Psychological management, prevention and treatment of phantom pain after amputations for tumours

Toméno, B; Anract, Philippe; Ouaknine, M.

doi:10.1007/s002640050243

Cited by 10 publications

(1 citation statement)

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“…Phantom limb pain, which occurs in more than 80% of amputations (Krane and Heller, 1995;Sherman and Sherman, 1983), has been identified as a potential risk factor for poor adaptation after amputation (Brown, 1990;Pell et al, 1993). If severe, this will impact negatively on the patient's quality of life (Tomeno et al, 1998).…”

Section: Common Non-functional Sequelae Following Severe Hand Injurymentioning

confidence: 99%

The Psychological Impact of Severe Hand Injury

Grob

Papadopulos

Zimmermann

et al. 2008

J Hand Surg Eur Vol

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The final outcome of severe hand injuries is not solely determined by the residual functional impairment, but is also a function of non-functional criteria, including the sequelae of the accompanying psychological trauma. This paper reviews the literature with respect to the psychological impact of severe hand injuries, including the special impact of amputations, adaptation processes, adaptation stages, prognostic criteria and aesthetic issues influencing the final individual outcome, including present recommendations for promoting a positive outcome. Motivated and psychologically stable people are reported to do well irrespective of the severity of a hand injury. In patients who find it difficult to cope mentally, successful treatment strategies have been proposed. Their implementation is in a constant state of evolution and includes not only improved surgical techniques and advanced pharmacological pain management but also early psychotherapeutic input and involvement of patients in decision making for treatment.

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