Practical approaches for clinicians in chronic pain management: Strategies and solutions

IF 4.5 2区 医学 Q1 RHEUMATOLOGY Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI:10.1016/j.berh.2024.101934
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Abstract

Effective management of chronic pain necessitates multidisciplinary approaches including medical treatment, physical therapy, lifestyle interventions, and behavioral or mental health therapy. Medical providers regularly report high levels of stress and challenge when treating patients with chronic pain, which recur in part due to improper education on contributors to pain and misalignment in patient and provider goals and expectations for treatment. The current paper reviews common challenges and misconceptions in the setting of chronic pain management as well as strategies for effective patient education and goal setting related to these issues. The paper also outlines key aspects of provider burnout, its relevance for medical providers in chronic pain management, and recommendations for burnout prevention in navigating issues of patient education and treatment planning.

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为临床医生提供慢性疼痛管理的实用方法:策略与解决方案。
有效治疗慢性疼痛需要多学科方法,包括医疗、物理治疗、生活方式干预以及行为或心理健康治疗。医疗服务提供者经常报告在治疗慢性疼痛患者时面临很大的压力和挑战,其部分原因是对疼痛诱因的教育不当,以及患者和医疗服务提供者对治疗目标和期望的不一致。本文回顾了慢性疼痛治疗过程中常见的挑战和误解,以及与这些问题相关的有效患者教育和目标设定策略。本文还概述了医疗服务提供者职业倦怠的主要方面、其与慢性疼痛管理中医疗服务提供者的相关性,以及在处理患者教育和治疗规划问题时预防职业倦怠的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.40
自引率
0.00%
发文量
43
审稿时长
27 days
期刊介绍: Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.
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