Pain management is an essential component of quality care delivery for the critically ill patient. Because outcomes are difficult to predict in the intensive care unit (ICU), high-quality pain management and palliative therapy should be a goal for every patient. For those patients actively dying, palliation may be among the main benefits offered by the health care team. Appropriate palliation of pain begins with the use of effective strategies for recognizing, evaluating,and monitoring pain.
Skill in pain management requires knowledge of both pharmacologic and nonpharmacologic therapies. This article focuses on expertise in the use of opiates to facilitate confident and appropriate pain therapy. To optimize palliative therapy, symptoms are best addressed by interdisciplinary care teams guided by models that acknowledge a continuum of curative therapies and palliative care.
Emotional trauma and stress initiate the symptoms and are known to flare-up the disease. Furthermore, the stress from fibromyalgia’s pain and fatigue can cause anxiety and social isolation. The prevalence of depression is three times higher than someone without fibromyalgia. Women aged between 20-40 years old are affected seven times more than men.
Improving lifestyle, relaxation techniques and exercise, including water aerobics are the cornerstones in the management of fibromyalgia. A traditional method like medicine is preferably used along with complementary methods, including acupuncture for pain relief. Some foods such as sugar, unhealthy fats and alcohol may worsen symptoms by increasing inflammation, aggravating food sensitivities, or both.
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