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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

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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...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Post-traumatic Stress Disorder01:27

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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
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 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,...
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Related Experiment Video

Updated: Sep 2, 2025

Spontaneous and Evoked Measures of Pain in Murine Models of Monoarticular Knee Pain
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Mindfulness-Based Interdisciplinary Pain Management Program for Complex Polymorbid Pain in Veterans: A Randomized

Donald D McGeary1, Carlos Jaramillo2, Blessen Eapen3

  • 1Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center San Antonio, San Antonio, TX; Department of Rehabilitation Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX; South Texas Veterans Health Care System, San Antonio, TX.

Archives of Physical Medicine and Rehabilitation
|August 9, 2022
PubMed
Summary

Interdisciplinary pain management significantly reduced pain-related disability in veterans with multiple health conditions. However, the program did not decrease opioid use compared to usual care.

Keywords:
Chronic painInterdisciplinaryMultiple traumaOpioidPain managementPolytraumaRehabilitation

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Area of Science:

  • Pain Management
  • Psychiatry
  • Clinical Research

Background:

  • Polymorbid pain patients with comorbid psychiatric conditions often experience significant disability and persistent opioid use.
  • Effective management strategies for this complex patient population are crucial.

Purpose of the Study:

  • To evaluate the impact of a 3-week interdisciplinary pain management program on pain-related disability and opioid reduction.
  • To assess the long-term efficacy of this intervention in veterans with multiple comorbidities.

Main Methods:

  • A two-arm randomized controlled trial was conducted with 103 military veterans.
  • Participants received either interdisciplinary pain management or usual care, with assessments at multiple follow-up points.
  • Pain disability and opioid use were measured using validated instruments.

Main Results:

  • Interdisciplinary pain management led to significantly greater reductions in pain-related disability at post-treatment, 6-month, and 12-month follow-ups compared to usual care.
  • No significant difference was observed in the proportion of participants who resumed opioid use between the two groups.
  • The aggregated effect showed a -9.1 point lower pain disability score for the interdisciplinary group.

Conclusions:

  • This study provides the first evidence for the short- and long-term efficacy of interdisciplinary pain management in polymorbid pain patients.
  • Further research is needed to identify effective strategies for decreasing opioid use in this population.