Author/Editor		Marn-Vukadinović, Duša
Title		Obravnava bolnikov s kronično bolečino v multidisciplinarnem bolečinskem centru
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 2, št. 3-4
Publication year		2003
Volume		str. 33-7
Language		slo
Abstract		Treatment in a Multidisciplinary Pain Centre or in a Multidisciplinary Pain Clinic (MPC) is superior to any ather treatment for chronic pain patients. These patients have been severely disabled for many years, unemployed, and adopted maladaptive pain behaviour. MPC program is goal oriented to patient's functional restoration and behavioural modification while pain reduction is moderate. The treatment is a combination of medication, psychological interventions and self-managed activities in physical and occupational therapy. Physical progress occurs through progressive exercise program and periodic objective testing which is documented. A cognitive-behaviourally-based program of education and counselling is included. If necessary vocational rehabilitation is added at the end.
Summary		Obnovitev bolnikove normalne dejavnosti in obnašanja je osnovni cilj obravnave bolnika s kronično bolečino v Multidisciplinarnem bolečinsken centru. Ti bolniki so zaradi dolgoletne bolečine postali nedejavni, s tipičnim bolečinskim vedenjem. Obravnava je usmerjena v večjo bolnikovo aktivnost, medtem ko je zmanjšanje bolečine le skromno. Gre za kombinacijo zdravljenja, psiholoških intervencij in telesne aktivnost, ki jo sam kontrolira. Bolnik svoje izboljševanje telesne dejavnosti objektivno testira in sam dokumentira. Kognitivno-vedenjski program temelji na poučevanju in svetovanju. Za zaposljive bolnike s kronično bolečino se obravnava lahko konča s profesionalno rehabilitacijo.
Descriptors		PAIN PAIN CLINICS CHRONIC DISEASE PATIENT EDUCATION EXERCISE THERAPY ANALGESICS SOCIOENVIRONMENTAL THERAPY OCCUPATIONAL THERAPY