[Management of patients with chronic pain in acute and perioperative medicine : An interdisciplinary challenge]. / Management von Patienten mit chronischen Schmerzen in der Akut- und perioperativen Medizin : Eine interdisziplinäre Herausforderung.
Anaesthesist
; 69(2): 95-107, 2020 02.
Article
en De
| MEDLINE
| ID: mdl-31932857
Chronic pain is a frequent comorbidity of patients in hospitals and has an influence on the clinical course and the duration of hospitalization. There is a need to have a better understanding of chronic pain as a comorbidity and it should be considered to a greater extent in understanding diseases, in treatment concepts and hospital structures to ensure a resource-oriented and high-quality care. This begins on admission by identifying pre-existing pain and related risk factors with the medical history and taking these into account in the treatment regimen. A multimodal treatment approach that involves medicinal, educational, psychological and physiotherapeutic expertise is required in these patients. A unimodal approach in the treatment is not effective. A pain physician should be involved in the treatment team as early as possible. Furthermore, psychological joint supervision should be available for these patients as several studies have demonstrated positive perioperative effects of psychological approaches on the treatment in this patient group.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Dolor Crónico
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
De
Revista:
Anaesthesist
Año:
2020
Tipo del documento:
Article
Pais de publicación:
Alemania