Can Physical Therapists identify malingered pain in the clinical setting? – August 2011
Background: Many physiotherapists use tools in an attempt to detect malingering; however, there are discrepancies within the literature as to their ability to identify patients who malinger.
Purpose: To survey the literature available on diagnostic tools that could be used in physiotherapy practice and their ability to detect malingering of pain.
This is the holy grail: to find an objective test for pain, one that can definitively determine its existence and, even more ambitiously, measure the “amount” of pain.
Of course, that can’t happen because the horrible feeling of being in pain is the brain’s interpretation of signals it’s getting from the body and other parts of the brain – a very intricate and convoluted process. Continue reading
Notable and prolific blogger, Allie Brosh, provided this more useful chart and better descriptors for our pain experience.
Suicide is always an option for us’: Pain patients beg for more options – by Maggie Fox / Jul.10.2018
At this week’s Food and Drug Administration hearing on chronic pain, accommodations were at the forefront.
And the agency says it wants to be accommodating in other ways as it tackles the opioid crisis. Thus, a meeting was called simply to listen to people’s stories about their pain and how they may, or may not, handle it.
It was a room full of some very unhappy people. Continue reading
Patient Privacy Threatened By End of Legal Decency | American Council on Science and Health – By Jamie Wells, M.D. — June 3, 2018
While our culture is preoccupied with violations of consumer data privacy yielding targeted marketing for shoes, travel or food preferences, law and advertising firms are leading a more nefarious erosive charge on patient privacy.
Unbeknownst to emergency room visitors, companies are setting up digital geofences around hospital perimeters that capture mobile phone entry to the premises. Continue reading
Francis Collins: We can’t forget people with chronic pain in fight against opioid abuse | FierceHealthcare | by Tina Reed | Jun 4, 2018
National Institutes of Health Director Francis Collins, M.D., is warning against forgetting chronic pain patients as his agency looks for solutions to curb opioid abuse.
Speaking at an NIH meeting on chronic pain and the opioid crisis, he said the healthcare system is grappling with a “joint crisis of pain and addiction.”
It’s refreshing to hear someone of (medical) authority voice concern about chronic pain patients in the headlong rush to ban all kinds of opioid use. Continue reading
Opinion | Nine Rights Every Patient Should Demand – By Elisabeth Rosenthal – April 27, 2018
We need a Financial Bill of Rights to protect consumers of health care from unfair charges.
Ever since the American Hospital Association created its first Patient Bill of Rights in the early 1970s, medical centers, professional associations and states have been adapting it or creating their own.
The list below is an excellent reference for the types of situations that could result in unexpectedly getting an out-of-network medical bill. Continue reading
Meeting of the Pain Management Best Practices Inter-Agency Task Force
Comments were originally due May 25, but I see the comment period has been extended another couple of weeks and are now due Jun 15, 2018 11:59 PM ET
The Task Force will
- identify, review, and determine whether there are gaps or inconsistencies between best practices for pain management, including chronic and acute pain, developed or adopted by federal agencies;
NIH opens nationwide enrollment for huge precision medicine initiative – By Lev Facher@levfacher – May 1, 2018
Yet, while our government prioritizes this huge project of individualizing medicine, the corporations in charge of our healthcare are trying to create generic standards (disguised as guidelines) to save money on our medical care that ignore individual factors completely. This is one of the most egregious failures of the CDC Opioid Prescribing Guidelines.
A massive precision medicine initiative that has been years in the making from the National Institutes of Health is being rolled out at last.
The All of Us initiative, which will be launched on May 6, aims to compile detailed health profiles of 1 million Americans, with a special focus on communities historically underrepresented in biomedical research Continue reading
Why physicians should respect the pain patients report – Karen S. Sibert, MD | Physician | May 3, 2018
We’re all human beings, but we’re not all alike. Each person experiences pain differently, from an emotional perspective as well as a physical one, and responds to pain differently.
That means that physicians like myself need to evaluate patients on an individual basis and find the best way to treat their pain.
This is exactly why it’s such a bad idea for our government agencies to establish medical guidelines that allow only fixed amounts of medications (opioids) for certain diagnoses (chronic pain). Continue reading
Mayo Clinic Taking Steps to Tackle Opioid Crisis | KAALTV.com – April 19, 2018 – ABC 6 News
A new Mayo Clinic survey is shedding light on opioid use after surgery and whether or not some patients are being over-prescribed. The survey found about 92 percent of patients keep their leftover pills.
They are trying to prove opioids are over-prescribed but notice this actually proves that 92% of patients receiving opioids did not get addicted.
She said a Mayo Clinic survey found 63 percent of the pain medicines being prescribed to patients after surgery go unused.
No addicted person would be able to leave opioid pills unused, proving again that people taking opioids to treat pain rarely become addicted.