Nonnarcotic Methods of Pain STUDENTS

Management
CASTRO, VICTORIA - OLTHOFF, EVELIN - PASIK SIEGEL, VANESSA

HIGHER SCHOOL OF MEDICINE

NATIONAL UNIVERSITY OF MAR DEL PLATA
It is a review article, and was published in the New England Journal of Medicine in June 2019. It was written by
Nanna B. Finnerup.

WHAT IS PAIN?
PATIENT'S EDUCAT ION WHERE DOES DRUGS ACTS?
It's important educate to patients about the nature of the pain and the
patient's ability to prevent and cope with pain through interdisciplinary
pain management programs.

PAIN Involve the patient in the pain management plan antidepressant analgesics,
and in the election of therapy. anticonvulsant analgesics,
It is an unpleasant sensory acetaminophen
Combine pharmacological and non-pharmacological treatment for
and emotional experience acute and chronic pain management.

associated with actual or TREATMENT SHOULD ALWAYS BE INDIVIDUALIZED

carbomazepine,
potential tissue damage lacosamide,
when there is no physical PAIN TREATMENTS lidocaina

derangement.

NON- PHARMACOLOGICAL
CLASSIFICATION OF PAIN
PHARMACOLOGICAL
According to the temporal aspects: acute pain, chronic pain, Drugs that act in different parts
psychological therapies of the nervous system: Pharmacological and interventional treatments sometimes
ongoing pain and paroxysmal pain.
only reduce the pain just a little. We must consider that all
hypnosis On the brain: antidepressant
According to its origin: primary pain, neuropathic pain, post surgical drugs have side effects, and many times they interfere with
analgesics, anticonvulsant
pain, post traumatic pain, visceral pain, musculoskeletal pain and mindfulness people's quality of life.
analgesics, NSAIDs.
headache pain.
EVALUATION OF PAIN cognitive therapy On the spinal cord: As future health professionals, we must educate and train
carbamazepine, ourselves to ensure safe and effective evidence based
According to: pain intensity, pain interference, coexisting conditions, biofeedback
lacosamide, lidocaine. treatments. The approach for the treatment must be
psychological functioning, physical functioning, social aspects, fear-
individualized.
avoidance behavior, pain catastrophizing and self-efficacy. stress management
On peripheral receptors:
KEEP IN MIND! carbamazepine, lacosamide
and lidocaine. PATIENT EDUCATION AND PSYCHOLOGICAL
The intensity of pain is subjective. The perception can be altered because Pharmacologic, interventional and surgical treatments are considered
TREATMENTS ARE USED SUCCESSFULLY FOR
the patient perceives pain as a threat. appropriate only in refractory cases, which are cases where there is no THE TREATMENT OF CHRONIC PAIN.
response to treatment.