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Chronic Pain in Hospitalized Patients with Selected Medical Conditions 

Chronic Pain in Hospitalized Patients with Selected Medical Conditions
Chapter:
Chronic Pain in Hospitalized Patients with Selected Medical Conditions
Author(s):

Tim Sable

DOI:
10.1093/med/9780199349302.003.0020
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date: 17 August 2019

Abstract: This chapter describes evaluation and treatment of acute on chronic pain in patients admitted to the medical floor. It is important to avoid inducing withdrawal due to miscommunication or errors in medicine reconciliation on admission. Assessment of acute on chronic painful conditions should include review of multisystem disease involvement, including sickle cell disease, diabetes, autoimmune disorders, infectious disease, peripheral vascular disease, cardiac disease, inflammatory bowel disease, HIV neuropathy, herpes zoster, arthritis, fibromyalgia, and others. Treatment should be geared to analgesia, improved ambulation and function, and shortened length of hospital stay.

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