ABSTRACT
Nowadays, chronic pain treatment units are comprised by multidisciplinary work teams on which the contribution by each professional involved contributes to the team objective to handle and control pain. Out of all the forms of treatment and action plans developed for patients which deal with all the biological, psychological and social needs related to their experiences with chronic pain, in this article the authors concentrate exclusively on those technological and invasive procedures that are most frequently carried out by medical teams in chronic pain units. In this sense, nurses play an active participatory role in those procedures carried out, mainly in outpatient clinics where a patient is treated as an outpatient and nurses perform clinical services without the need of hospitalization.
Subject(s)
Analgesia/methods , Analgesia/nursing , Pain/nursing , HumansABSTRACT
Actualmente las unidades de tratamiento de dolor crónico están constituidas por equipos multidisciplinares de trabajo, donde la acción de cada uno de los profesionales implicados contribuye finalmente al manejo y control del dolor. De todas las actividades desarrolladas con los pacientes atendiendo sus necesidades biopsicosociales implicadas en su experiencia de dolor, en el artículo se exponen, exclusivamente, los procedimientos tecnológicos e invasivos que con más frecuencia se realizan en las unidades de tratamiento de dolor. En este sentido la actividad enfermera tiene una participación activa en los procedimientos que se realizan, fundamentalmente en el hospital de día donde el paciente es tratado de forma ambulatoria(AU)
Nowadays, chronic pain treatment units are comprised by multidisciplinary work teams on which the contribution by each professional involved contributes to the team objective to handle and control pain. Out of all the forms of treatment and action plans developed for patients which deal with all the biological, psychological and social needs related to their experiences with chronic pain, in this article the authors concentrate exclusively on those technological and invasive procedures that are most frequently carried out by medical teams in chronic pain units. In this sense, nurses play an active participatory role in those procedures carried out, mainly in outpatient clinics where a patient is treated as an outpatient and nurses perform clinical services without the need of hospitalization(AU)
Subject(s)
Humans , Male , Female , Pain/nursing , Pain/therapy , Pain Clinics/organization & administration , Pain Clinics/trends , Ambulatory Care/methods , Iontophoresis/instrumentation , Iontophoresis/nursing , Electric Stimulation/instrumentation , Ancillary Services, Hospital/standards , Ancillary Services, Hospital , Day Care, Medical , Phentolamine/therapeutic use , Botulinum Toxins, Type A/therapeutic useABSTRACT
El dolor irruptivo o incidental es el síntoma más esperado y temido en pacientes con cáncer. El escaso tratamiento preventivo para el síntoma convierte las consultas a las unidades de urgencias en un hecho frecuente. El objetivo de este trabajo consiste en ampliar los conocimientos de enfermería sobre este tipo de tratamiento. Aprender a manejar opioides potentes (como el citrato de fentanilo) permite realizar una adecuada educación sanitaria sobre recomendaciones concretas para su uso. Actualmente el único fármaco diseñado específicamente para tratar el dolor irruptivo es el fentanilo oral transmucosa, de fácil y sencilla administración, importante rapidez de acción y con un buen perfil de seguridad. Como característica adicional, en las encuestas de satisfacción realizadas es el preferido por los pacientes como rescate habitual para las crisis álgidas. Su forma de administración sencilla e indolora, sumada a la rápida absorción, lo convierte en la analgesia con mayor efectividad en el control del dolor
Breakthrough or incidental pain is the most widely feared symptom in cancer patients. Because there is little preventive treatment for this symptom, it is a frequent cause of visits to emergency departments. The aim of this study was to increase nurses' knowledge of this type of treatment. Learning to manage potent opioids (such as fentanyl citrate) would allow nurses to provide health education to patients and their families on specific recommendations for their use. Currently, the only drug specifically design to treat breakthrough pain is oral transmucosal fentanyl, which is easily and simply administered, with fast onset of action and a good safety profile. As an additional characteristics, satisfaction surveys have demonstrated that oral transmucosal fentanyl is preferred by patients as routine rescue therapy for pain exacerbations. Because of its simple and painless administration and rapid absorption, this drug is the most effective analgesic in controlling pain
