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A goal of pain management for the patient and their health care provider is to identify the amount of treatment needed to address the pain without going beyond that limit. [ 6 ] Another problem with pain management is that pain is the body's natural way of communicating a problem. [ 6 ]
Undertreatment of pain is the absence of pain management therapy for a person in pain when treatment is indicated. [citation needed]Consensus in evidence-based medicine and the recommendations of medical specialty organizations establish the guidelines which determine the treatment for pain which health care providers ought to offer. [1]
Cultural barriers may also affect the likelihood of reporting pain. Patients may feel that certain treatments go against their religious beliefs. They may not report pain because they feel it is a sign that death is near. Many people fear the stigma of addiction, and avoid pain treatment so as not to be prescribed potentially addicting drugs.
The patient's history and diagnosis are helpful in deciding whether or not the patient is developing a substance abuse problem. A patient having social or relationship problems may need to meet with a crisis counselor. During every shift that a nurse is on duty, they must do an assessment of the patient.
Pain psychology aims to treat the person in pain rather than strictly the pain itself. A pain psychologist’s job is to work with the mental health issues that can be feeding into the physical pain that the patient is experiencing, and help them manage and reduce the effect it has on their lives. [2]
Chronic visceral pain from vascular mechanisms is caused by changes in the arterial or venous blood vessels that supply blood to the viscera of the thoracic, abdominal, and pelvic cavities and the head or neck region. It can also be caused by a disorder of the vascular system that causes pain in other areas of the body. [28]
But there’s a human cost to maintaining a status quo in which perpetual relapse is considered a natural part of a heroin addict’s journey to recovery. Relapse for a heroin addict is no mere setback. It can be deadly. A sober addict leaves a treatment program with the physical cravings still strong but his tolerance gone.
Before treating a patient, a psychologist must learn as many facts as possible about the patient and the situation. A history of physical symptoms and a psychosocial history help narrow down possible correlations and causes.