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Documents  Douleur | enregistrements trouvés : 40

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Oral pain in the cancer patient | Septembre 2022 H

Article (Oncologie)

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Purpose of review: Oral pain is a common complaint in patients with cancer. This review aims to summarize the knowledge on the causes and approach to management of oral pain garnered over the past 2 years.

Recent findings: A systematic review and meta-analysis included in the review, assessed cannabinoid versus placebo and showed only a small effect on pain, physical function, and sleep quality. Another review showed that chemical neurolysis as an adjunctive therapy, is effective in patients with pain of shorter chronicity and refractory head and neck cancer-related pain.

Summary: Patients with cancer frequently experience oral pain because of a variety of factors. Factors inherent in the type and location of the malignancy, the modality of cancer treatment, and a holistic approach to management together contribute to their overall pain experience. Basic oral care should be implemented wherever possible, before, during, and after cancer treatment.
Purpose of review: Oral pain is a common complaint in patients with cancer. This review aims to summarize the knowledge on the causes and approach to management of oral pain garnered over the past 2 years.

Recent findings: A systematic review and meta-analysis included in the review, assessed cannabinoid versus placebo and showed only a small effect on pain, physical function, and sleep quality. Another review showed that chemical neurolysis as ...

Cancer ; Douleur ; Douleur - Traitement ; Cancer - Traitement

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Objectives: Painful infectious mouth conditions such as herpangina, hand-foot-and-mouth disease, and herpetic gingivostomatitis can cause pain, dehydration, and hospitalization in young children. Treatment for these conditions is generally supportive and directed toward pain relief from ulcerative lesions, thus facilitating oral intake, and preventing dehydration. Attempts at oral therapy at home and in the emergency department are often refused and immediately spit back out. This study evaluated the efficacy of intranasal fentanyl (INF) compared with a commonly used oral (PO) acetaminophen/hydrocodone formulation for the treatment of children with painful infectious mouth conditions.

Methods: This study was a prospective, nonblinded, randomized controlled noninferiority trial conducted in an academic tertiary care pediatric emergency department. The study enrolled children between the ages of 6 months and 18 years with painful infectious mouth lesions and poor oral intake. Patients were randomized to receive either INF (1.5 [mu]g/kg, intervention) or PO acetaminophen/hydrocodone (0.15 mg/kg, control) based on the dose of hydrocodone. The primary outcome was volume of fluid intake per body weight (in milliliters per kilogram) 60 minutes after analgesic administration. Secondary outcomes included pain scores using a validated visual assessment scale (VAS; 1, no pain; 10, worst pain), hydration score (VAS; 1, well hydrated; 4, very dehydrated), admission rate and overall satisfaction score (VAS; 1, worst; 7, best). A priori power analysis indicated that 34 patients would achieve an 81% power with an [alpha] value of 0.05.

Results: Of the 34 patients enrolled, 17 were randomized to INF and 17 to PO. The demographics between both groups were similar in age, weight, sex, and race. There were no significant differences in parental perception of pain (P = 0.69) or hydration status (P = 0.78). Oral fluid intake at 60 minutes was 20 mL/kg for INF versus 18 mL/kg for PO (P = 0.53). Pain scores at 15 and 30 minutes were 1.7 versus 2.9 (P = 0.09) and 0.6 versus 1.6 (P = 0.59). Parental perceptions of pain and hydration status at 60 minutes were 2.2 versus 2.4 (P = 0.77) and 1.7 versus 1.5 (P = 0.37). Overall parental satisfaction was 6.4 for INF versus 6.5 for PO (P = 0.71), and admission rate was 0 vs 12% (P = 0.49). There were no adverse events such as respiratory, cardiac, or central nervous system depression in either group.

Conclusions: Intranasal fentanyl seems to be a safe and effective alternative to acetaminophen with hydrocodone in reducing pain and improving hydration status in children with painful infectious mouth lesions and poor oral intake.
Objectives: Painful infectious mouth conditions such as herpangina, hand-foot-and-mouth disease, and herpetic gingivostomatitis can cause pain, dehydration, and hospitalization in young children. Treatment for these conditions is generally supportive and directed toward pain relief from ulcerative lesions, thus facilitating oral intake, and preventing dehydration. Attempts at oral therapy at home and in the emergency department are often refused ...

Douleur ; Urgences en pédiatrie

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Unbearable Suffering: A Concept Analysis | Juin 2022 H

Article (Soins infirmiers généraux)

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To understand and analyze the concept of "unbearable suffering" using a concept analysis method and to propose a new nursing diagnosis, the Walker and Avant method of concept analysis was used. Following the concept analysis method in 8 steps, a literature search was carried out in the MEDLINE, Dialnet, WOS, and PsycINFO databases between 2016 and 2020. Articles of theoretical or empirical nature, written in English, with the abstract available were included. As a result, 11 articles (4 theoretical and 7 empirical) were included. In addition, 2 cases were developed. The proposed new diagnosis, "unbearable suffering," refers to the situation of an individual who, because of a variety of factors, regardless of the cause, feels that he/she is unable to bear the suffering he/she is experiencing. The diagnosis is proposed for inclusion in "Domain 9: Coping/Stress Tolerance" and "Class 2: Coping Responses" of the North American Nursing Diagnosis Association taxonomy. Recognition of a nursing diagnosis for unbearable suffering could be key in identifying this type of suffering and facilitating interventions to reduce or mitigate it. Nurses play a fundamental role in situations of high levels of end-of-life suffering.
To understand and analyze the concept of "unbearable suffering" using a concept analysis method and to propose a new nursing diagnosis, the Walker and Avant method of concept analysis was used. Following the concept analysis method in 8 steps, a literature search was carried out in the MEDLINE, Dialnet, WOS, and PsycINFO databases between 2016 and 2020. Articles of theoretical or empirical nature, written in English, with the abstract available ...

Euthanasie ; SOINS INFIRMIERS ; Douleur

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Abstract: This study aims to investigate the relationship between binge-watching addiction and family, emotional, conduct, cognitive and anger control problems, hyperactivity, Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV)-ADHD Index, DSM-IV-Inattention, and DSM-IV-Hyperactivity Impulsivity in a large sample of healthy Turkish adolescents. The association between binge-watching behavior addiction and mood disorders in healthy adolescents was examined in this cross-sectional study conducted in Turkey. Participants completed both measures, The Binge-Watching Addiction Questionnaire and The Conners-Wells' Adolescent Self-Report Scale. An online survey of 189 adolescents was conducted. One hundred fourteen subjects (60.3%) were categorized into the binge-watcher group. Results showed important positive associations between binge-watching behavior and emotional, conduct, cognitive problems, and DSM-IV-Inattention. The conducted analysis showed an important association between high frequency of binge-watching and emotional problems (p < 0.001), conduct problems (p = 0.012), cognitive problems (p = 0.001), and inattention (p < 0.001). These findings contributed to our comprehension of adolescents' psychological correlates of television viewing behavior. Further researches on the relationship between extreme binge-watching and psychiatric disorders of adolescents are recommended.
Abstract: This study aims to investigate the relationship between binge-watching addiction and family, emotional, conduct, cognitive and anger control problems, hyperactivity, Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV)-ADHD Index, DSM-IV-Inattention, and DSM-IV-Hyperactivity Impulsivity in a large sample of healthy Turkish adolescents. The association between binge-watching behavior addiction and mood disorders ...

Autisme ; Troubles du spectre de l'autisme ; Empathie - Aspect social ; Douleur

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Patients with cancer are living longer, and many experience pain secondary to tumor invasion or as a consequence of cancer-directed therapies. Opioid use disorders and associated morbidity and mortality have increased with dramatic rise during the SARS-CoV-2 pandemic. National and international stakeholders have developed clinical practice guidelines in an effort to curb opioid misuse and overdose-related death. However, to ensure that patients with cancer do not experience barriers to adequate pain management, most of these guidelines are not intended for patients with cancer-related pain or for those receiving palliative or hospice care. Oncology, palliative, and hospice care providers are increasingly tasked with the management of severe disease-related pain in the setting of coexisting opioid use disorder without research on the most effective risk and harm reduction strategies to guide care.

Clinicians should be familiar with addiction medicine and chronic pain literature and be able to incorporate some of these best practices. This case study reviews the management of severe cancer-related pain in a patient with co-occurring opioid use disorder, utilizing many of the best practices in available clinical practice guidelines for the management of chronic non-cancer-related pain.
Patients with cancer are living longer, and many experience pain secondary to tumor invasion or as a consequence of cancer-directed therapies. Opioid use disorders and associated morbidity and mortality have increased with dramatic rise during the SARS-CoV-2 pandemic. National and international stakeholders have developed clinical practice guidelines in an effort to curb opioid misuse and overdose-related death. However, to ensure that patients ...

Cancer ; Opioïdes ; Douleur ; Soins palliatifs ; Toxicomanie

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Patients with cancer are living longer, and many experience pain secondary to tumor invasion or as a consequence of cancer-directed therapies. Opioid use disorders and associated morbidity and mortality have increased with dramatic rise during the SARS-CoV-2 pandemic. National and international stakeholders have developed clinical practice guidelines in an effort to curb opioid misuse and overdose-related death. However, to ensure that patients with cancer do not experience barriers to adequate pain management, most of these guidelines are not intended for patients with cancer-related pain or for those receiving palliative or hospice care. Oncology, palliative, and hospice care providers are increasingly tasked with the management of severe disease-related pain in the setting of coexisting opioid use disorder without research on the most effective risk and harm reduction strategies to guide care.

Clinicians should be familiar with addiction medicine and chronic pain literature and be able to incorporate some of these best practices. This case study reviews the management of severe cancer-related pain in a patient with co-occurring opioid use disorder, utilizing many of the best practices in available clinical practice guidelines for the management of chronic non-cancer-related pain.
Patients with cancer are living longer, and many experience pain secondary to tumor invasion or as a consequence of cancer-directed therapies. Opioid use disorders and associated morbidity and mortality have increased with dramatic rise during the SARS-CoV-2 pandemic. National and international stakeholders have developed clinical practice guidelines in an effort to curb opioid misuse and overdose-related death. However, to ensure that patients ...

Cancer ; Opioïdes ; Douleur ; Toxicomanie ; Soins palliatifs ; SOINS INFIRMIERS

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Religion and spirituality (R/S) literature is limited in its study of acute pain experiences within diverse samples. The present study aimed to distinguish how self-reported spirituality and empathy influence generosity within the context of the acute pain experience within a diverse sample. Analysis of covariance (ANCOVA) tests via SPSS 26.0 assessed differences of pain task on generosity task performance among participants of generous and greedy task conditions. Results of ANCOVAs found no significant relationship between anticipation of acute pain and subsequent generosity or between acute pain scores and subsequent generosity, and therefore there were no moderators or covariates of those relationships. There was a significant relationship between initial generosity condition and subsequent generosity choice. Physiological cold pressor data were analyzed via an analysis of variance (ANOVA) as a manipulation check of acute pain, with skin temperature and skin conductance suggesting the manipulation was successful, though heart rate showed nonsignificant change. Posthoc moderation analysis was conducted via an ANCOVA model. Each potential moderator was dichotomized into low score and high score groups via median split. Empathy was found to be a moderator of the relationship between generosity intervention group and subsequent generosity, with those in the generous condition and high in empathy most likely to pay forward generosity. Spirituality was not a moderator of the relationship between generosity intervention group and subsequent generosity. This study demonstrated the unique contributions of R/S and empathy factors to the overall picture of pain and generosity in a diverse sample and provides directions for future research.
Religion and spirituality (R/S) literature is limited in its study of acute pain experiences within diverse samples. The present study aimed to distinguish how self-reported spirituality and empathy influence generosity within the context of the acute pain experience within a diverse sample. Analysis of covariance (ANCOVA) tests via SPSS 26.0 assessed differences of pain task on generosity task performance among participants of generous and ...

Religions ; Spiritualité ; Empathie - Aspect social ; Douleur

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Purpose: The purpose of this study was to determine whether spasticity, pain, and fatigue symptoms were related to functional outcomes in people with stroke.

Design: A longitudinal correlation design was used.

Methods: Twenty-two stroke patients experiencing spasticity, pain, and fatigue were followed for 7 days over 6 weeks: 3 days in acute rehabilitation units, 3 days postdischarge to home/community, and an additional 1 day at 1 month postdischarge. Demographics, numeric ratings, and PROMIS tools were used to determine associations over time.

Results: Pain was related to fine motor activities on admission. Fatigue was significantly associated with activities of daily living, motor functions, mobility, and ability to perform physical tasks at 1 month. Spasticity was significantly related to activities of daily living, pain experiences and fatigue at 1 month.

Conclusions: Symptoms of spasticity, pain, and fatigue were associated with functional outcomes in this sample of patients.

Clinical Relevance to Rehabilitation Nursing: Symptoms can influence physical recovery; therefore, nurses could improve care through recognition of suspected correlation of symptoms in people with stroke.
Purpose: The purpose of this study was to determine whether spasticity, pain, and fatigue symptoms were related to functional outcomes in people with stroke.

Design: A longitudinal correlation design was used.

Methods: Twenty-two stroke patients experiencing spasticity, pain, and fatigue were followed for 7 days over 6 weeks: 3 days in acute rehabilitation units, 3 days postdischarge to home/community, and an additional 1 day at 1 month ...

Fatigue ; Douleur ; Insuffisance cardiaque

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Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, as well as co-occurring symptoms and QOL outcomes.

Methods: Patients (n = 405) completed questionnaires 6 times over 2 cycles of chemotherapy. Latent profile analysis was used to identify subgroups of patients with distinct sleep disturbance profiles.

Results: Three distinct sleep disturbance profiles (ie, low, high, very high) were identified. Compared with the low class, patients in the other 2 classes were significantly younger and less likely to be married and to exercise on a regular basis and received a higher number of previous treatments. Compared with the low class, patients in the other 2 classes reported higher levels of anxiety, depressive symptoms, morning and evening fatigue, and pain and lower levels of attentional function and QOL scores at enrollment.

Conclusions: This study is the first to use latent profile analysis to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles. Findings provide new insights on the associations between sleep disturbance and multiple co-occurring symptoms in these patients.

Implications for Practice: Clinicians can identify patients who are at the highest risk for sleep disturbance and recommend a variety of sleep hygiene interventions (eg, establishment of a bedtime routine), as well as initiate interventions for other co-occurring symptoms.
Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, ...

Anxiété ; Dépression ; Chimiothérapie ; Sommeil ; Fatigue ; Tractus gastro-intestinal - Cancer - Traitement ; Douleur ; Qualité de la vie ; Troubles du sommeil

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Ergothérapie et enfance sévèrement handicapée, je me souviens... | Février 2021 H

Article (DI, TSA et DP)

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L’ergothérapie peut être le métier passionnant de toute une vie, au-delà même du temps professionnel. L’auteure revient sur sa mobilisation principale auprès d’enfants puis de personnes en situation de handicap et de dépendance sévères, voire extrêmes. Rompant, il y a vingt ans, avec les établissements médico-sociaux pour exercer en cicat (centre d’information et de conseil sur les aides techniques), son objectif est resté le même : la qualité de vie au présent, en répondant en priorité aux besoins fondamentaux de sécurité, de communication, et au développement de toute autonomie possible. Cela suppose une forte motivation à se former, en multipliant les points de vue, et à collaborer à une compétence collective incluant les parents. Dans tout acte de soin ou de thérapie, elle invite à questionner les méthodes, leurs impacts positifs et négatifs, leur sens pour l’enfant, et à refuser l’inacceptable : la douleur, la maltraitance. Notre nature humaine fait de chacun, figure d’autorité ou soumis, un maltraitant en puissance. Elle porte aussi des voies d’évitement, en particulier la réflexion éthique et l’empathie.
L’ergothérapie peut être le métier passionnant de toute une vie, au-delà même du temps professionnel. L’auteure revient sur sa mobilisation principale auprès d’enfants puis de personnes en situation de handicap et de dépendance sévères, voire extrêmes. Rompant, il y a vingt ans, avec les établissements médico-sociaux pour exercer en cicat (centre d’information et de conseil sur les aides techniques), son objectif est resté le même : la qualité ...

Ergothérapie ; Rééducation ; Soumission ; Douleur ; Éthique

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Implementation of multimodal pain management regimens after total knee arthroplasty has increased patient satisfaction, decreased pain scores, and facilitated faster recovery.
A variety of oral and intravenous analgesics, including nonsteroidal anti-inflammatory drugs, gabapentinoids, acetaminophen, and opioids, can be employed preoperatively and postoperatively.
Neuraxial anesthesia, peripheral nerve blocks, and periarticular injections are effective pain modulators that should be implemented in concert with the anesthesia teams.
There is no consensus on the optimal multimodal pain regimen, and substantial variability exists between institutions and providers.
The goals of minimizing pain and improving functional recovery in the postoperative period must be considered in light of evidence-based practice as well as the risk profile of the proposed analgesic treatment.
Implementation of multimodal pain management regimens after total knee arthroplasty has increased patient satisfaction, decreased pain scores, and facilitated faster recovery.
A variety of oral and intravenous analgesics, including nonsteroidal anti-inflammatory drugs, gabapentinoids, acetaminophen, and opioids, can be employed preoperatively and postoperatively.
Neuraxial anesthesia, peripheral nerve blocks, and periarticular injections are ...

Analgésie ; Arthroplastie du genou ; Douleur

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Background: Opioid addiction affects patients of every race, sex, and socioeconomic status. Overprescribing is a known cause of the opioid crisis. Various agencies have implemented requirements and programs to combat practitioner overprescribing; however, there can be adverse ethical consequences when regulations are used to influence physician behavior. We aimed to explore the ethical aspects of some of these interventions.

Methods: We reviewed various interventions for opioid prescribing through the lens of ethical inquiry. Specifically, we evaluated (1) requirements for educational programs for prescribers and patients, (2) prescription monitoring programs, (3) prescription limits, (4) development of condition-specific pain management guidelines, (5) increased utilization of naloxone, and (6) opioid disposal programs. We also evaluated patient satisfaction survey questions relating to pain.

Results: The present analysis demonstrated that the following regulatory interventions are ethically sound: requirements for educational programs for prescribers and patients, robust prescription monitoring programs that cross state lines, increased prescribing of naloxone for at-risk patients, development of condition-specific pain management guidelines, improvement of opioid disposal programs, and elimination of pain-control questions from patient satisfaction surveys. However, implementation of strict prescribing limits without accommodation for procedure and patient characteristics may have negative ethical consequences.

Conclusions: Although the importance of addressing the current opioid crisis cannot be understated, as surgeons, we must examine ethical implications of any new regulations that affect musculoskeletal patient care.
Background: Opioid addiction affects patients of every race, sex, and socioeconomic status. Overprescribing is a known cause of the opioid crisis. Various agencies have implemented requirements and programs to combat practitioner overprescribing; however, there can be adverse ethical consequences when regulations are used to influence physician behavior. We aimed to explore the ethical aspects of some of these interventions.

Methods: We ...

Opioïdes ; Éthique ; Douleur

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La douleur de l’accouchement : un processus physiologique | Septembre 2019 H

Article | KP0_10 (GYN)

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Donner la vie est un moment unique, une transition majeure dont le couple se souviendra toute sa vie. La naissance devrait être envisagée comme une expérience personnelle multidimensionnelle (physique, psychologique, sociale et environnementale) et non comme un événement médical, afin de rappeler l’importance du soutien, de l’adaptation mère-enfant et du processus d’attachement, ainsi que la nature saine de l’accouchement.

Accouchement ; Douleur ; Physiologie humaine

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- 245 p.
Cote : WY100 B588 2018

Sous-titre sur la page couverture : Rôle de l'IDE; Prérequis, situations cliniques prévalentes, boîte à outils.

Résumé:
Comment s'y prendre dans une situation donnée? Quelles compétences pour prendre en charge le patient?

Cet ouvrage est destiné aux étudiants et aux professionnels infirmiers amenés à prendre en charge le patient douloureux.

En trois grandes parties:
1 - Les prérequis fournissent les notions indispensables du processus douleur et des options thérapeutiques pour aborder sereinement les situations cliniques prévalentes.
2 - Les situations cliniques prévalentes permettent de se familiariser avec la prise en charge sont expliqués. La conduite infirmière et/ou conseils aux patients, ainsi que le rôle propre et le rôle prescrit infirmiers, sont clairement identifiés.
3 - La boîte à outils détaille les aspects légaux, les outils d'évaluation et les traitements abordés dans les situations cliniques.

La compréhension est facilitée par une présentation sous forme de fiches en couleurs, et par de nombreux tableaux, photographies et illustrations.
Sous-titre sur la page couverture : Rôle de l'IDE; Prérequis, situations cliniques prévalentes, boîte à outils.

Résumé:
Comment s'y prendre dans une situation donnée? Quelles compétences pour prendre en charge le patient?

Cet ouvrage est destiné aux étudiants et aux professionnels infirmiers amenés à prendre en charge le patient douloureux.

En trois grandes parties:
1 - Les prérequis fournissent les notions indispensables du processus douleur ...

Douleur ; Douleur chronique ; Douleur chronique - Traitement ; SOINS INFIRMIERS

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- xxiv, 288 p.
Cote : WL704 A693p 2018

Douleur ; Douleur - Traitement

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- xii, 226 p.
Cote : WL704 F853c 2018

Douleur - Traitement ; Douleur ; Douleur chronique - Traitement

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- 232 p.
Cote : WL704.6 D861a 2014

Nul ne peut rester insensible face à la douleur et la souffrance. Nombre de personnes aux prises avec cette problématique sont en déroute devant leur état et cherchent tant bien que mal un moyen de se soulager.

Pour faciliter la compréhension des mécanismes de la douleur et de la souffrance, nous vous présentons plusieurs études scientifiques et essais cliniques. Vous serez amené aussi à mieux comprendre comment certaines approches complémentaires et techniques de relaxation peuvent être efficaces dans la gestion de la douleur.

Cette façon de faire «autrement» répondra ainsi à plusieurs interrogations et vous proposera d'autres choix et stratégies, de même que des exercices applicables dès maintenant.

Ces outils, qui s'adressent à tout le monde, peuvent être utilisés par les intervenants, les professionnels, les éducateurs, les aidants naturels (parents, amis, etc.) et par la personne affectée elle-même.

Dans le soulagement de la douleur et de la souffrance, le suivi médical demeure la pierre angulaire du traitement. C'est donc dans un contexte de complémentarité que s'inscrit cet ouvrage qui a pour but d'apaiser vos malaises et de vous offrir une meilleure qualité de vie.
Nul ne peut rester insensible face à la douleur et la souffrance. Nombre de personnes aux prises avec cette problématique sont en déroute devant leur état et cherchent tant bien que mal un moyen de se soulager.

Pour faciliter la compréhension des mécanismes de la douleur et de la souffrance, nous vous présentons plusieurs études scientifiques et essais cliniques. Vous serez amené aussi à mieux comprendre comment certaines approches com...

Douleur - Traitement ; Médecines parallèles - Pratique ; Souffrance ; Douleur

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- xi, 275 p.
Cote : WL704 H798f

Douleur ; Douleur - Traitement

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Douleur [40]

Douleur - Traitement [17]

Douleur chronique - Traitement [8]

Douleur chronique [6]

Soins palliatifs [4]

Cancer [3]

Douleur - Aspect physiologique [3]

Opioïdes [3]

SOINS INFIRMIERS [3]

Analgésie [2]

Douleur - Aspect psychologique [2]

Empathie - Aspect social [2]

Éthique [2]

Fatigue [2]

Mort - Aspect psychologique [2]

Souffrance [2]

Toxicomanie [2]

Accompagnement des mourants [1]

Accouchement [1]

Analgésiques [1]

Anesthésie [1]

Anxiété [1]

Appareil locomoteur - Examen [1]

Appareil locomoteur - Maladies - Traitement [1]

Arthroplastie du genou [1]

Arthrose [1]

Autisme [1]

Biblio-santé - Incapacité physique [1]

Cancer - Traitement [1]

Chimiothérapie [1]

Communication en médecine [1]

Dépression [1]

Deuil [1]

Douleur - Évaluation [1]

Douleur - Prévention [1]

Ergothérapie [1]

Euthanasie [1]

Fibromyalgie [1]

Insuffisance cardiaque [1]

Lombalgie [1]

Malades en phase terminale [1]

Maladies mentales - Traitement [1]

Médecine d'urgence [1]

Médecines parallèles - Pratique [1]

Méditation [1]

Neurophysiologie [1]

Pharmacologie [1]

Pharmacologie clinique [1]

Physiologie humaine [1]

Qualité de la vie [1]

Réanimation [1]

Rééducation [1]

Relations médecin-patient [1]

Religions [1]

Rhumatisme [1]

Rhumatologie [1]

SERVICES DE SANTÉ [1]

Soins en phase terminale [1]

Soins intégrés de santé [1]

Sommeil [1]

Soumission [1]

Spiritualité [1]

Thérapie d'acceptation et d'engagement [1]

Tractus gastro-intestinal - Cancer - Traitement [1]

Troubles du sommeil [1]

Troubles du spectre de l'autisme [1]

Urgences en pédiatrie [1]

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