International Journal of Pain Research and Treatment


    INTRODUCTION: Chronic pain can be considered a pathology and not just a symptom, which negatively influences people’s quality of life, leading to a decrease in autonomy, isolation and impact on social life. In this context, considering the pain related to chronic health problems, it can be affirmed that Basic Care represents a strategic service due to its high capillarity and potential to identify health needs of the population by subsidizing the organization of care throughout the network. health services. OBJECTIVE: To discuss the role of Primary Care in the management of patients with chronic pain. METHOD: This is a descriptive study of a qualitative approach, carried out through literature review. DISCUSSION: Social determinants can be considered to have a strong impact on the prevalence of chronic diseases as well as their reflexes, such as pain. Social inequalities, differences in access to goods and services, low level of schooling and inequalities in access to information generally determine a higher prevalence of chronic diseases and diseases caused by these diseases. In this context, Primary Care plays a fundamental role because it represents a strategic service with high capillarity. CONCLUSION: Primary care has great potential to identify the health needs of the population by subsidizing the organization of care throughout the health services network, contributing to factors that negatively impact the health of the population, causing pain and suffering.

  • Complimentary Care: Non-Pharmacological Pain Management

    Aristotle (4th century B.C.) described pain as emotion, being the opposite of pleasure. Whereas, Buddha stated “Pain is the outcome of sin”, as evidence that an individual was possessed by demons. In some religions it is the cost of attachment. Spiritual counseling thus may be more of a priority than medical management. Many non-physiologic factors (psychological, familial and societal attitudes, life stressors, and cultural or spiritual) contributing to the experience of and response to pain. Emotional stress such as anxiety and depression play a key role in experience of pain. Chronic pain is associated with increased levels of depressive symptoms, anxiety, and insomnia regardless of disability status. it has both modifiable factors (mental health, co-morbidities, smoking, alcohol, obesity, physical activity/exercise, sleep, nutrition, economic status and occupational) and non-modifiable factors (age, sex, cultural and socioeconomic background, history of trauma/ injury/ interpersonal violence, heritage). The relationship between increased BMI and chronic pain in adults seems intuitive and may be related, in part, to increased weight-bearing on joints, reduced physical activity and deconditioning. Patient with physical disabilities may have co-occurring chronic pain, but the prevalence and specific associated factors are unknown. Neuropathic pain (NeP) can be the result of a variety of conditions, including metabolic disease, infection, malignancy, trauma, medications, and toxins; estimates of 60% among those with chronic pain. Chronic pain affects 20% of the European population and is commoner in women, older people, and with relative deprivation. Its management in the community remains generally unsatisfactory, partly because of lack of evidence for effective interventions. Also, family and caregivers’ beliefs and attitudes towards pain, either positively and negatively to tolerate and express pain are important. Risk factors include socio-demographic, clinical, psychological, and biological factors. Pain increases depression risk 3-5-fold. Pain, rather than chronic disease, is associated with the recurrence of depressive and…

  • Chronic Pain in Patients With HIV / AIDS: a Literature Review

    Introduction: In the current context of health in Brazil, pain has been one of the main reasons for care in patients with HIV by health professionals. Objective: To investigate the topics covered in online journals about factors related to pain in patients affected by HIV / AIDS. Methodology: Review of the literature in October 2018 in the Regional Portal of the Virtual Health Library (VHL), using as descriptors “HIV”, “CHRONIC PAIN”, “DISEASE” and using as temporal cutback the last ten years. Results: The study sample consisted of 8 original articles, divided into three thematic categories: “Pain management”, “Pharmacological treatment” and “Consequences of pain”. Con-clusion: It is important that the multiprofessional health team is attentive and committed to iden-tify the factors related to chronic pain in PLHIV, since this way they can provide assistance aim-ing at the well being and comfort of the patient.

  • The effectiveness of hydrotherapy in patients with osteoarthritis of the knee

    Introduction:Osteoarthritis is a chronic degenerative disease that affects articular cartilage. Its signs and symptoms include morning stiffness, pain, decreased range of motion in the affected joint, limitations in functional activities, deformity with osteophyte formation, swelling and stiffness in the drive. Hydrotherapy is widely used by thrust account, dipping and reduced gravity, which is the differential treatment. Objectives: To analyze through literature reviews and case studies the effectiveness of hydrotherapy in patients with osteoarthritis of the knee. Methods: A literature review was performed from items available in Scielo databases, PubMed, Lilacs, Medline in August 2017, selecting articles published from 2012 to 2017. Results and Discussion: Initially found 55 studies with the proposed theme, among them, 47 were excluded according to the exclusion criteria. Selecting articles 8, 4 case studies and literature reviews 4. Results report that hydrotherapy helps both assisting in relieving the symptoms and the execution of activities of daily living. Conclusion: Later the acquired data, it can be concluded that the hydrotherapy program on rehabilitation of patients with osteoarthritis patients, was effective in terms of reducing the manifestations of pain and increase in range of motion of the knee. The pool exercises in technique is an excellent environment for rehabilitation of these patients due to buoyant force decrease the force of gravity, therefore, reduces the burden on the injured cartilage when immersed to the chest,Minimizing major changes and making the execution of the exercise less painful as they would be in the ground and thus more comfortable.

  • The use of acupuncture as a differential to control chronic pain

    Introduction: Acupuncture is a millenary therapeutic technique, whose practice implies the energetic balance of individuals. This therapy, usually, applies needles into acupoints, which when stimulated, promote several health benefits. With greater dissemination, Acupuncture has been an alternative means in the relief of chronic pain. Objectives: Describe the therapeutic efficacy of the use of Acupuncture in chronic pain control. Methodology: It is an integrative review, whose articles analyzed were obtained through analysis of databases: LILACS, MEDLINE and SciELO. The descriptors used were: Acupuncture, Pain, Nursing, and Traditional Chinese Medicine. Such analysis was held on September 22-24, 2017, using the following inclusion criteria: articles published in Portuguese, English and Spanish, from 2011 to 2016, and deleted all articles that do not possess the theme of the study. As a conductive question: The efficacy of the use of Acupuncture for chronic pains? Results and discussion: By means of the criteria 83 publications were identified, of which 72 were deleted by the eligibility criteria. Articles obtained have shown that the treatment is carried out at strategic points, which in some cases provide immediate analgesia and aims to improve or cure of chronic pain. Among the studies reviewed, technique as Electro Acupuncture, Auriculo Acupuncture, Craniopuncture are the most used and which allow the development of good results, aiming at a supplement and improvement of allopathic treatment, improving the prognosis of the patient. Conclusion: It seems clear, that the use of acupuncture, decreases the pain and discomforts levels, having an action similar with the chronic pain medicines.

  • Diagnosis and treatment of patients with trigeminal neuralgia

    Introduction: The trigeminal neuralgia is an idiopathic chronic disease known for its intense and unbearable pains. It is associated to the trigeminal nerve which is responsible for the sensation in the face and also motor functions such as the motor control of chewing muscles. The diagnosis is complex and requires a meticulous clinic examination – to be distinguished from others conditions – besides an evaluation of complementary and multidisciplinary exams aiming an effective treatment according to the needs of each patient. Objetives: The purpose of this article is to address the concept of the trigeminal neuralgia, pointing out its etiology, clinical features, diagnosis and treatment methods. Methodology: Several papers concerning the topic of interest were selected and analyzed through the searching means: Google academics, LILACAS and SCIELO. Results: The results show that the first drug chosen for treatment is Carbamazepine. The drug therapy can be broad, depending on each patient. When ineffective, surgical treatment is necessary, which may be by many techniques, with a 73% rate of positive results. Conclusion: The trigeminal neuralgia is considered the most prevalent and uncomfortable of the neuralgias. According to the analyzed researches, an adequate diagnosis allows an effective treatment.

  • The importance of qualified care of nursing in hanseniasis and neuropathies

    Introduction: Leprosy is a chronic infectious disease caused by the bacillus Mycobacterium leprae, popularly known as leprosy, and has great neuropathic potential, as it affects the nervous system, causing severe sequelae. It mainly affects low-income people, who live in places without basic sanitation and without adequate housing conditions. Because it is a secular disease and with immense prejudice, people who are affected seek health networks late because of fear, causing delay in diagnosis and bringing severe sequelae to them, and may even be irreversible. Objective: To understand leprosy and its neuropathic potential, emphasizing the importance of nursing a qualification. Methodology: This is a literature review, whose data collection was performed through the SciELO and Lilacs databases. A total of 8 conventional and non-conventional articles were found, using the descriptors leprosy, nursing, basic health unit and early diagnosis. Results and Discussion: In all forms of leprosy, there is a nervous compromise occurring a preference for the sensory-autonomic nerves of the dermis and in the region of the nerve trunk becoming a standard feature of the disease, so people tend to develop deficiency and physical deformities , But its impact will depend on the immunity of the individual. The nurse of the unit, properly trained becomes essential in the monitoring and healing process of the patient. Conclusion: It is of fundamental importance that nursing qualify to serve these users, so that in the future, they will not suffer from severe neuropathic sequelae, hindering their daily activities, their social experiences and self esteem.

  • The spirituality in the process of treatment for oncologics patients

    Introduction: Neoplasms are a kind of the principal chronic and degenerative diseases that more causes morbidity and death in the world, being indispensable the attempt to reduce the torment, thus, the spirituality comes like a support that promotes a better quality of life. Objectives: Describe like spirituality can to influence in the treatment of oncologics patient. Methodology: The present study is a revision of integrative role, whose reviewed articles were captured through database analysis: BDENF, LILACS and SciELO. The descriptors utilized were: Spirituality, Cancer, Oncology and Patient. This analysis were realized on september 22 ᶯ ͩ and 23ʳ ͭ , 2017; the criterions of the included were published articles in portuguese and english, in 2010 to 2016, being excluded all that haven’t adequation at thematic of study. By means of the criterions defined were found 124 publisheds, but, only 8 articles met the criterions of the principal objective. Results and Discussions: The oncologic diagnostic is seen in the contemporary society like incurable, although of exist many ways of treatment, this ascend the mental disorder in the patients and family that searches in the spirituality a protector paper against this morbidity. In the search of this spiritual care, scientific evidences shows that it has influenced the clinic and disease course, increasing thus the quality of life in the patient. Conclusion: Not is possible treat a singly disease, is important that the patient been integrated in the treatment with aspects biopsychosocial, spiritual and ecologic for that has a improvement or cure. With this, can accentuate that the spirituality is indispensable for a good diagnostic.