Related Experiment Video
Updated: Jul 14, 2026
07:14
A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
Pain and palliative medicine.
Victor T Chang1, Brooke Sorger, Kenneth E Rosenfeld
1Section Hematology Oncology (111), Department of Veterans Affairs (VA) New Jersey Health Care System, East Orange, NJ 07018, USA. Victor.chang@med.va.gov
Journal of Rehabilitation Research and Development
|June 7, 2007
Summary
Severe pain affects many patients with advanced diseases. Rehabilitative therapy shows promise for improving pain control and function, suggesting broader applications in palliative care.
Area of Science:
- Palliative Care
- Pain Management
- Rehabilitative Therapy
Background:
- Severe pain is highly prevalent in advanced diseases like cancer, liver disease, heart failure, HIV, and renal failure, affecting 40-70% of patients.
- Current pain assessment and reporting methods vary widely, necessitating standardized approaches and the measurement of multiple symptoms in future research.
- Psychological interventions like hypnotherapy for pain and distress in palliative care populations remain difficult to ascertain, with growing interest in demoralization syndromes and PTSD's role in end-of-life pain.
Purpose of the Study:
- To review evidence on rehabilitative therapy's effectiveness in advanced cancer patients.
- To explore the potential of rehabilitation therapy for patients with other advanced diseases.
- To summarize ongoing trials for improving pain management in palliative care.
Main Methods:
- Review of multiple studies on rehabilitative therapy for advanced cancer patients.
- Analysis of ongoing clinical trials focusing on electronic order sets, clinical care pathways, and care management pathways.
- Application of Wagner's Chronic Illness Model to analyze healthcare system changes for pain management.
Main Results:
- Evidence indicates that rehabilitative therapy improves functional status and pain control in advanced cancer patients.
- Rehabilitation therapy is posited as potentially beneficial for patients with other advanced diseases.
- Ongoing trials are exploring innovative care pathways to enhance palliative pain management.
Conclusions:
- Rehabilitative therapy is an effective intervention for improving function and pain control in advanced cancer.
- Further research and systemic changes, guided by models like Wagner's Chronic Illness Model, are needed for optimal pain management in palliative care.
- Ensuring effective recognition, treatment, and monitoring of pain remains a critical goal in palliative care settings.
Related Concept Videos
01:25Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
01:25Analgesia and Pain Management
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:26Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
01:44Nociception
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain. Thus, pain helps the...
01:29Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...