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Barriers to Optimal Pain Management in the General Surgery Population 

Barriers to Optimal Pain Management in the General Surgery Population
Chapter:
Barriers to Optimal Pain Management in the General Surgery Population
Author(s):

Anand C. Thakur

DOI:
10.1093/med/9780190457006.003.0003
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date: 10 December 2019

Barriers to the implementation of adequate pain control are multifactorial and encompass all caregivers. A complete list of barriers to adequate pain control would involve biopsychosocial factors, physiological factors, pharmacological concerns, and medical legal concerns. A short list of barriers to adequate pain control can be separated into physician knowledge, expectations and perceptions, nurses’ and other ancillary providers’ knowledge, expectations and perceptions, patient expectations and perception, management of acute pain, management of chronic pain, discrepancies of pain perception and different population groups, and both regulatory and formulary issues. To have an understanding of up-to-date recommendations and standards regarding evidence-based pain management requires a multimodal approach with a team of physicians.

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