Rowlingson J C, Hamill R J
Department of Anesthesiology, University of Virginia Health Sciences Center, Charlottesville 22908.
Mt Sinai J Med. 1991 May;58(3):267-72.
Chronic pain is a complex, multifaceted experience that leads not only to disability and dysfunction but also to suffering and unrealized human potential. To be effective, a pain management center must be multidisciplinary in concept as well as practice. It must employ practitioners whose assessments are not restricted to specialty interests. They must communicate effectively with other specialists and cooperate to design and implement the best treatment program for each patient. The ultimate goal is rehabilitation of the patient to a more functional life despite residual pain. This may involve breaking the doctor-shopping cycle for those patients seeking cure, detoxification to more appropriate medications, addressing personal and family conflicts through counseling, assisting the patient in resolving socioeconomic problems, and, ultimately, teaching the patient to function more effectively within the bounds of any physical limitations.
慢性疼痛是一种复杂、多层面的体验，它不仅会导致残疾和功能障碍，还会造成痛苦并使人无法充分发挥自身潜力。要想行之有效，疼痛管理中心在理念和实践上都必须是多学科的。它必须聘用那些评估不限于专业兴趣的从业者。他们必须与其他专科医生进行有效沟通，并合作设计和实施针对每位患者的最佳治疗方案。最终目标是使患者康复，过上功能更健全的生活，尽管仍有残留疼痛。这可能包括为那些寻求治愈的患者打破四处求医的循环，改用更合适的药物进行戒毒治疗，通过咨询解决个人和家庭冲突，协助患者解决社会经济问题，以及最终教会患者在任何身体限制的范围内更有效地发挥功能。
