关键词: Addiction Assessment instruments Assessment scales Assessment tools Cancer pain Chemical coping Minimal clinical important difference Opioid risk Pain Pain assessment Pain measurement Pain syndrome Personalized pain goal Physical dependence Pseudoaddiction Substance abuse Tolerance Total pain

Mesh : Analgesics / therapeutic use Analgesics, Opioid / therapeutic use Chronic Pain / drug therapy Humans Medical Marijuana / therapeutic use Opioid-Related Disorders / prevention & control Pain Management Pain Measurement / methods Risk Assessment / methods

来  源:   DOI:10.1007/s11912-020-00999-4

Abstract:
Pain is a multi-faceted symptom. Effective pain assessment involves properly defining the pain syndrome, utilizing various assessment tools, and recognizing different conditions which may affect the expression and the management of pain.
Pain results from multiple physical and psychosocial etiological interplay. It has traditionally been categorized as acute or chronic with chronic pain having been categorized further into 6 categories in ICD 11. At the same time, the opioid epidemic and the recent surge in cannabis popularity further complicates pain assessment and effective pain management. Adequate management of pain begins with proper assessment including conducting extensive medical and psychosocial history and physical examination, and utilizing various pain and substance risk assessment tools. An interdisciplinary team approach may be more effective in managing complex pain behaviors compared to a solo approach.
摘要:
疼痛是一个多方面的症状。有效的疼痛评估包括正确定义疼痛综合征,利用各种评估工具,并认识到可能影响疼痛的表达和管理的不同条件。
疼痛是多种生理和心理社会病因相互作用的结果。传统上将其分类为急性或慢性慢性疼痛,在ICD11中进一步分类为6类。同时,阿片类药物的流行和最近大麻流行的激增进一步使疼痛评估和有效的疼痛管理复杂化.对疼痛的充分管理始于适当的评估,包括进行广泛的医学和心理病史以及体检。并利用各种疼痛和物质风险评估工具。与单独方法相比,跨学科团队方法在管理复杂的疼痛行为方面可能更有效。
公众号