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Humanising medicine in the management of chronic pain

24 October 2024

When does pain become chronic?

Chronic pain is otherwise known as long-lasting, persistent pain that lasts longer than three months or goes beyond the typical healing period. It can have a variety of causes, including chronic diseases, trauma and neurological disorders. It differs from acute pain, which is in turn short-lived and associated with direct tissue damage. Chronic pain often accompanies diseases such as rheumatoid arthritis, fibromyalgia, spinal diseases and migraines.
Chronic pain can take many forms, being sharp, dull, throbbing, burning or piercing, and often affects the patient's daily functioning. It often leads to sleep problems, fatigue and reduced appetite. Due to its persistent nature, it can also result in mood disorders and, in more severe cases, even depression. Chronic pain has a huge impact on daily functioning and therefore requires a comprehensive approach to treatment.

Chronic pain management and humanisation

The humanisation of medicine in the management of chronic pain, as with other ailments, involves a holistic approach to the patient that takes into account their physical, emotional and social needs. Most importantly, it is important to understand that each patient experiences pain in a different way and needs an individually tailored treatment plan. Medical staff should not only focus on the physical aspects of pain, but also on the emotional support of the patient.
Medical staff should actively create a welcoming environment in medical facilities, e.g. by showing empathy and open communication with clients. Regular conversations in which the patient can openly share their feelings and concerns are recommended. The patient needs to feel understood and supported in order to better manage chronic pain.

Personalisation of chronic pain management

Treatment of chronic pain requires an individualised approach that takes into account the patient's specific needs and preferences. The treatment plan may include pharmacotherapy, physiotherapy, behavioural therapy and alternative treatments such as acupuncture or massage therapy. It is important that the patient is involved in the treatment process and has a say in the methods used.
A combination of different treatment methods produces the best results. Pharmacotherapy used in combination with physical and behavioural therapy can significantly reduce pain and improve the patient's functioning. Also worth mentioning are meditation and relaxation techniques considered as alternative treatments. They bring relief to patients in other respects, as they help them cope with the stress and tension resulting from the prolonged experience of pain.

Psychological and emotional support

Patients with chronic pain often struggle with depression, anxiety and feelings of helplessness, so psychological support is an indispensable part of treatment. Individual cognitive behavioural therapy (CBT) helps to change negative thinking and develop healthier ways of coping with pain. Support groups and meetings with a psychologist, meanwhile, provide emotional support and minimise patients' feelings of loneliness.
It is the job of psychologists to help patients identify and change thoughts and behaviours that may exacerbate pain. Emotional support from family and loved ones will be different, but is equally important in the treatment process. Those closest to the patient can improve the patient's wellbeing and increase their motivation for treatment.

Raising awareness among patients and their families

Educating patients and their families about the nature of chronic pain and the treatments available for it is extremely important. Organising training and workshops for patients and their relatives is a great way to provide them with practical tools to manage their pain and increase their quality of life.
As part of education, it is useful to discuss a variety of treatment methods, stress management techniques and healthy lifestyle principles that can help reduce pain. It is equally important for patients' families to know how they can support their loved ones in their daily lives and what steps they can take to improve their comfort and well-being.

Use of technology in chronic pain management

Modern technology significantly supports the management of chronic pain. Thanks to mobile apps for pain monitoring, telemedicine and advanced diagnostic technologies, patients can better manage their health. Telemedicine allows regular contact with a doctor without having to leave home, which is invaluable for people with limited mobility.
Smartphone apps help patients monitor their pain levels, regularity of medication and daily activities, making it easier for doctors to adjust treatment plans. Innovative methods such as neuromodulation, where electrical devices are used to stimulate nerves to relieve pain, also provide relief.
The humanisation of medicine in the treatment of chronic pain implies comprehensive patient care, taking into account the patient's physical, emotional and social needs. The creation of a safe environment, the individualisation of the treatment plan, psychological support, education and the use of modern technology is a recipe for effective treatment. This enables patients to manage their pain more effectively, which directly improves their quality of life and well-being.