关键词: History of Medicine Hospice Interdisciplinary Treatment Pain

Mesh : Humans Pain Management / history Patient Care Team / history History, 20th Century History, Ancient Palliative Care / history History, 21st Century History, 19th Century Palliative Medicine / history Health Personnel / history education History, 18th Century History, 17th Century History, Medieval History, 16th Century

来  源:   DOI:10.5644/ama2006-124.439   PDF(Pubmed)

Abstract:
The aim of our article is to highlight the history of pain management. The multidisciplinary team (MDT) concept in confronting pain was first conceptualized by the Hippocratics, and has evolved through time and become a trend in medicine over recent decades. Documentary research was conducted to unveil the story of the evolution of MDTs. From the early 1950\'s the idea of an MDT approach to deal with various types of pain was sporadically introduced in medicine. Studies encouraged health institutions to support this concept by providing health professionals with training, alongside the necessary facilities and resources. Specialized care programs started with Dame Cicely Mary Strode Saunders as one of the pioneers. CONCLUSIONS: Team work and continuous interdisciplinary treatment of pain have rendered MDTs essential for health systems. Barriers in flexibility, information flow and personal issues give rise to the need for better organization and training. Pain and terminal disease palliation call for MDTs, and educated leaders to run them. Present and future health MDTs are considered necessary in all medical fields.
摘要:
我们文章的目的是强调疼痛管理的历史。面对疼痛的多学科团队(MDT)概念首先由希波克拉底概念化,并随着时间的推移而发展,并在最近几十年成为医学的趋势。进行了纪录片研究,以揭示MDT演变的故事。从1950年代初开始,医学中偶尔引入了MDT方法来处理各种类型的疼痛。研究鼓励卫生机构通过向卫生专业人员提供培训来支持这一概念,以及必要的设施和资源。专业护理计划始于CicelyMaryStrodeSaunders夫人作为先驱之一。结论:团队合作和持续的疼痛跨学科治疗使MDTs对卫生系统至关重要。灵活性的障碍,信息流和个人问题导致需要更好的组织和培训。疼痛和晚期疾病缓解需要MDT,和受过教育的领导人来管理他们。当前和未来的健康MDT被认为在所有医学领域都是必要的。
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