement of general living conditions, and an increase in life expectancy have led to an increase in the general prevalence of oncologic disease. More importantly, more and more patients survive cancer or live with the disease for long periods of time. While the battle for survivorship is continuously being fought, improving patients' quality of life has come to the fore. Psychosocial issues may modulate the course of the disease, but mainly have a deep impact on patients' physical and mental wellbeing...
March 2018: Dialogues in Clinical Neuroscience
Rajiv Singh, Ayşe A Küçükdeveci, Klemen Grabljevec, Alan Gray
The increasing complexity of healthcare provision and medical interventions requires collaboration between large numbers of health professionals. The nature of the interactions between team members determines whether the pattern of working is described as multi-, inter- or trans-disciplinary. Such team-working is an important part of the specialty of Physical and Rehabilitation Medicine. Grounded in group behaviour theory, team-working demonstrates that joint aims, trust and willingness to share knowledge, can improve patient outcomes, including mortality...
June 26, 2018: Journal of Rehabilitation Medicine
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