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Updated: Mar 19, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
Integrated pain and palliative medicine model.
Sushma Bhatnagar1, Mayank Gupta2
1Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India. sushmabhatnagar1@gmail.com.
Effective pain and symptom management are crucial in palliative care. Integrated pain and palliative medicine services are needed to address the growing discrepancy between patient needs and healthcare provider capacity, especially in developing countries.
Area of Science:
- Palliative Care
- Pain Management
- Oncology
Background:
- Pain is a common and distressing symptom for cancer and palliative care patients.
- Millions die in pain annually, highlighting a critical gap in care.
- Effective pain and symptom management are central to improving quality of life (QOL).
Purpose of the Study:
- To review the need, advantages, barriers, and recommendations for integrated pain and palliative medicine services.
- To address the increasing discrepancy between patient pain and palliative care physician availability.
- To advocate for equitable implementation and delivery of palliative care.
Main Methods:
- Comprehensive literature review on integrated pain and palliative medicine.
- Analysis of manpower shortages and disease prevalence.
- Exploration of training needs and policy formulation.
Main Results:
- A significant shortage of healthcare professionals skilled in pain and palliative care exists.
- The discrepancy is exacerbated by rising cancer rates and advanced treatments.
- There is a need for integrated, holistic pain and palliative care models.
Conclusions:
- Training healthcare professionals in pain and symptom palliation is essential.
- Integrating pain management into existing fellowships and healthcare systems is recommended.
- Research, evidence building, and policy formulation are crucial for personalized patient management.
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