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Short Notes on Pain Control 2017 - Dr Mark Burgin

18/10/17.Dr. Mark Burgin BM BCh (oxon) MRCGP considers the elements that should be included in a primer for clinical negligence cases involving pain control.

Although there are a large range of therapeutic approaches pain control is not possible in most cases of chronic pain so that reducing disability may be a more appropriate aim. (1)

Moore suggests that pain should be treated with a series of trials of treatment with different drugs followed by withdrawal of those drugs if they do not work. (2)

Once an effective strategy has been achieved then the patient should be given sufficient medication to take the effective dose as prescribed rather than as required.

There is evidence the chronic pain is associated with emotional changes, chronic pain - chronic anger, and this is associated with changes to the emotional centres of the brain.

Other causes

Failure to investigate the condition properly considering the structure with scanning if necessary, functionally with...

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