Spencer Meg
Gandarra Palliative Care Unit, Ballarat, Australia.
J Pain Palliat Care Pharmacother. 2003;17(3-4):53-61; discussion 63-4.
Pain is a complex problem, for both those who are enduring it and those trying to relieve it. Most people in the developed world have access to adequate treatment and management of pain, the availability of trained and educated doctors and nurses, feasible opioid prescribing policies, as well as ready access to appropriate medication. Often, this is not the case in developing countries such as Thailand. This paper is based on recent experience in the southeast of Thailand providing pain relief for persons with HIV and AIDS in Rayong Province at the Camillian Social Centre. The severity and frequency of pain endured by this group of individuals presented a daily challenge. Problems encountered in providing pain relief for these patients and some potential solutions are described. There is a lack of literature on pain relief in Thailand.
疼痛是一个复杂的问题，对于忍受疼痛的人和试图缓解疼痛的人来说都是如此。在发达国家，大多数人能够获得对疼痛的充分治疗和管理，有训练有素、受过教育的医生和护士，可行的阿片类药物处方政策，以及随时获得适当药物的途径。然而，在泰国等发展中国家，情况往往并非如此。本文基于泰国东南部最近在罗勇府卡米利安社会中心为艾滋病毒和艾滋病患者提供疼痛缓解的经验。这群人所忍受的疼痛的严重程度和频率构成了每日的挑战。文中描述了为这些患者提供疼痛缓解时遇到的问题以及一些潜在的解决方案。泰国缺乏关于疼痛缓解的文献。
