Duraisamy Balaji P, Dighe Manjiri P, Muckaden Maryann A
Palliative Care Services, Department of Radiation Oncology, Tata Memorial Centre, Mumbai, India.
Indian J Palliat Care. 2011 May;17(2):155-8. doi: 10.4103/0973-1075.84539.
Neuropathic pain is a distressing symptom for the patient and a difficult symptom for the physician to treat. There is lack of evidence-based clinical guidelines for the management of malignant neuropathic pain. The case reflection is a personal account of what has been learnt from a critical incident in a particular patient in the management of neuropathic pain. Psychological issues are known to increase pain percetion and affect the quality of life. The case reflection explores problem areas, defines lacunae in knowledge, and demonstrates active learning of the management of neuropathic pain through reflective practice.
神经性疼痛对患者来说是一种令人痛苦的症状,对医生而言也是一种难以治疗的症状。目前缺乏关于恶性神经性疼痛管理的循证临床指南。该病例反思是个人对在一位特定患者的神经性疼痛管理中某一关键事件的经验总结。众所周知,心理问题会加剧疼痛感知并影响生活质量。该病例反思探讨了问题领域,明确了知识空白,并通过反思性实践展示了对神经性疼痛管理的积极学习。