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Published on: April 5, 2019
Psychological aspects of pain
A Renghi1, P Brustia, D Moniaci
1S.C.D.U. Anestesia I., Medical Faculty, University of West Piedmont, Ospedale Maggiore della Caritá di Novara, Corso Mazzini 18, I-28100 Novara, Italy.
Insights
Patients with critical limb ischemia (CLI) require comprehensive care beyond just the pathology. Addressing pain involves psychological interventions to modify pain perception and associated behaviors for better patient management.
Area of Science:
- Vascular Surgery
- Pain Management
- Psychology
Background:
- Critical limb ischemia (CLI) presents complex challenges for patients, often involving multiple comorbidities and previous unsuccessful interventions.
- CLI patients frequently navigate a fragmented healthcare system, seeking specialists and alternative therapies.
- The chronic and severe nature of CLI necessitates a holistic approach to patient care.
Purpose of the Study:
- To emphasize the importance of patient-centered care in managing critical limb ischemia (CLI).
- To highlight the crucial role of psychological interventions in controlling pain perception and associated behaviors in CLI patients.
Main Methods:
- This study focuses on the comprehensive management of patients with critical limb ischemia (CLI).
- It advocates for a shift from solely treating the pathology to managing the entire patient.
- Key methods include integrating pain perception management with psychological support.
Main Results:
- Effective pain control in CLI requires addressing not only the physical sensation but also the psychological aspects of pain.
- Psychological participation can alter the perception of pain, its meaning, and associated emotional and behavioral responses.
- A patient-centered approach is essential for improving outcomes in complex CLI cases.
Conclusions:
- Managing critical limb ischemia (CLI) demands a holistic strategy that encompasses psychological interventions for pain management.
- Physicians must adopt a patient-centered approach, considering the multifaceted needs of individuals with CLI.
- Integrating psychological support alongside traditional pain management can significantly improve the quality of life for CLI patients.
Abstract:
The patients affected by critical limb ischemia (CLI) are patients generally considered difficult cases, destined to repeated approach to the sanitary structures. They are patients affected by many pathologies since years, that they know to be potentially lethal often have already faced many interventions, with partial and not long-lasting benefits, they go from one specialist to another and sometimes they entrust themselves to alternative medicine. Physicians have to take in charge not the pathology but to take in charge the patient. For the control of the pain it turns out essential, near the block of the perception of the pain, to act with psychological participation, in order to interfere with the perception of the pain and the meant one of the pain, modify the feelings associated to the pain, modify the behavior induced by pain.
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