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J Pain Palliat Care Pharmacother ; 17(3-4): 53-61; discussion 63-4, 2003.
Article in English | MEDLINE | ID: mdl-15022951

ABSTRACT

Pain is a complex problem, for both those who are enduring it and those trying to relieve it. Most people in the developed world have access to adequate treatment and management of pain, the availability of trained and educated doctors and nurses, feasible opioid prescribing policies, as well as ready access to appropriate medication. Often, this is not the case in developing countries such as Thailand. This paper is based on recent experience in the southeast of Thailand providing pain relief for persons with HIV and AIDS in Rayong Province at the Camillian Social Centre. The severity and frequency of pain endured by this group of individuals presented a daily challenge. Problems encountered in providing pain relief for these patients and some potential solutions are described. There is a lack of literature on pain relief in Thailand.


Subject(s)
Community Health Services/organization & administration , HIV Infections/physiopathology , Pain/drug therapy , Palliative Care/methods , Analgesics, Opioid/supply & distribution , Analgesics, Opioid/therapeutic use , Developing Countries , Drug and Narcotic Control/legislation & jurisprudence , Humans , Morphine/therapeutic use , Pain/etiology , Patient Care Team , Thailand , Tramadol/supply & distribution , Tramadol/therapeutic use
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