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Titolo:
Evaluation of patients for implantable pain modalities: Medical and behavioral assessment
Autore:
Prager, J; Jacobs, M;
Indirizzi:
Univ Calif Los Angeles, Sch Med, Reflex Sympathet Dystrophy Inst, Los Angeles, CA 90095 USA Univ Calif Los Angeles Los Angeles CA USA 90095 Los Angeles, CA 90095 USA Univ Calif Los Angeles, Sch Med, Dept Anesthesiol, Los Angeles, CA 90095 USA Univ Calif Los Angeles Los Angeles CA USA 90095 Los Angeles, CA 90095 USA Univ Calif Los Angeles, Sch Med, Calif Pain Med Ctr, Los Angeles, CA 90095USA Univ Calif Los Angeles Los Angeles CA USA 90095 Los Angeles, CA 90095USA
Titolo Testata:
CLINICAL JOURNAL OF PAIN
fascicolo: 3, volume: 17, anno: 2001,
pagine: 206 - 214
SICI:
0749-8047(200109)17:3<206:EOPFIP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTTRAUMATIC-STRESS-DISORDER; SPINAL-CORD STIMULATION; BACK SURGERY SYNDROME; SEXUAL ABUSE; ANTECEDENT; ANXIETY; SYSTEMS; CARE;
Keywords:
behavioral evaluation; implantation; neuraxial drug administration; patient selection; spinal cord stimulation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Prager, J 100 UCLA Med Plaza,Suite 760, Los Angeles, CA 90095 USA 100 UCLA Med Plaza,Suite 760 Los Angeles CA USA 90095 90095 USA
Citazione:
J. Prager e M. Jacobs, "Evaluation of patients for implantable pain modalities: Medical and behavioral assessment", CLIN J PAIN, 17(3), 2001, pp. 206-214

Abstract

Background: Advances in neurobiology serve as the basis for current and evolving implantable pain modalities, consisting of neurostimulation and neuraxial drug administration systems. Appropriate treatment of pain begins with an accurate diagnosis based on thorough physical and behavioral evaluations. Measures: The medical evaluation includes a review of the patient's medical history, diagnostic studies, physical examination, complete diagnostic workup, and screening trial of the proposed implantable therapy. The behavioral evaluation includes a review of the patient's history and medical records. clinical interview, mental status examination. psychological testing. and determination of suitability for implantation. Conclusions: Patients with chronic pain are subject to neurophysiological,emotional. and behavioral influences that govern their perception of pain and of pain relief. Therefore. treatment of chronic pain is multidisciplinary, drawing on cognitive and behavioral psychological therapies, functionalrehabilitation. orthopedic and neurologic surgery, medications, nerve blockade, neuroaugmentative procedures, and sometimes neurodestructive procedures. Appropriate selection of patients helps ensure that implantable therapies are used for those who are most likely to benefit.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 18:41:17