Pain Management & Palliative Care Insights | Dr. Manish De

Pain is an unpleasant sensory and emotional experience often caused by harmful stimuli, alerting the body to potential danger or damage. Dr. Manish De, Associate Consultant in Anesthesia at Narayana Superspeciality Hospital and Narayana Multispeciality Hospital, Howrah, explains the importance of pain management and how it plays a vital role in palliative care.

Pain Management:
Pain management involves various strategies to reduce or control pain, improving the patient’s overall quality of life. These strategies include:

Pharmacological approaches: Using medications such as analgesics.
Non-pharmacological methods: Techniques such as physical therapy, relaxation exercises, and cognitive-behavioral interventions.
Types of Pain:
Dr. De discusses the different types of pain that individuals may experience:

Nociceptive Pain: Caused by tissue damage, characterized as sharp or aching.
Neuropathic Pain: Nerve-related, often described as burning or electric shock-like.
Inflammatory Pain: Results from tissue inflammation, often with redness and swelling.
Psychogenic Pain: Linked to emotional factors, without a clear physical cause.
Acute Pain: Sudden and short-term, caused by injury or illness.
Chronic Pain: Long-lasting pain that impacts daily life and well-being.
Cancer Pain: Pain due to tumors or cancer treatments, varying in intensity.
Referred Pain: Pain felt in an area different from its source.
Visceral Pain: Arises from internal organs, characterized by a deep, aching sensation.
Phantom Pain: Sensations felt in missing body parts, typically post-amputation.
Palliative Care:
Palliative care is designed to improve the quality of life for patients with serious illnesses by addressing their physical, emotional, and spiritual needs. A major component of palliative care is pain management, as uncontrolled pain can drastically reduce a patient's comfort and dignity. Integrating pain management into palliative care ensures holistic support, enabling patients to cope with pain while maintaining their dignity, functionality, and emotional balance.

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