Postoperative pain documentation 30 years after
Publication date: April 2016 Source:Scandinavian Journal of Pain, Volume 11 Author(s): Michele Curatolo, Debra Gordon, Gregory W. Terman (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - February 9, 2016 Category: Anesthesiology Source Type: research
Assessment of persistent pelvic pain after hysterectomy: Neuropathic or nociceptive?
Publication date: April 2016 Source:Scandinavian Journal of Pain, Volume 11 Author(s): Cecilie Therese Hagemann, Unni Merete Kirste (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - February 9, 2016 Category: Anesthesiology Source Type: research
Definition, diagnosis and treatment strategies for opioid-induced bowel dysfunction—Recommendations of the Nordic Working Group
Conclusion and implications It is the belief of this Nordic Working Group that increased awareness of adverse effects and OIBD, particularly OIC, will lead to better pain treatment in patients on opioid therapy. Subsequently, optimised therapy will improve quality of life and, from a socio-economic perspective, may also reduce costs associated with hospitalisation, sick leave and early retirement in these patients. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - February 4, 2016 Category: Anesthesiology Source Type: research
Opioid-induced constipation, use of laxatives, and health-related quality of life
Conclusions The results suggest a high degree of moderate to very severe abdominal symptoms, a high degree of self-management of opioid-induced constipation, a low degree of satisfaction with laxative, and low health-related quality of life of patients suffering from chronic pain necessitating long-term opioid treatment, subsequent constipation and laxatives use. Implications Patients suffering from OIC with low quality of life and remaining symptoms despite use of two or more laxatives are a vulnerable patient group in need of optimized healthcare management, who also might benefit from more specific and innovative ther...
Source: Scandinavian Journal of Pain - January 26, 2016 Category: Anesthesiology Source Type: research
Social Anxiety, Pain Catastrophizing and Return-To-Work Self-Efficacy in chronic pain: a cross-sectional study
Conclusions In the context of pain and work-related communication, symptoms of social anxiety was identified as being of similar importance to the outcome as pain interference, while pain severity was not associated with the individual's confidence in communicating one's pain-related needs. Implications The results implicate that fears relating to pain-related social situations at work might be central in the process of return-to-work and rehabilitation in chronic pain. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - January 21, 2016 Category: Anesthesiology Source Type: research
The Survey of Pain Attitudes: A revised version of its pediatric form
Conclusions These findings will be helpful to researchers who wish to study the role that pain beliefs play in adjustment to pain in youth. Implications The results provide critical psychometric information about a revised version of one of the most used questionnaires to assess pain beliefs. The evidence presented will be helpful to researchers who want to study the role that pain beliefs play in adjustment to chronic pain in young people. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - January 21, 2016 Category: Anesthesiology Source Type: research
Transmucosal fentanyl for severe cancer pain: Nasal mucosa superior to oral mucosa?
Publication date: April 2016 Source:Scandinavian Journal of Pain, Volume 11 Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - January 21, 2016 Category: Anesthesiology Source Type: research
Postoperative pain documentation in a hospital setting: A topical review
Conclusions Postoperative pain documentation needs to be improved. Regular educational programmes and development of monitoring systems for systematic evaluation of pain documentation are needed. Guidelines and recommendations should be based on the latest research evidence, and systematically implemented into practice. Implications Comprehensive auditing tools for evaluation of pain documentation can make quality assessment easier and coherent. Specific and clear documentation guidelines are needed and existing guidelines should be better implemented into practice. There is a need to increase nurses’ knowledge of post...
Source: Scandinavian Journal of Pain - January 15, 2016 Category: Anesthesiology Source Type: research
Patient reported outcome measures of pain intensity: Do they tell us what we need to know?
Conclusions (1) Patients tend to report different levels of pain intensity when asked to report their pain over different periods; (2) insofar as it can be said to exist, the relationship between measures of intensity and interference with activities of daily living is minimal; (3) participants tend to report similar levels of pain intensity, irrespective of etiology. Implications (1) Chronic pain patients’ elicited beliefs and strategies concerning how they complete pain intensity questionnaires are sometimes, but not invariably, reflected in their responses to these measures. Thus, purely qualitative methodologies al...
Source: Scandinavian Journal of Pain - January 12, 2016 Category: Anesthesiology Source Type: research
The co-occurrence of chronic pain and psychological distress and its associations with salient socio-demographic characteristics among long-term social assistance recipients in Norway
Conclusions and implications Co-occurrence of chronic pain and psychological distress is common in LTRs and problems in early life are associated with the co-occurrence of chronic pain and psychological distress in adult life. Although this study cannot assign a clear direction or causality to the association between social and demographic characteristics and chronic pain and psychological distress, the findings when examining LTRs’ problems in childhood before the age of 16, indicated that incidents in early life create a probability of chronic pain and psychological distress in the adult life of the individuals. Furthe...
Source: Scandinavian Journal of Pain - January 12, 2016 Category: Anesthesiology Source Type: research
Peripheral morphine reduces acute pain in inflamed tissue after third molar extraction: A double-blind, randomized, active-controlled clinical trial
Conclusions Our results showed in patients undergoing surgical tooth removal that injection of 2mg of morphine into inflamed tissue results in significantly lower pain scores on swallowing in the early postoperative state while administration into non-inflamed tissue is not effective. Implications Our studies indicate that the peripheral administration of opioids, at the doses and conditions set out for these two studies, produces significant analgesia by a pharmacologically specific mechanism that is active in chronically, but not acutely, inflamed tissue. Thus, consistent with preclinical experimental studies, the requ...
Source: Scandinavian Journal of Pain - January 12, 2016 Category: Anesthesiology Source Type: research
Facilitation of accurate and effective radiation therapy using fentanyl pectin nasal spray (FPNS) to reduce incidental breakthrough pain due to procedure positioning
Conclusions and implications Certain necessary RT procedures in advanced cancer patients can cause severe BP episodes. A simple, safe, fast acting and strong analgesic is needed. FPNS is a rapidly absorbed opioid analgesic with a pain relief profile that would be particularly well suited for this patient population. By reducing BP, the drug enables the completion of necessary RT procedures without needless patient discomfort. When BP is attenuated, Department productivity is maintained and unnecessary delays are avoided. Further studies and clinical trials are needed to assess therapeutic FPNS dosages with a view to defini...
Source: Scandinavian Journal of Pain - January 12, 2016 Category: Anesthesiology Source Type: research
Importance of early diagnosis of complex regional pain syndrome (CRPS-1 and C RPS-2): Delayed diagnosis of CRPS is a major problem
Publication date: April 2016 Source:Scandinavian Journal of Pain, Volume 11 Author(s): Harald Breivik, Audun Stubhaug (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 20, 2015 Category: Anesthesiology Source Type: research
Characterization of persistent pain after hysterectomy based on gynaecological and sensory examination
Conclusions In this study persistent pelvic pain after vaginal or laparoscopic hysterectomy could be defined as persistent postsurgical pain in most cases and it was neuropathic in five out of nine patients. Pain had consequences on the health related quality of life. Implications Because persistent postsurgical pain seems to be the main cause of pelvic pain after hysterectomy, the decision of surgery has to be considered carefully. The management of posthysterectomy pain should be based on the nature of pain and the possibility of neuropathic pain should be taken into account at an early postoperative stage. (Source: Sc...
Source: Scandinavian Journal of Pain - December 19, 2015 Category: Anesthesiology Source Type: research
Complex Regional Pain Syndrome (CRPS) after viper-bite in a pregnant young woman: Pathophysiology and treatment options
Publication date: January 2016 Source:Scandinavian Journal of Pain, Volume 10 Author(s): Harald Breivik, Audun Stubhaug (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 18, 2015 Category: Anesthesiology Source Type: research
