scholarly journals Safety and efficacy of intrathecal ziconotide in the management of severe chronic pain

2009 ◽  
pp. 521 ◽  
Author(s):  
Howard Howard Smith
Keyword(s):  
Chronic Pain ◽  
Safety And Efficacy ◽  
Severe Chronic Pain

scholarly journals Further effort is needed to improve management of chronic pain in primary care. Results from the Arkys project

2016 ◽  
Vol 6 (2) ◽  
Author(s):  
Gaetano Piccinocchi ◽  
Roberto Piccinocchi
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Guideline Implementation ◽  
Therapeutic Strategies ◽  
Current Management ◽  
Analgesic Treatment ◽  
Therapeutic Decisions ◽  
Severe Chronic Pain ◽  
Nsaid Prescription ◽  
Strong Opioids

Treatment of chronic pain is challenging. The Arkys project was initiated in Italy to assist general practitioners (GPs) in the management of chronic pain. The main objective of this study was to determine the usefulness of Arkys for selecting new therapeutic strategies. An online interactive questionnaire for assessing pain and guiding therapeutic decisions was made available to GPs participating to Arkys. The GPs were invited to complete the questionnaire for each patient who presented moderate-severe chronic pain, and to decide on a new analgesic treatment based on the information provided by the questionnaire. Two hundred and forty four GPs participated with a total of 3035 patients. Patients (mean age 68.9 years) had mostly chronic non-cancer pain (87.7%). In 42.3%, pain had neuropathic components. Only 53.6% of patients were in treatment with analgesics (strong opioids, 38.9%; NSAIDs, 32.6%; weak opioids, 25.6%; anti-epileptics, 17.3%; paracetamol, 14.9%). Use of the questionnaire resulted in the prescription of analgesics to all patients and in increased prescription of strong opioids (69.7%). NSAID prescription decreased (12.8%), while anti-epileptics use remained stable. These findings show that current management of chronic pain in primary care is far from optimal and that efforts are needed to educate GPs and improve guideline implementation.

The God Prescription

2016 ◽  
Author(s):  
Lynn R. Webster
Keyword(s):  
Chronic Pain ◽  
Support System ◽  
Scientific Research ◽  
Nerve Damage ◽  
Faith Community ◽  
Pain Experience ◽  
God's Will ◽  
Severe Chronic Pain

“The God Prescription” profiles Walt Alexander, a devout Christian who developed severe chronic pain after suffering accidental nerve damage during surgery. Walt’s faith in God and his support system within his family and his faith community helped him endure his pain and look for the good that could come out of it. Conversely, his pain experience also deepened his submission to God’s will and enhanced his compassion for other people who are in need. Walt’s experience illustrates a truth that scientific research has established: belief tends to affect a person’s pain experience in a positive way. Chapter key idea: Believing in something or Someone bigger than yourself invites healing into your life.

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