Behavioral Management of Pain: A Case Report

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mustafa Nadeem Kirmani ◽  
Shabahat Bano ◽  
Firdos Jahan
Keyword(s):  
Pain Management ◽  
Subjective Experience ◽  
Medical Condition ◽  
Sociocultural Factors ◽  
Body Parts ◽  
Behavioral Management ◽  
Psychological Arousal ◽  
Improper Use ◽  
Repetitive Strain

Pain results from complex interplay of biological, psychological & sociocultural factors. There are gamuts of medical and psychosocial factors which cause pain. The advent of technology and inordinate and improper use of computers and its components like key board and mouse are also associated with pain. It has been found both on the basis of research and clinically that software professionals often consult physicians for pain in different site of their body more specifically fingers, upper limbs, neck and forehead. This medical condition is known as Repetitive Strain Injury (RSI). It might result because of repetitive tasks, mechanical compressions or sustained or awkward positions. The patients of this medical condition often experience inflammation at different sites of body parts which are often involved in using computers. Unhealthy bodily postures are also associated with an issue. Pain is basically a sensory, emotional and subjective experience. High psychological arousal and cognitive set are significant factors which maintain or exacerbate the pain. In this paper, Behavioral management of pain specifically refers to brief cognitive, behavioral and mindfulness based psychological interventions in pain management. The current paper focuses on psychological factors related to pain and presented a case with RSI in holistic pain management and highlights the importance of incorporating biopsychosocial model in pain management for speedy recovery and better quality of life of patient.

scholarly journals Psychological Interventions in Pain Management

2015 ◽  
Vol 2 (3) ◽  
Author(s):  
Mustafa Nadeem Kirmani ◽  
Firdos Jehan ◽  
Rumana Sanam
Keyword(s):  
Pain Management ◽  
Behavioral Interventions ◽  
Subjective Experience ◽  
Healthcare Providers ◽  
Sociocultural Factors ◽  
Pain Patient ◽  
Daily Life Activities ◽  
Psychological Arousal ◽  
Professional Psychologists

Pain is among the most common somatic complaints. Fortunately, in only a minority of people is pain long lasting and severe, such that it interferes with daily life activities. Those with chronic, disabling pain present to healthcare providers repeatedly. Often they experience anxiety and depression, irritation, frustration and helplessness, and they suffer from insomnia and excessive medication use. It results from complex interplay of biological, psychological & sociocultural factors. There are gamut of medical and psychosocial factors which cause pain. Pain is basically a sensory, emotional and subjective experience. High psychological arousal and cognitive set are significant factors which maintain or exacerbate the pain. In this paper, psychological strategies of pain management are being discussed. The major focus being cognitive behavioral interventions. The paper focuses on psychological factors related to pain and the role of professional psychologists in dealing with cases of chronic or other pain related disorders. The paper highlights the importance of incorporating biopsychosocial model in pain management for speedy recovery and better quality of life of pain patient.

scholarly journals Long Covid/Post-Acute-Covid Syndrome as a ‘hybrid condition’ - A common framework for patients’ experience and pathophysiology

2021 ◽  
Author(s):  
Dirk Richter ◽  
Anastasia Theodoridou
Keyword(s):  
Subjective Experience ◽  
Medical Condition ◽  
Science Research ◽  
Sociocultural Factors ◽  
Pathophysiological Mechanism ◽  
Causal Pathways ◽  
Common Framework ◽  
Per Se ◽  
Patients Experience ◽  
Interactive Kinds

While hundreds of thousands of patients suffer from Long Covid/Post-Acute Covid-Syndrome, the condition still remains a medical conundrum. Patients’ experiences and symptoms cannot always be linked to a pathophysiological mechanism. We present a hypothesis that depicts Long Covid as a hybrid condition, which means that pathophysiology and patients’ experience are partly due to different causal pathways. On the background of neuroscience and philosophy of science research, we propose to consider the infection per se as an ‘indifferent kind’ and patients’ experiences as an ‘interactive kind’. Interactive kinds represent the interactions between the human brain, psychological experiences and sociocultural factors. This approach allows the integration of the subjective experience of Long Covid patients and the pathophysiology into a common framework. Practically, this framework may help to prevent sufferers from experiencing a devaluation of their perspective. Long Covid/Post-Acute Covid Syndrome is a real medical condition and affected patients are truly sick.

Cancer pain management

2014 ◽  
Vol 155 (3) ◽  
pp. 93-99
Author(s):  
Péter Heigl
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Pain Relief ◽  
Life Expectancy ◽  
Cancer Pain ◽  
Cancer Pain Management ◽  
Medical Activity ◽  
Short Summary ◽  
Adequate Quality

Pain is a significant and alarming symptom of cancer seriously affecting the activity and quality of life of patients. Recent research proved that inadequate analgesia shortens life expectancy. Therefore, pain relief is not only a possibility but a professional, ethical and moral commitment to relieve patients from suffering, as well as ensure their adequate quality of life and human dignity. Proper pain relief can be achieved with medical therapy in most of the cases and the pharmacological alternatives are available in Hungary. Yet medical activity regarding pain relief is far from the desired. This paper gives a short summary of the guidelines on medical pain management focusing particularly on the use of opioids. Orv. Hetil., 2014, 155(3), 93–99.

Measuring patient engagement among cancer patients in eHealth and mHealth interventions on symptom management: an integrated review (Preprint)

2020 ◽  
Author(s):  
Juqing Zhao ◽  
Pei Chen ◽  
Guangming Wan
Keyword(s):  
Cancer Patients ◽  
Patient Engagement ◽  
Symptom Management ◽  
Subjective Experience ◽  
Participation Rate ◽  
Sensor Data ◽  
Quality Of Data ◽  
Mhealth Intervention

BACKGROUND There has been an increase number of eHealth and mHealth interventions aimed to support symptoms among cancer survivors. However, patient engagement has not been guaranteed and standardized in these interventions. OBJECTIVE The objective of this review was to address how patient engagement has been defined and measured in eHealth and mHealth interventions designed to improve symptoms and quality of life for cancer patients. METHODS Searches were performed in MEDLINE, PsychINFO, Web of Science, and Google Scholar to identify eHealth and mHealth interventions designed specifically to improve symptom management for cancer patients. Definition and measurement of engagement and engagement related outcomes of each intervention were synthesized. This integrated review was conducted using Critical Interpretive Synthesis to ensure the quality of data synthesis. RESULTS A total of 792 intervention studies were identified through the searches; 10 research papers met the inclusion criteria. Most of them (6/10) were randomized trial, 2 were one group trail, 1 was qualitative design, and 1 paper used mixed method. Majority of identified papers defined patient engagement as the usage of an eHealth and mHealth intervention by using different variables (e.g., usage time, log in times, participation rate). Engagement has also been described as subjective experience about the interaction with the intervention. The measurement of engagement is in accordance with the definition of engagement and can be categorized as objective and subjective measures. Among identified papers, 5 used system usage data, 2 used self-reported questionnaire, 1 used sensor data and 3 used qualitative method. Almost all studies reported engagement at a moment to moment level, but there is a lack of measurement of engagement for the long term. CONCLUSIONS There have been calls to develop standard definition and measurement of patient engagement in eHealth and mHealth interventions. Besides, it is important to provide cancer patients with more tailored and engaging eHealth and mHealth interventions for long term engagement.

scholarly journals Pain management after lung surgery

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Maria Frödin ◽  
Margareta Warrén Stomberg
Keyword(s):  
Quality Of Care ◽  
Pain Management ◽  
Postoperative Pain ◽  
Severe Pain ◽  
Postoperative Pain Management ◽  
Lung Surgery ◽  
Moderate Pain ◽  
Number Of Patients ◽  
Severe Postoperative Pain

Pain management is an integral challenge in nursing and includes the responsibility of managing patients’ pain, evaluating pain therapy and ensuring the quality of care. The aims of this study were to explore patients’ experiences of pain after lung surgery and evaluate their satisfaction with the postoperative pain management. A descriptive design was used which studied 51 participants undergoing lung surgery. The incidence of moderate postoperative pain varied from 36- 58% among the participants and severe pain from 11-26%, during their hospital stay. Thirty-nine percent had more pain than expected. After three months, 20% experienced moderate pain and 4% experienced severe pain, while after six months, 16% experienced moderate pain. The desired quality of care goal was not fully achieved. We conclude that a large number of patients experienced moderate and severe postoperative pain and more than one third had more pain than expected. However, 88% were satisfied with the pain management. The findings confirm the severity of pain experienced after lung surgery and facilitate the apparent need for the continued improvement of postoperative pain management following this procedure.

scholarly journals Pain Assessment: Benefits of Using Pain Scales for Surgical Patients in South Bohemian Hospitals

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 171
Author(s):  
Vera Olisarova ◽  
Valerie Tothova ◽  
Martin Cerveny ◽  
Vendula Dvorakova ◽  
Petr Sadilek
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Pain Assessment ◽  
Exploratory Study ◽  
Surgical Patients ◽  
The South ◽  
Pain Scales ◽  
Emotional Component ◽  
Attention To Pain

Pain is a medical and nursing problem that is common in surgical departments. Inadequate pain management can lead to patient distress, as well as extending the period in which the patient’s quality of life is reduced. The standardized SF-MPQ-2 questionnaire provides nurses with the opportunity to assess pain within a broader context. The aim of this descriptive and exploratory study was to describe the state of pain assessment in surgical patients in the South Bohemian Region and to highlight the benefits of using a standardized tool for proper pain assessment. The research was carried out using a quantitative survey within the South Bohemian Region (Czech Republic). The participants in the study were nurses working in surgical departments in hospitals in the region as well as hospitalized patients. The results show that nurses pay slightly more attention to pain assessments than doctors. We know that, generally, pain decreases with time after surgery. Nonetheless, returning pain, as well as continuous pain, can occur, both of which have an emotional component. The results of this study are directed at nurses and include a call for more effective pain management through improved assessment.

scholarly journals Bone Pain in Multiple Myeloma (BPMM)—A Protocol for a Prospective, Longitudinal, Observational Study

Cancers ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1596
Author(s):  
Marta Diaz-delCastillo ◽  
Rebecca E. Andrews ◽  
Aritri Mandal ◽  
Thomas L. Andersen ◽  
Andrew D. Chantry ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Myeloma ◽  
Observational Study ◽  
Bone Turnover ◽  
Bone Pain ◽  
Subjective Experience ◽  
Prospective Longitudinal ◽  
Bone Turnover Biomarkers

Multiple myeloma (MM) is a bone marrow neoplasia that causes bone pain in 70% patients. While preclinical models of MM have suggested that both nerve sprouting and nerve injury may be causative for the pain, there is a lack of clinical data. Thus, the primary aims of this clinical study are: (1) to provide a deep characterization of the subjective experience of pain and quality of life in MM patients; (2) to investigate disturbances in the bone innervation of MM patients. Secondary aims include exploring correlations between pain and serum inflammatory and bone turnover biomarkers. In a prospective, observational study (clinicaltrials.gov: NCT04273425), patients with suspected MM requiring a diagnostic iliac crest biopsy at Sheffield Teaching Hospital (UK) are invited to participate. Consenting patients answer seven standardized questionnaires assessing pain, quality of life and catastrophizing. Bone turnover biomarkers and inflammatory cytokines are measured in fasting serum samples, and bone innervation is evaluated in diagnostic biopsies. MM patients are invited to a follow-up upon completion of first line treatment. This will be the first deep characterization of pain in MM patients and its correlation with disturbances in bone innervation. Understanding how bone turnover and inflammation correlate to pain in MM is crucial to identify novel analgesic targets for this condition.

scholarly journals Conversion of land use and household livelihoods in Vietnam: A study in Nghe An

2021 ◽  
Vol 6 (1) ◽  
pp. 82-92
Author(s):  
Tran Tuan Nguyen
Keyword(s):  
Quality Of Life ◽  
Land Use ◽  
Industrial Park ◽  
Average Income ◽  
Positive Side ◽  
Current Period ◽  
Improper Use ◽  
The Relationship ◽  
Double Impact

Abstract This article describes the relationship between the land use purpose conversion and households’ livelihoods in suburban Vinh City, Nghe An province. In the survey with 170 households losing their land to build the VSIP Nghe An industrial park project, this article shows the double impact of this issue. (1) On the positive side, households’ quality of life in the current period shows a significant improvement. They are living in better conditions with more spacious houses and modern facilities than before. The average income of households increased by 900 USD than before. (2) On the negative side, the unemployment rate increases with women older than 35 years and men older than 40 years. Along with the improper use of compensation received, income sustainability is a doubt for these households’ future.

scholarly journals Prevalence of nocturia among community-dwelling adults: a population-based study in Malaysia

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hui-Yin Yow ◽  
John Jeh Lung Tiong ◽  
Chun-Wai Mai ◽  
Esther van der Werf ◽  
Zulkifli Md Zainuddin ◽  
...  
Keyword(s):  
Medical Condition ◽  
Population Based ◽  
Community Dwelling ◽  
Medical Attention ◽  
Night Time ◽  
Cross Sectional ◽  
Population Based Study ◽  
Waking Up ◽  
The Impact

Abstract Background Nocturia is widely prevalent condition with detrimental effects on quality of life and general health. In Malaysia, there is a lack of up-to-date prevalence study on nocturia. This study aimed to investigate the prevalence of nocturia and awareness pertaining to nocturia among Malaysian adults. Methods A cross-sectional population-based study was conducted among Malaysian adults aged ≥ 18 years old. The data was collected by mixed mode self-administered questionnaire from May 2019 to September 2019. Nocturia was defined as one or more voids at night. Results There were a total of 4616 respondents with 74.5% of response rate. The overall prevalence of nocturia among Malaysian adults was found to be 57.3%. In multivariate analysis, respondents aged 31–40 (1.91 [1.52–2.40]) or > 60 years old (2.03 [1.48–2.71]), and those who presented with hypertension (2.84 [2.28–3.53]), diabetes mellitus (1.78 [1.42–2.25]), renal disease (3.58 [1.93–6.63]) or overactive bladder (1.61 [1.10–2.35]) were associated with higher prevalence of nocturia. A significantly lower disease prevalence (p < 0.05) was noted among those aged 41–50 (0.73 [0.59–0.91]), male (0.78 [0.69–0.88]) and Chinese (0.47 [0.30–0.74]) or Indian (0.34 [0.21–0.54]) ethnicities. A total of 37.3% of respondents with nocturia reported that they faced sleeping difficulty about half the time or more after waking up in the middle of night. Those who had ≥ 2 voids per night experienced significantly higher mean bother score than those who had 1 void per night (p < 0.001). Approximately half (56.7%) of all respondents were not aware that night time urination is a medical condition. Only 25.2% of respondents with nocturia had sought medical attention for their nocturia. Conclusions The prevalence of nocturia among Malaysian adults is high and strongly influenced by age, sex, race and comorbidities. However, the general awareness pertaining to nocturia being a health issue remains low among Malaysians. The findings also highlighted the impact of nocturia on sleep and the need for nocturia education to better address this disease.

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