RT Book, Section
A1 Goldberg, Richard T.
A2 Warfield, Carol A.
A2 Bajwa, Zahid H.
SR Print(0)
ID 3410900
T1 Chapter 16. Inpatient Model of a Chronic Pain Management Program
T2 Principles & Practice of Pain Medicine, 2e
YR 2004
FD 2004
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071443494
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3410900
RD 2024/04/19
AB Chronic  pain  has  been  defined  by  Turk1,2  as  a  function  of  a  complex  interaction  among  demographic,  physical,  psychological,  social,  and  economic  factors,  including  age,  sex,  education,  medical  status,  pain  severity,  alcohol  and  substance  abuse,  beliefs  about  pain,  increased  used  of  medications  and  of  health  care  services,  and  a  generalized  adoption  of  the  sick  role.  Because  chronic  pain  is  multifactorial  in  nature,  the  use  of  any  one  modality,  pharmacologic  treatment,  alternative  medicine,  or  psychologic  approach  is  bound  to  fail.  Pain  management  in  an  inpatient  center  provides  a  model  of  interdisciplinary  treatment  consisting  of  medical  care,  medication  management,  physical  reconditioning,  training  in  body  mechanics,  meditation,  relaxation,  biofeedback  psychology,  and  milieu  therapy.  Patients  who  are  referred  to  an  inpatient  chronic  pain  program  commonly  experience  functional  disabilities,  social  dysfunction,  narcotic  and  alcohol  dependency,  child  abuse  history,  vocational  impairment,  dependency  on  the  public  welfare  system  and  the  workmen’s  compensation  system,  and  significant  psychiatric  disorders  that  are  both  antecedent  to  and  consequent  from  chronic  pain.  Therefore,  the  objectives,  treatment  procedures,  outcome  measures,  and  long-term  success  of  inpatient  chronic  pain  management  are  distinct  from  treatment  of  acute  pain,  malignant  pain,  and  postoperative  pain.