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A CHRONIC PAIN PATIENT: MODERN DIAGNOSIS AND CONCEPT OF THERAPY

Andreas Sandner-Kiesling ; Univ. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Universität Graz, Austria
Andreas Schöpfer ; Univ. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Universität Graz, Austria

Sažetak

Approximately 80 per cent of primary care patients seek
their physician’s attention due to pain. A fifth of the
population suffers from chronic pain with medium to high
intensity, and longer than 3 months. Especially those patients
are treated insufficiently when only non-opioids and opioids
are applied. Therefore it is necessary to tailor pain therapy by
using an interdisciplinary, multimodal treatment regimen.
This article presents a holistic concept to chronic pain
treatment by using the five columns of pain therapy. Based on
the bio-psycho-social approach, pharmaceutical, complimentary
(first column), physio- and psychotherapeutic (2nd and 3rd
column), social and invasive interventions (4th and 5th column)
have to be considered. The 1st column includes the WHO
ladder, in chronic pain patients with a large focus on coanalgesics
like antidepressants or antiepileptics. Based on the
individual history and factors achieved from the bio-psychosocial
diagnosis, components of these 5 therapeutic are
selected, always in agreement with the patient, and put
together to one interdisciplinary therapeutic concept

Ključne riječi

chronic pain; pain therapy

Hrčak ID:

76364

URI

https://hrcak.srce.hr/76364

Datum izdavanja:

29.10.2010.

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