Mindfulness-based training for women veterans with chronic pain: A retrospective study.

2021 ◽  
Author(s):  
Heather A. Okvat ◽  
Mary C. Davis ◽  
Erin G. Mistretta ◽  
Aram S. Mardian
Keyword(s):  
Chronic Pain ◽  
Retrospective Study ◽  
Women Veterans

Women Veterans’ Experiences with Integrated, Biopsychosocial Pain Care: A Qualitative Study

Pain Medicine ◽  
2021 ◽  
Author(s):  
Francesca M Nicosia ◽  
Carolyn J Gibson ◽  
Natalie Purcell ◽  
Kara Zamora ◽  
Jennifer Tighe ◽  
...  
Keyword(s):  
Chronic Pain ◽  
San Francisco ◽  
Women Veterans ◽  
Self Management ◽  
Veterans Health ◽  
Health Administration ◽  
Care Models ◽  
Va Health Care System ◽  
Pain Care ◽  
Gender Specific

Abstract Objectives Biopsychosocial, integrated pain care models are increasingly implemented in the Veterans Health Administration to improve chronic pain care and reduce opioid-related risks, but little is known about how well these models address women veterans’ needs. Design Qualitative, interview-based study. Setting San Francisco VA Health Care System Integrated Pain Team (IPT), an interdisciplinary team that provides short-term, personalized chronic pain care emphasizing functional goals and active self-management. Subjects Women with chronic pain who completed ≥3 IPT sessions. Methods Semistructured phone interviews focused on overall experience with IPT, perceived effectiveness of IPT care, pain care preferences, and suggested changes for improving gender-sensitive pain care. We used a rapid approach to qualitative thematic analysis to analyze interviews. Results Fourteen women veterans (mean age 51 years; range 33–67 years) completed interviews. Interviews revealed several factors impacting women veterans’ experiences: 1) an overall preference for receiving both primary and IPT care in gender-specific settings, 2) varying levels of confidence that IPT could adequately address gender-specific pain issues, 3) barriers to participating in pain groups, and 4) barriers to IPT self-management recommendations due to caregiving responsibilities. Conclusions Women veterans reported varied experiences with IPT. Recommendations to improve gender-sensitive pain care include increased provider training; increased knowledge of and sensitivity to women’s health concerns; and improved accommodations for prior trauma, family and work obligations, and geographic barriers. To better meet the needs of women veterans with chronic pain, integrated pain care models must be informed by an understanding of gender-specific needs, challenges, and preferences.

scholarly journals Use of Alfentanil in Palliative Care

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 240
Author(s):  
José António Ferraz Gonçalves ◽  
Filipa Sousa ◽  
Lucy Alves ◽  
Patrícia Liu ◽  
Sara Coelho
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Retrospective Study ◽  
Pain Relief ◽  
Renal Impairment ◽  
Care Service ◽  
Palliative Care Service ◽  
Median Number ◽  
Second Line ◽  
Induction Of Tolerance

Alfentanil is used for chronic pain relief in palliative care. However, there is a dearth of data on its use. For this reason, a decision was made to review the use of alfentanil in palliative care. Retrospective study was carried out in a palliative care service. The files of patients who received alfentanil as an intravenous or subcutaneous continuous infusion for pain relief, between January 2018 and April 2019. In total, 111 patients received alfentanil out of 113 admissions. Of them, 56 were male, and the median age was 70 years. The median number of days on alfentanil was 6 (range 1 to 129). The most frequent primary reasons for switching to alfentanil was uncontrolled pain in 52 (46%) patients and renal impairment in 24 (21%) patients. The median 24-h initial dose of alfentanil was 4 mg (1–20), and the median final 24-h dose of alfentanil was 5 mg (1–60), (p < 0.001). The initial 24-h median number of rescue doses was 2 (0–8), and the final median number of rescue doses was 1 (0 to 8), (p = 0.025). In 56 patients who were on alfentanil for at least 7 days, the dose decreased in 3 (5%), remained stable in 10 (18%) and increased in 43 (77%). The patient on alfentanil for 129 days maintained the same dose throughout that period. Alfentanil can be a useful second-line opioid. The induction of tolerance does not seem to be particularly rapid with alfentanil.

473: Subcutaneous Targeted Stimulation in Chronic Pain Conditions - a 6 Year Retrospective Study

2008 ◽  
Vol 33 (5) ◽  
pp. e200-e200 ◽  
Author(s):  
T GOROSZENIUK ◽  
R REDDY ◽  
S KOTHARI ◽  
R KHAN ◽  
N PRATAP ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Retrospective Study ◽  
Chronic Pain Conditions

473. Subcutaneous Targeted Stimulation in Chronic Pain Conditions - a 6 Year Retrospective Study

2008 ◽  
Vol 33 (Suppl 1) ◽  
pp. e200.1-e200
Author(s):  
T. Goroszeniuk ◽  
R. Reddy ◽  
S. Kothari ◽  
R. Khan ◽  
N. Pratap ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Retrospective Study ◽  
Chronic Pain Conditions

scholarly journals Improving Access to Care for Women Veterans Suffering from Chronic Pain and Depression Associated with Trauma

Pain Medicine ◽  
2013 ◽  
Vol 14 (7) ◽  
pp. 1010-1020 ◽  
Author(s):  
Gabriel Tan ◽  
Irene Teo ◽  
Devika Srivastava ◽  
Donna Smith ◽  
Shirley L. Smith ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Access To Care ◽  
Women Veterans

Interdisciplinary management for chronic pain in central neurological disorders: a retrospective study

2020 ◽  
Vol 27 (1) ◽  
pp. 1-7
Author(s):  
Jamie Young ◽  
Steven Mantopoulos ◽  
Megan Blanchard ◽  
Hilarie Tardif ◽  
Malcolm Hogg ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Retrospective Study ◽  
Pain Management ◽  
Outcome Measures ◽  
Neurological Disorders ◽  
Neurological Disorder ◽  
Persistent Pain ◽  
Interdisciplinary Management ◽  
Management Service ◽  
Pain Outcomes

Background/aims Chronic pain in central neurological disorders is common and the current management of chronic pain is through an interdisciplinary approach. The aim of this study was to compare outpatient interdisciplinary-based treatment for chronic pain in patients with central neurological disorders to those without central neurological disorders. Methods This was a retrospective study and pain-related outcome measures were collected from a clinical outcomes registry (electronic Persistent Pain Outcomes Collaboration). This registry contained data on people who attended a pain management service who, for the purpose of this study, were categorised into those with a central neurological disorder and those without a central neurological disorder. The two sample t-test was used to determine the significance of the difference between the groups and statistical significance was defined as P<0.05. Outcome measures compared included the Brief Pain Inventory, Depression, Anxiety and Stress Scale 21, Patient Self-efficacy Questionnaire and Patient Catastrophisation Scale. Results There was a total of 1924 participants with a central neurological disorder. The electronic Persistent Pain Outcomes Collaboration registry shows that after engagement with an interdisciplinary pain management service, there was a reduction in pain severity scores, interference, mean depression, anxiety and stress in both groups at end of an episode of care compared to referral. There was a significant difference in mean changes for pain catastrophising between those with a central neurological disorder (−10.3) and those without (−7.8). Conclusions This study shows that people with central neurological disorders can also benefit from interdisciplinary management and have similar results to those without these conditions.

Menopause symptoms and chronic pain in a national sample of midlife women veterans

2019 ◽  
Vol 26 (7) ◽  
pp. 708-713 ◽  
Author(s):  
Carolyn J. Gibson ◽  
Yongmei Li ◽  
Daniel Bertenthal ◽  
Alison J. Huang ◽  
Karen H. Seal
Keyword(s):  
Chronic Pain ◽  
Women Veterans ◽  
National Sample ◽  
Midlife Women

scholarly journals Internal health locus of control as a predictor of pain reduction in multidisciplinary inpatient treatment for chronic pain: a retrospective study

2019 ◽  
Vol Volume 12 ◽  
pp. 2095-2099 ◽  
Author(s):  
Elian Zuercher-Huerlimann ◽  
Julian A. Stewart ◽  
Niklaus Egloff ◽  
Roland von Känel ◽  
Martina Studer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Retrospective Study ◽  
Locus Of Control ◽  
Inpatient Treatment ◽  
Health Locus Of Control ◽  
Pain Reduction
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