Pain medication contracts for problem patients
PsychosomaticsPublished 1 February 1979
Robbi D. Simons, James L. Morris, Hugh A. Frank, Linda C. Green, Ruth M. Malin
Citations7
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Abstract
Pain manifested by hospital patients is a source of concern for both patients and staff. The staff's attempts to provide reasonable freedom from pain are not always satisfactory to the patient, however. Demands for increasing medication often become struggles between patient and staff for control, and such struggles may seriously interfere with treatment. Pain medication contracts can aid communication and decrease power struggles.
Keywords
Medicine
The American Journal of Medicine“Psychogenic” pain and the pain-prone patient
954 Citations1959George L. Engel
The general principles formulated in this paper may be summarized as follows: What is experienced and reported as pain is a psychological phenomenon and disordered neural patterns originating in the periphery confer certain qualities on the pain experience that permit the physician to recognize their presence and hence make a presumptive diagnosis of an organic lesion.
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Psychotropic medications, particularly the tricyclic antidepressants, are effective in many instances of central pain, and help increase the pain tolerance and decrease the need for narcotics in other pain states.
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