Nowe wytyczne dotyczące leczenia bólu neuropatycznego

Stępień, Adam; Domzal, T

doi:10.1016/s0028-3843(14)60133-x

Cited by 4 publications

(5 citation statements)

References 34 publications

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“…According to estimates, about 15 million people experience a stroke each year, including 5 million deaths and another 5 million disabilities [3,5,6,7].…”

Section: Introductionmentioning

confidence: 99%

“…It is a life-threatening condition, which is an absolute indication for urgent hospitalization (preferably in a specialized stroke unit). Etiologically, stroke is divided into: ischemic strokecaused by the cessation of blood supply to a part of the brain (80% -90% of stroke cases) due to cerebral artery occlusion, and hemorrhagic stroke -caused by a rupture of the cerebral artery wall and blood escaping from the vessel (20-10% of cases) [1,2,7]. The american outstanding neurologist C. Miller Fisher discovered TIA (transient ischemic attack).…”

Section: Introductionmentioning

confidence: 99%

“…In practice, it means the same neurological disorders as in a stroke, which completely disappear within 24 hours (their duration ranges from 2 to 15 minutes). Therefore, the only criterion is the time that allows to differentiate stroke from TIA [1,2,3,7].…”

Section: Introductionmentioning

confidence: 99%

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Selected aspects of nursing care for a patient after ischemic stroke in a care and treatment facility - a case study

Pawłowska-Muc,

Borek,

Maciąg

et al. 2024

J Educ Health Sport

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Cerebrovascular diseases (including strokes) are currently the second leading cause of death in the world [1,2]. In Poland, statistical data are quite diverse, depending on their source. Stroke patients are often at risk of chronic disability. A significant number of them are doomed to lose their independence and self-care for the rest of their lives. The aim of the study is to present selected nursing problems and ways to solve them in a patient after ischemic stroke who requires round-the-clock care in the field of nursing and care services as part of inpatient long-term care. The subject of the study is the process of nursing a patient diagnosed with ischemic stroke who requires round-the-clock care in the field of nursing and care services as part of long-term care. The study uses a research method - a case study, supported by individual observation, measurements, interview and analysis of medical records. Two scales were used to assess the patient's condition: Barthel and Norton. Conclusions: The individual care plan takes into account the most important problems arising from the specificity of the disease entity, needs and individual situation of the patient. The patient's care problems after a stroke are presented and proposed an effective solution to ensure the best possible care. Nursing and care difficulties have been properly recognized, which has enabled appropriate nursing interventions. Due to systematic prophylactic measures, the patient did not suffer from complications. A detailed interview and careful observation made it possible to plan and implementation of interventions (not only nursing) to provide comprehensive care. The urgent procedure of admitting the patient to the care and treatment facility contributed to the improvement of the quality and availability of health care services, which translated into an improvement in the patient's general condition.

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“…According to estimates, about 15 million people experience a stroke each year, including 5 million deaths and another 5 million disabilities [3,5,6,7].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Selected aspects of nursing care for a patient after ischemic stroke in a care and treatment facility - a case study

Pawłowska-Muc,

Borek,

Maciąg

et al. 2024

J Educ Health Sport

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“…The same lesion or disease may induce the development of neuropathic, somatic or even psychogenic pain. 2 The four criteria for grading NP diagnosis are as follows: I. Neuro-anatomical related pain. II.…”

Section: Introductionmentioning

confidence: 99%

Neuropathic Pain: Literature Review and Recommendations of Potential Phytotherapies

Raafat¹,

El-Haj²,

Shoumar³

et al. 2017

Phcog J

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Introduction:One of the common syndromes that affect humanity is neuropathic pain (NP), yet poorly understood with no efficient treatment till now. Consequently, it is extremely crucial to seek further evidence for accurate diagnosis and optimum treatment. The aim of this work is to summarize the findings related to neuropathic pain in terms of etiology, types, diagnosis, current and future management prospective, and identify the gaps in neuropathic pain therapy. Methods: A literature investigation was carried out by analyzing classical peer reviewed papers and textbooks, taking into consideration worldwide well established scientific databases mainly PUBMED and SCOPUS to retrieve accessible published literature. The selection of phytotherapies was based upon their potentials in relieving NP in pre-clinical or clinical models. Results: One of the most critical points in this research is that recommendations of the future plans should be focused on the engagement of phytotherapy in the treatment regimen aiming at improving patients' quality of life and reaching optimum efficacy and minimum toxicity. Phytotherapies offer relatively low-risk options to NP patients and have an increasing evidence to be the future of neuropathic pain management. Patients suffering from neuropathy are depending increasingly on phytotherapies; however, they need more clinical trials in order to fully understand their mechanism of actions. Conclusion: Health-care specialists should be regularly informed about neuropathic pain current therapies and promising future phytotherapies, bearing in mind the risk/benefit profile of the utilization of these therapies in the amelioration of NP. Consistent with this criteria NP can be classified into "defined" (all criteria present), "probable" (I and II, in addition either III or IV) or "possible" (I and II, with no confirmatory tests). 3 Moreover, risk factors and epidemiology are cornerstones in understanding NP. Risk factors and EpidemiologyThe literature survey has shown fewer studies on the NP epidemiology. A study on patients evidenced neuropathic pain in 8.2% of adult patients having significantly higher pain intensity than others in a British study. 1,4 Moreover, in a randomly selected adult population using the Douleur Neuropathique four Questions, neuropathic pain were identified in 6.9% of the examined persons in a French study. 5 NP risk factors includes: females, elderly age, minor level of education, living in a rural area worse health (compromised physical, mental and social wellbeing). [5][6][7][8][9] Pathomechanisms Pathomechanisms causing the development of NP are divided into 3 groups: first, electrophysiological properties of the cellular membrane of the first Post-amputation Pain Phantom pain was incident in amputated patients with extremity and stump pain located surrounding the post-surgical stump scar. 31 Due to the fact that strong opiods, tramadol, gabapentin, lidocaine infusions, calcitonin pregabalin or amitriptyline are recommended, evidence of effectiveness ...

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“…They include recommendations of expert groups commissioned by international medical associations, such as the International Association for the Study of Pain (IASP) and the European Federation of Neurological Societies (EFNS), as well as recommendations of national research associations in countries such as Australia, France, Canada and South Africa. Some of these recommendations have been presented previously to Polish physicians [1,2]. Differences related to the health care system and drug availability on the Polish pharmaceutical market necessitate adapting the recommendations to Poland-specific conditions.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of neuropathic pain: Review of literature and recommendations of the Polish Association for the Study of Pain and the Polish Neurological Society – Part one

Szczudlik

Dobrogowski

Wordliczek

et al. 2014

Neurologia i Neurochirurgia Polska

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Neuropathic pain still present a major diagnostic and therapeutic challenge despite considerable progress in understanding of its mechanisms and publication of number of studies which assessed the efficacy and safety of drugs used in the symptomatic treatment. In practice, it is diagnosed less frequently than recognised in the epidemiological studies, and many patients do not achieve satisfactory outcomes of treatment. A multidisciplinary team of Polish experts, commissioned by the Polish Association for the Study of Pain and the Polish Neurological Society, has reviewed the literature on neuropathic pain, with special focus on the published international recommendations, and formulated recommendations on neuropathic pain diagnosis and treatment, in accordance with the principles of evidence-based medicine. The paper presents also background information on the neuropathic pain definition, epidemiology, pathomechanism and method of assessment. The diagnosis of neuropathic pain may be established based on medical history and physical examination including special assessment of the somatosensory system. First-line drugs used in pharmacological management of neuropathic pain are: tricyclic antidepressants, serotonin and norepinephrine reuptake inhibitors, gabapentin, pregabalin, opioids and lidocaine patches.

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Nowe wytyczne dotyczące leczenia bólu neuropatycznego

Cited by 4 publications

References 34 publications

Selected aspects of nursing care for a patient after ischemic stroke in a care and treatment facility - a case study

Selected aspects of nursing care for a patient after ischemic stroke in a care and treatment facility - a case study

Neuropathic Pain: Literature Review and Recommendations of Potential Phytotherapies

Diagnosis and management of neuropathic pain: Review of literature and recommendations of the Polish Association for the Study of Pain and the Polish Neurological Society – Part one

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