Definition of Pain management
Pain management: The process of providing
medical care that alleviates or reduces pain. Pain
management is an extremely important part of health care,
as patients forced to remain in severe pain often become
agitated and/or depressed and have poorer treatment
outcomes. Mild to moderate pain can usually be treated with
analgesic medications, such as aspirin or ibuprofen. For
chronic or severe pain, opiates and other narcotics are
often used, sometimes in concert with analgesics; with
steroids or non-steroidal anti-inflammatory drugs when the
pain is related to inflammation; or with anti-depressants,
which can potentiate some pain medications without raising
the actual dose of the drug, and which affect the brain's
perception of pain. Narcotics carry with them a potential
for side effects and addiction, so patients and caregivers
must weigh the level of pain against these dangers in the
pain management process. The risk of addiction is not
normally a concern in the care of terminal patients.
For
hospitalized patients with severe pain, devices for self-
administration of narcotics are now frequently used. Other
procedures can also be useful in pain management programs.
For bedridden patients, simply changing position regularly
or using pillows to support a more comfortable posture can
be effective. Massage, acupuncture, acupressure, and
biofeedback have also shown some validity for increased
pain control in some patients.
Last Editorial Review: 9/15/1999 12:26:00 PM
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