Klinische Schmerzkonsile

Erlenwein, Joachim; Schlink, J.; Pfingsten, M.; Petzke, Frank

doi:10.1007/s00482-012-1212-y

Cited by 15 publications

(1 citation statement)

References 24 publications

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“…acute and/or chronic; cancer and/or non-cancer related), which resulted in various possible acute, chronic, or cancer pain phenomena. Such multiple causes of pain were also found in other settings, for instance, in patients seen by a specialised pain consultation service of a university hospital [18,19]. Pre-existing chronic pain is a risk factor for both increased acute and chronic post-operative pain [20,21].…”

Section: Discussionmentioning

confidence: 88%

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

et al. 2014

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BackgroundA minority of patients with incurable and advanced disease receive specialised palliative care. Specialised palliative care services that complement the care of difficult and complex cases ought to be integrated with services that deliver general care for most patients. A typical setting in which this integrative concept takes place is the hospital setting, where patients suffering from incurable and advanced disease are treated in many different departments.The aim of the study is to investigate the profile and spectrum of a palliative care consultation service (PCCS) at a German university hospital with special reference to pain therapy.MethodsWe retrospectively analysed the PCCS documentation of three years.ResultsMost patients were referred from non-surgical departments, 72% were inpatients, and 28% were outpatients. 98% of the patients suffered from cancer. Counselling in pain therapy was one of the key aspects of the consultation: For 76% of all consulted patients, modifications of the analgesic regimen were recommended, which involved opioids in 96%. Recommendations on breakthrough-pain medication were made for 70% of the patients; this was an opioid in most cases (68%). The most commonly used opioid was morphine. For 17% of the patients, additional diagnostic procedures were recommended. Besides pain management palliative care consultation implied a wide range of recommendations and services: In addition to organising home care infrastructure, palliative care services supported patients and their families in understanding the life-limiting diseases. They also coordinated physical therapy and social and legal advice.ConclusionThis survey clearly shows that for a consultation service to support patients with incurable or advanced disease, a multi-disciplinary approach is necessary to meet the complex requirements of a needs-adapted palliative care in inpatient or outpatient settings. Timely integration of palliative expertise may support symptom control and may give the required advice to patients, their carers, and their families.

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Section: Discussionmentioning

confidence: 88%

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

et al. 2014

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A follow‐up on Acute Pain Services in Germany compared to international survey data

Erlenwein

Koschwitz

Pauli-Magnus

et al. 2015

European Journal of Pain

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Vorbestehender Schmerz als Komorbidität im postoperativen Akutschmerzdienst

et al. 2013

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Pre-existing pain is a common comorbidity in surgery patients treated by the APS. There were no significant differences in treatment requirements and quality of care between the patients. This is in contrast to other studies of postoperative pain management which showed that patients with pre-existing postoperative pain had higher pain intensity. This indicates indirectly that the presence of pre-existing pain should be further evaluated as a potentially useful indication for the support by an APS. However there is an urgent need for further studies to clarify whether this indirect effect can be replicated at other hospitals or in other patient collectives. Also it has to be clarified what benefits pain patients have from this kind of treatment: if they benefit from the APS in general or from the special technique, if there is a long-term effect lasting beyond treatment in the APS or if this group of patients would benefit in general from multiprofessional and non-invasive concepts of acute pain treatment.

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Klinische Schmerzkonsile

Cited by 15 publications

References 24 publications

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

A follow‐up on Acute Pain Services in Germany compared to international survey data

Vorbestehender Schmerz als Komorbidität im postoperativen Akutschmerzdienst

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