International Journal of Pain Research and Treatment


Research Article of International Journal of Pain Research and Treatment How Surgery Saves Money: A Paradox Explained Tom Emerick1, Nelson Hendler, MD, MS2 1President, Emerick Consulting, former benefits executive for Burger King, British  Petroleum and Walmart; 2CEO, Mensana Clinic Diagnostics, former assistant professor of neurosurgery, Johns Hopkins University School of Medicine, and past president -American Academy of Pain Management Introduction “A new analysis from U.S. federal government actuaries say that Americans spent $3.65 trillion on healthcare in 2018, according to a report from Axios. “1  This impacts on companies, where health insurance benefits are the second largest cost in a service business, and 3rd largest in manufacturing business2.  Back pain alone accounted for $86 billion a year in 2008 3. The top 5 expenses for a commercial line of insurance were for back pain, osteoarthritis, childbirth, injuries, and non-hip/non- spine fractures4.  Work related injuries cost an estimated $1.2 trillion annually, which includes lost wage payment, medical care, and short and long term disability5. Of all health care expenses paid by a company, workers’ compensation becomes the most expensive, since the company pays not only for medical care, but also the lost wage of the employee. This is usually 66% of the employee’s salary, which come to the employee tax free. This provides the employee with essentially the same income received when at work. These generous benefits lead insurance adjusters to suspect potential for abuse. Estimates of fraudulent claims range from 1% to 80% depending on unsubstantiated reports in the insurance literature6,7,8,9. However, methods to identify fraudulent cases are not always productive. The State Auditor of the State of California reported that the $30,000,000 a year spent by the State of California to detect workers’ compensation fraud was not cost effective10. Detection methods used include Functional Capacity Evaluations (FCEs). However, Feeler ...


Research Article of International Journal of Pain Research and Treatment The Importance of Spirituality in coping with pain in the perspective of parents, in front of the communication of the diagnosis of children and adolescentes cancer Ana Paula Amaral Pedrosa1*, Edvaldo da Silva Souza2, Leopoldo Nelson F. Barbosa3, Maria Eduarda Pedrosa Bouçanova4, Mônica de Oliveira Osório5, Eliane de Nóbrega Albuquerque6 1Psicóloga, mestre em Educação em Saúde; 2Médico, doutor em Saúde Materno Infantil; 3Psicólogo, Doutor em Neuropsiquiatria;4Acadêmica de Medicina da Universidade de Pernambuco-UPE;5Psicóloga, mestre Psicologia Cognitiva;6Psicóloga, mestre em Hebiatria. 1,2,3,5,6 Docente da Faculdade Pernambucana de Saúde-FPS Introduction: In Brazil it is estimated that there will be 12,500 new cases of cancer in children and adolescents (up to 19 years). It is considered the second cause of death in the kids and adolescents population,for allregions of Brazil, according to the National Cancer Institute (INCA). Even with advances in medicine and a significant increase of about 70% in the survival rate of patients, cancer is still associated with death, pain, loss and suffering, bringing family, personal and social repercussions to patients and families. Objective: This study aimed to identify the importance of religiosity and spirituality as a coping mechanism used by caregivers in relation to the diagnosis of childhood and juvenile cancer. Method: Qualitative descriptive study. Approved by the CEP of the Institute of Integral Medicine Prof. Fernando Figueira - IMIP, with CAAE 10829312.0.0000.5201. Participants were 10 caregivers of patients under going treatment at a pediatric oncolog yunitat a reference hospital in the cityof Recife / PE. Results and discussion: The reports showed the relevance of spirituality as an emotional support to caregivers, a source of Faith and hope in understanding the coping strategy used, in the face of pain, anguish and uncertainty experienced in the search for re - signification and understanding of cancer and ...


Review Article of International Journal of Pain Research and Treatment THE PAIN OF WHO CARES FOR HEALTH: WHAT IS THE COMPASSION FATIGUE? Cybelle Cavalcanti Accioly1, Mônica de Oliveira Osório2, Eliane Nóbrega Albuquerque3 e Juliana do Nascimento Porto Behar4 Background: Health workers get sick annually because of the characteristics and routine of their work and the peculiarity of dealing with the pain of others. Being sensitive and predisposed to care for the other suffering, involves empathy and compassion. Continuous and prolonged exposure to this labor context can generate stress and exhaustion of the professional, due to prolonged affectation with the pain and suffering of others, which can cause fatigue through compassion. Objective: to reflect about compassion fatigue in the context of health. Methodology: bibliographic review. Results and discussion: Health professionals present a commitment that moves them to relieve and intervene in the pain of the other. When the care is lived exhaustively and chronically, with the excessive use of compassion, it can directly affect the health of the worker, interfering in their quality of life and in the execution of their work, leading to fatigue by compassion. Final considerations: Fatigue of compassion can impact psychologically on health professionals and the ability to tolerate pain and suffering of the patient, interfering negatively in their work. Therefore, it is necessary that more research be developed in the different fields of professional work in health, aiming to stimulate reflections and actions focused on the quality of life of these professionals Keywords: Compassion fatigue, Quality of life, Occupational Health, Psychology ...


Review Article of International Journal of Pain Research and Treatment THE ROLE OF BASIC CARE IN FOLLOW-UP PATIENT WITH CHRONIC PAIN Manoel Pereira da Silva Junior¹ *, Edvany Mendonça da Silva¹, Veronica Barbosa de Andrade¹, Clayton Gustavo dos Santos¹, Ianne Roberta Sales dos Santos¹, Ana Paula Miyazawa² INTRODUCTION: Chronic pain can be considered a pathology and not just a symptom, which negatively influences people’s quality of life, causing a decrease in autonomy, isolation and impact on social life. In this context, considering the pain related to chronic health problems, it can be stated that Primary Care represents a strategic service due to its high capillarity and potential to identify health needs of the population, supporting the organization of care throughout the healthcare 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 qualitative approach, conducted through literature review. DISCUSSION: Social determinants can be considered to strongly impact the prevalence of chronic diseases as well as their reflexes such as pain. Social inequalities, differences in access to goods and services, low education, and inequalities in access to information generally determine a higher prevalence of chronic diseases and diseases resulting from the evolution of these diseases. In this context, Primary Care plays a fundamental role as it represents a high capillarity strategic service. CONCLUSION: Primary Care has great potential to identify the health needs of the population, supporting the organization of care throughout the health services network, contributing to factors that negatively impact the health of the population causing pain and psychological distress. Keywords: Pain, Primary Health Care, Health Care ...

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International Journal of Pain Research and Treatment