Wednesday, May 16, 2012

Pain Management Guidelines | Simply Sweet Blog

This fourth printing of the The medical advances in the field of genetics, inheritance hence, are changing the landscape of medical knowledge of disease. This BLOG seeks to inform on progress providing guidance to the patient and his family as well as scientific information to professional health team speaking. Davinia Fernandez-Espejo, the Institute for Mind and Brain at the University of Western Ontario (Canada), has exhibited his work on patients in coma and vegetative state, the Congress of the Spanish Society of Neurosurgery, Las Palmas de Gran Canaria. The neuropsychologist has shown that vegetative patients are able to respond to certain stimuli. This research, begun in 2006, seeks to understand what happens in the brain of a person to be in a coma and, on the basis of these results to develop an effective treatment. The information obtained by researchers studying the brain of patients comatose and vegetative vital to understand its possible evolution. "Using MRI we perform various tests orders or these patients and observed the response of the brain, which concluded on various issues. For example, patients in a vegetative state that ask you to raise an arm physically do, but if your brain, which reacts as a healthy person, "he explains. Another method used by specialists to confirm the brain response of patients in a vegetative state are the latest developments in electroencephalograms. These tests help determine which brain areas are affected or are relevant to the patient, in order to find better treatments. In addition, Fernandez-Espejo has concluded that certain patients are able to feel pain, but do not react to it. "We have proven through tests like small electric shocks to make a finger. When interpreting the brain's response, it confirms in pain." That has caused some recommending the use of anesthetics to prevent suffering. Fernandez-Espejo is optimistic despite the fact that "now we have no effective treatments to reverse this state, mainly due to ignorance about what causes vegetative state. However, these studies will contribute to better understand the brain and achieve therapies. " It is true that there are some drug treatments have improved the state of the sick, "but insufficient". The profile of the patients studied by this team is that of a person who has spent several days or weeks in a coma and passed to a vegetative state. "The patient opens his eyes and making movements but is unable to control or respond to simple commands." Research on minimally conscious state is made in Spain, USA, Belgium and Canada. Fernandez-Espejo also insisted that, since it is possible to obtain responses of these patients, who experience pain, among other emotions, "the rules of the latest legal and ethical guidelines, which date from 2003, before this investigation, should be revised and updated. " Not only the specialist requests an update rules, other researchers also estimate that a committee of experts should meet to discuss this topic. The medical advances in the field of genetics, inheritance hence, are changing the landscape of medical knowledge of disease. This BLOG seeks to inform on progress providing guidance to the patient and his family as well as scientific information to professional health team speaking. A group of 13 researchers specializing in cancer, fitness, obesity and physical training is spreading the word of what is considered one of the most important messages for cancer patients and survivors: avoid physical inactivity. The group was convened last year by the American College of Sports Medicine (ACSM) to develop pain management guidelines on exercise and physical activity in patients in active treatment for cancer or who have already finished. In addition to promoting the benefits of exercise and physical activity for this group of patients, experts aimed to reformulate the guidelines, said lead author Dr. Kathryn Schmitz, Abramson Cancer Center of the University of Pennsylvania. This publication of the European Journal of Hospital Pharmacy, signed by Dr. Augusto Carraceni *, gives us a current and widespread opioid treatment of cancer patients and involvement interdisciplinary palliative care symptom control difficult situations and their integration into multidimensional approach of these patients. * Director of the Palliative Care Unit of the Hospital "Virgilio Floriani" of Milan and belonging to the National Cancer Institute. Prominent member of the European Association for Palliative Care whose main purpose is to promote, disseminate and support the development of palliative care in a universal scope. The article begins by mentioning the relevance of the WHO initiative to facilitate the availability and integrated approach to analgesic treatment in a cancer care program in developing countries began in 1982. One of the main objectives was to obtain extensive measures to better covered preventive, health education and therapy in these populations most in need. In terms of drug treatment, is recognized as an analgesic morphine needed to control pain when opioid analgesics and weak opioids are not enough. Thus was born the WHO analgesic ladder, which was published in 1986 (1,2). The great impact of these guidelines have promoted therapeutic use sequential use and have been adapted, with variations and extensions, for pain relief of a different nature from those that motivated its creation (non-malignant chronic pain, neuropathic pain, acute postoperative pain

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