This paper reviews the current literature on clinical guidelines, practitioner training, and government/payer policies that have come forth in response to the national rise in prescription opioid overdoses. A review of clinical opioid prescribing guidelines highlights the need for more research on safe and effective treatment options for chronic pain, improved guidance for the best management o...

A cognitive-behavioral pain management program for elderly nursing home residents with chronic pain was compared with an attention/support control treatment in a randomized pre-/post-comparison group design with follow-up. Thirteen women and nine men, ranging in age from 61 to 98 (M = 77.2), from two large nursing homes participated in the treatment programs through 10 weekly group sessions. Re...

Drug-seeking patients include recreational drug abusers, addicts whose dependence occurred through abuse or the injudicious prescription of narcotics, and pseudoaddicts who have chronic pain that has not been appropriately managed. Opioids produce euphoria in some patients, providing the motivation for abuse, which can be detrimental even with occasional use. Even in the absence of overt euphor...

Research supports multidisciplinary care as an efficacious, and cost-effective approach for treating pain. An interdisciplinary approach to treatment for chronic pain in children and adolescents has been successfully implemented at Children’s Mercy Hospital Kansas City. The hospital has supported the establishment and growth of an Integrative Pain Management Team (IPMT), an Abdominal Pain Progr...

Post-operative pain management is a significant problem in clinical practice in Latin America. Insufficient or inappropriate pain management is in large part due to insufficient knowledge, attitudes and education, and poor communications at various levels. In addition, the lack of awareness of the availability and importance of clear policies and guidelines for recording pain intensity, the use...

aims: there are several structured self-management education programs which are available nationally for patients with diabetes in the uk. this study was aimed to determine the factors influencing participation of patients with diabetes in the programs. patients and methods: a cross-sectional survey through semi-structured questionnaire distributed to 550 patients attending primary or secondary...

conclusions although the results of this study showed superiority of application of emla cream as a topical anesthetic for pain relief of blood sampling, both lidocaine 5% and benzocaine 5% offer considerable efficacy in pain relief of venipuncture. results at the end of study, the emla products (a and b) caused a significant decrease in pain (p < 0.05) in comparison with the products c (lidoca...

conclusions caffeine has a potential role for pain modulation. current evidence on caffeine use for migraine and terminal stage cancer is not well-established. future studies should address the use of caffeine alone for different types of pain with dose escalation and standardization of outcome measurement. evidence acquisition the data on caffeine as an adjuvant therapy or as a main component ...