Practice-oriented pain therapy in dermatology. Concept with special emphasis on pain quality

被引:0
作者
Bialas, P. [1 ]
Hubner, W. [1 ]
Vogt, T. [2 ]
Volk, T. [1 ]
Mueller, C. S. L. [2 ]
机构
[1] Univ Klinikum Saarlandes, Klin Anasthesiol Intens Med & Schmerztherapie, Homburg, Germany
[2] Univ Klinikum Saarlandes, Klin Dermatol Allergol & Venerol, Kirrberger Str, D-66421 Homburg, Germany
来源
HAUTARZT | 2018年 / 69卷 / 01期
关键词
Pain management; Pain perception; Nociceptive pain; Neuropathy; Drug administration schedule; MANAGEMENT; GABAPENTIN; PREGABALIN; COMPONENTS; GEL;
D O I
10.1007/s00105-017-4057-6
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
In order to avoid chronification of pain, appropriate treatment has to be started as early as possible. Inpatient dermatology patients not only suffer from old age and associated multimorbidities but also from characteristic pain due to distinct dermatological diseases. In many cases clinicians have little experience with specific pain treatment but instead have many concerns about how to deal with analgesics. So far chronic pain has been treated according to the pain ladder of the World Health Organization (WHO), which prioritizes the intensity of pain. This article presents an easily implementable concept of pain therapy with special emphasis on the quality of pain. This provides information on whether it is neuropathic or nociceptive pain, which can ultimately be differentially treated. The primary aim is to provide treating dermatologists with a concept to assist in the initiation of an efficient and correct pain therapy. This brief introduction of an individualized pain treatment can reduce the risk of chronification of pain, which can severely impair the quality of life particularly in dermatology patients and also the frequent stigmatization due to the dermatosis.
引用
收藏
页码:48 / 57
页数:10
相关论文
共 32 条
  • [1] [Anonymous], 2002, NAT CANC CONTR PROGR, V2nd
  • [2] [Anonymous], PRAKTISCHE SCHMERZTH
  • [3] [Anonymous], 2002, LEHRBUCH PSYCHOTHERA
  • [4] [Anonymous], 2007, PFLEGEPROZESS PRAXIS
  • [5] [Anonymous], 2003, ANGEW PHYSL SCHMERZE
  • [6] [Anonymous], SCHMERZTHERAPIE AKUT
  • [7] Analgesic effect of locally applied morphine to pyoderma gangrenosum
    Barker, S.
    [J]. CLINICAL AND EXPERIMENTAL DERMATOLOGY, 2009, 34 (01) : 91 - 92
  • [8] Beiteke U, 2015, J DTSCH DERMATOL GES, V13, P967, DOI [10.1111/ddg.12822, 10.1111/ddg.10_12822]
  • [9] Bennett Daniel S, 2002, J Pain Palliat Care Pharmacother, V16, P105
  • [10] Breakthrough pain treatment with sublingual fentanyl in patients with chronic cutaneous ulcers
    Domingo-Triado, V.
    Lopez Alarcon, M. D.
    Villegas Estevez, F.
    Alba Moratillas, C.
    Massa Dominguez, B.
    Palomares Paya, F.
    Minguez Marti, A.
    Debon Vicent, L.
    [J]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2014, 61 (08): : 429 - 433