Advocacy for patients with neuropathic pain

Ligia V Onofrei, A. Smith
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Abstract

Pain is a nearly universal yet highly individual experience, with broad determinants including genetic factors, mechanism of injury, medical comorbidities, social aspects, and variations in coping styles and belief systems. In this chapter we examine how pain impacts individuals, healthcare providers who care for individuals with pain, and the overall health system with an emphasis on the importance of advocacy at each level. Key issues include the importance of continuing research in developing effective treatments with minimal side effects, improving access to and understanding of complementary and alternative treatment modalities such as cognitive behavioural therapy, developing continuing medical education programmes that empower physicians in the management of complex pain disorders, developing educational materials for patients that enable them to participate in the prevention and/or treatment of pain disorders, and integrating efforts within and across institutions and at a health system level.
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倡导神经性疼痛患者
疼痛是一种几乎普遍但又高度个体化的体验,具有广泛的决定因素,包括遗传因素、损伤机制、医疗合并症、社会因素以及应对方式和信仰体系的变化。在本章中,我们将研究疼痛如何影响个人、照顾疼痛患者的医疗保健提供者以及整个卫生系统,并强调各级宣传的重要性。关键问题包括必须继续研究开发副作用最小的有效治疗方法,改善获得认知行为疗法等补充和替代治疗方式的机会和了解,制定继续医学教育方案,使医生有能力管理复杂的疼痛疾病,为患者编写教育材料,使他们能够参与预防和/或治疗疼痛障碍,并在机构内部和跨机构以及卫生系统层面整合工作。
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