Meyr Andrew J, Steinberg John S
Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA 19107, USA.
J Am Podiatr Med Assoc. 2010 Nov-Dec;100(6):511-7. doi: 10.7547/1000511.
The topic of pain management remains a minor component of the formal education and training of residents and physicians in the United States. Misguided attitudes concerning acute and chronic pain management, in addition to reservations about the legal aspects of pain management, often translate into a "fear of the unknown" when it comes to narcotic prescription. The intentionally limited scope of this review is to promote an understanding of the laws regulating pain management practices in the United States and to provide recommendations for appropriate pain management assessment and documentation based on the Model Policy for the Use of Controlled Substances for the Treatment of Pain established by the Federation of State Medical Boards of the United States.
疼痛管理这一主题在美国住院医师和医生的正规教育与培训中仍然只是一个次要组成部分。除了对疼痛管理法律方面有所保留外,有关急性和慢性疼痛管理的错误观念,在涉及麻醉药品处方时,往往会转化为一种“对未知的恐惧”。本综述有意限定范围,旨在促进对美国疼痛管理实践相关法律的理解,并根据美国州医学委员会联合会制定的《使用受控物质治疗疼痛的示范政策》,为适当的疼痛管理评估和记录提供建议。