Gaps in pain management in dermatology: A needs assessment from Canada

Bhullar, Sundeep; Gill, Jeewanjit; Beecker, Jennifer

doi:10.1016/j.jaad.2014.04.024

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Um estudo canadiano demonstrou que 83% dos especialistas sente-se desconfortável no tratamento da dor relacionada com o herpes zoster e 46% no tratamento da dor associada à úlcera de perna. 13 Esta revisão pretende colmatar esta necessidade ao abordar os aspetos fundamentais dos mecanismos da dor, bem como, os princípios que devem nortear a abordagem da dor aguda em contexto peri-operatório e da dor crónica associada a entidades dermatológicas específicas.…”

Section: Introductionunclassified

Abordagem da Dor em Dermatologia (Parte I)

Duarte

Roberto

Cruz

et al. 2018

SPDV

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RESUMO -A dor é um sintoma universal em Medicina e, na Dermatovenereologia, é transversal ao domínio médico e cirúrgico da especialidade. O controlo da dor aguda peri-operatória é um indicador de qualidade dos cuidados de saúde, sendo um fator determinante de morbilidade e de satisfação do doente. O tratamento pouco eficaz da dor crónica tem repercussões significativas na qualidade de vida e a nível socioeconómico. Esta revisão contempla os princípios gerais do tratamento da dor aguda peri-operatória e da dor crónica em Dermatovenereologia. Pretende-se sensibilizar para a importância da dor e contribuir para a redução da dor não controlada e a humanização dos cuidados prestados ao doente dermatológico. Nesta primeira parte da revisão, são abordados os aspetos epidemiológicos, a definição e o modelo conceptual atual para a compreensão da dor, bem como os fundamentos do tratamento da dor aguda peri-operatória. PALAVRAS-CHAVE -Dermatologia; Doenças da Pele; Dor; Medição da Dor; Procedimentos Cirúrgicos Dermatológicos; Tratamento da Dor. Pain Management in Dermatology (Part I) ABSTRACT -Pain is a major clinical symptom in medicine. In the scope of Dermatology, pain occurs most commonly in the surgical setting, but it is also associated with a wide spectrum of chronic medical entities. Control of acute perioperative

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Section: Introductionunclassified

Abordagem da Dor em Dermatologia (Parte I)

Duarte

Roberto

Cruz

et al. 2018

SPDV

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Management of Pain Associated with Selected Conditions in Dermatology

et al. 2016

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Dermatologists face a wide range of pain control challenges in daily practice, from the transient pain of dermatologic surgery to the persistent pain that plagues some chronic dermatologic conditions. Although the pathophysiology of pain is well described and the profound impact of dermatological pain on patients' quality of life is well appreciated, there is an identified need for clear therapeutic plans for providing symptomatic pain relief of common painful dermatoses. In this paper, we will review and clearly outline approaches to pain management of a number of common painful dermatoses such as herpes zoster and post-herpetic neuralgia, ulcers, oral dermatoses, dysesthesias, and many others.

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Management of pain in the inpatient and non-surgical outpatient dermatology settings: A narrative review

Bishnoi,

Shah,

Jain

et al. 2024

Indian J Dermatol Venereol Leprol

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Pain is frequently encountered in dermatology practice, which impairs the activities of daily living, adds to psychological morbidity, and therefore compromises the quality of life. It ranges from mild to severe in intensity across various dermatoses and requires prompt addressal and treatment. Diseases such as extensive pemphigus vulgaris and Stevens–Johnson syndrome are especially painful and require a multidisciplinary approach with the involvement of a pain specialist in their management. The main pathogenic types of pain include visceral nociceptive, somatic nociceptive, and neuropathic types, the latter two being most relevant in dermatological disorders. Somatic nociceptive pain is often seen in patients of Stevens–Johnson syndrome/ Toxic epidermal necrolysis, epidermolysis bullosa, pemphigus vulgaris, erythema nodosum, and hidradenitis suppurativa, while neuropathic pain is part of the disease process in dermatoses like leprosy, herpes zoster, and dysesthesia syndromes. Therapeutic approaches to pain management include the use of non-opioids (acetaminophen, non-steroidal anti-inflammatory agents), opioids, and non-pharmacological therapies, along with appropriate management of the underlying dermatosis. World Health Organisation (WHO) analgesic ladder remains the most commonly employed guideline for the management of pain, although treatment needs individualisation depending on the nature and severity of pain (acute/chronic), type of dermatosis, and patient factors. There is a paucity of literature pertaining to pain management in dermatology and this topic is often neglected due to a lack of awareness and knowledge of the topic. The present review aims to discuss the pain pathway, various painful conditions in the setting of medical dermatology practice, and their management along with relevant pharmacology of the commonly used analgesics.

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Gaps in pain management in dermatology: A needs assessment from Canada

Cited by 3 publications

References 3 publications

Abordagem da Dor em Dermatologia (Parte I)

Abordagem da Dor em Dermatologia (Parte I)

Management of Pain Associated with Selected Conditions in Dermatology

Management of pain in the inpatient and non-surgical outpatient dermatology settings: A narrative review

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