Chronic Pain Barriers to Effective Pain Management

Posted by boyberm on 09 Sep 2008 | Tagged as: Mental Health

Chronic pain affects the physical, mental, emotional, and spiritual aspects of a patient’s life. Daily non-cancer pain in the elderly has been associated with impaired activities of daily living, change in mood, and decreased involvement in social activities. Chronic pain impairs function, can lead to depression, and can even result in suicidal behavior. Chronic pain due to arthritis affects approximately 20 million Americans. This represents almost 50% of all pain sufferers.

What are the barriers to effective pain management?

Barriers to effective pain management are imposed by the health care system, physicians, and by patients themselves.

Patient Barriers:

-Reluctance to report pain to physicians.

-Reluctance to take pain medication

-Lack of education regarding available pain therapies.

-Compromised cognitive function secondary to certain pain medications.

Physician Barriers :

-Inadequate training and knowledge concerning pain management.

-Improper assessment of pain.

-Concern about scrutiny from regulatory agencies.

-Fear of patient addiction.

-Concern regarding analgesic side effects.

-Concern regarding the development of tolerance to analgesics.

Health Care System Barriers :

-Pain management is given a low priority in the system.

-Treatment availability problems exist in the system.

-Treatment access problems exist in the system.

-Inadequate reimbursement for pain management remains a problem.

-The most appropriate treatment may not be reimbursed or it may be too costly for the patient.

Many arthritis sufferers continue to take anti-inflammatory medications that no longer control their symptoms. Physicians, fearful of regulatory investigation, avoid appropriate treatment while switching patients from on ineffective medication to another. Some patients are forced to consider joint replacements prematurely, due to unrelenting, under-treated pain.

The net result of these barriers is that countless patients are forced to endure life instead of enjoy it. The squeaky wheel gets the oil. If your doctor is unable or unwilling to manage your pain insist on a referral to a pain specialist.

Dr. Messina became a Board Certified Family Practitioner in 1985. He was in solo practice until 1994.He then helped form a group Family Practice in which he served as Vice President.He left group practice in 1997 and became the Medical Director of a Wellness Center. He was responsible for coordinating the efforts of nutritionists, acupuncturists, massage therapists, exercise physiologists, and Chinese medicine practitioners into integrated medical care plans that were individualized to the patient.He became the Medical Director of an independent clinical research facility in 2000. He has been the Principal Investigator in over 50 clinical trials involving osteoarthritis, diabetes, hypertension, hypercholesterolemia, chronic pain, depression, anxiety, dry eye, migraine, and diabetes prevention.He has served as consultant to a nutritional company, and has formulated nutritional supplements.

Visit Dr. Messina’s website at:

http://Physicianformulated.com/

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Achieving Optimum Health

Posted by boyberm on 06 Sep 2008 | Tagged as: Mental Health

“Optimum health is not just the absence of disease but the presence of wellness in mental, emotional, physical, spiritual and social areas. Some would also include financial health.”

Introduction

Optimum health is essential at all levels, from the individual to the society we live in to the environment around us. We have to start thinking of wealth not just in terms of possession of money and properties but also the possession of mental, emotional, physical, social and spiritual well-being.

Mental Health

The truth is mind is the forerunner of all states.

With a proper mindset, a poor man can still be happy. Conversely, if the mindset is not right, no matter how much material possessions you may have, you may still be a very unhappy person. Thus, Gandhi said, “The world has enough for everyone’s needs, but not enough for even a single person’s greed.”

So a healthy mind is one that possesses a mindset that can lead to happiness and contentment with self and the world around us. It provides clarity of thoughts, good insight and the ability to see things through an unbiased mind.

To be able to see things through an unbiased mind is no small feat. It is extremely difficult to note or observe the unfolding of events and phenomena without judging. We habitually associate emotions or feelings to events, and allow such emotions to direct our actions. Our likes for certain things and dislikes for others are closely associated with our emotions.

Emotional Health

It is our emotions that lead us to act impulsively at times. Thus a high level of self-awareness in this area is extremely useful. In fact, it is essential to our well-being. After all, things and relationships that may take us years to build can be destroyed in a moment of anger.

There are positive and negative emotions. Positive emotions such as love, compassion and joy should be cultivated, while negative emotions such as fear, anger and hate need to be eradicated.

When asked about this, a wise sage of India once illustrated with a story:

An old man said to his grandson, “Boy, I have two tigers caged within me. One is love and compassion. The other is fear and anger.”

The young boy asked, “Which one will win, grandfather?”

The old man replied, “The one I feed.”

At times, it may seem that we have no control over our emotions. This is not true. The truth is how well we manage our emotions depends on how aware we are of our emotions, particularly on the arising of our emotions. The earlier we are able to note the arising of our emotions, we better we can manage them.

More and more researches are showing that our well-being is closely linked to our emotional and mental health. Our body’s immune system is generally enhanced by positive mental outlook and emotion. Conversely, it is depressed by negative mental and emotional states. Thus, stress, worry, anger and fear are some states that may lead to physical illnesses such as hypertension, cardiac diseases, peptic ulcers, depression and a host of other ailments.

Physical Health

To maintain an optimum physical well-being, therefore, requires us to focus not only on our body but also our mind and emotions.

On a physical level, our body can be kept healthy through adequate sleep and rest, proper nutrition, regular exercises and a healthy environment that is free from pollution.

Spiritual Health

Throughout the ages, wise men have consistently informed and taught us that we are essentially spiritual beings.

Although medical science has not been able to reveal to us our spiritual nature, there are many indirect evidence that we would be foolish to ignore. Stories from people who had gone through a near death experience (NDE), or dying people with heightened nearing death awareness, or simply a cure from an ‘incurable’ disease all suggest that there is more to life than just the physical state.

Major religions of the world all based their teachings on the belief that we are essentially spiritual beings. According to these teachings, our physical existence is secondary.

While it may be true that we should focus our life more on our spiritual nature than our physical nature, it would be difficult for the majority of people to do so, at least not immediately. Things cannot change overnight. Mindset, however, can, and that is perhaps the best place to start.

Financial Health

However, on a more mundane level, most people are still stuck on how to survive from day to day, where to get the next cheque to pay for the house installment, so on and so forth.

Practically, therefore, we need to look into ways to achieve a financial state that would theoretically free us from the constrain of ‘forced’ work. This is where the concept of financial freedom is so attractive. According to this concept, one should strive for a state where we have one or more than one source of income that can be generated passively, that is, even when we don’t work.

This is what Robert Kiyosaki termed as ‘passive income’.

According to him, passive income can only be achieved by becoming an investor or a business owner, not a sole proprietor or an employee. To become an investor or a business owner, you must spend the time and money to acquire financial intelligence. Unlike IQ or EQ, you can acquire financial intelligence through self education.

To get a financial health check-up, consult an accountant, a banker or a financial planner you can trust.

Healthy Relationship

“No man is an island, entire by itself.”

As a medical doctor, I am in a unique position to confront and comfort dying patients. One of the most important thing that I have observed is that dying people do not ask about their money or possessions. Instead, they focus their remaining energy and strength on trying to heal wounded relationships. It is as though there is an inherent need to get a proper closure to a relationship.

Thus, forming and cultivating a healthy relationship is important for our well-being. Unfortunately, this is something we often ignored until it is too late. If there is any forgiving to be done, or the need to be forgiven, leaving things to the last minutes may end up with an unfulfilled desire for a closure.

Knowing this now, shouldn’t we spend more time and effort in improving our relationship with our loved ones, especially with our parents, spouse, children and siblings?

Dr Tim Ong is a medical doctor with 15 years of experience in family medicine. He is also a speaker, trainer and counsellor in his community. He has a personal website at KlinikOng.com

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Fibromyalgia and Chronic Fatigue

Posted by boyberm on 30 Aug 2008 | Tagged as: Mental Health

Chronic Fatigue

Chronic Fatigue is a poorly understood and even more poorly treated condition. Chronic fatigue is a consequence of years of bad living. This can mean bad living emotionally, through diet, or poor attention to ones own physical condition, or aches and pains.

Many patients with chronic fatigue will insist that they eat right. On further examination, almost 90% of North Americans live on a diet that is draining to their systems, and that encourages adrenal and thyroid gland burn out.

Those who suffer from the condition also overlook the physical component of chronic fatigue. Chronic fatigue sufferers often show sign of serious spinal problems and other physical imbalances.

The emotional stresses many people live with, as though they are not an emotional stress, are debilitating. Facing emotional stresses head on and dealing with them is often the best route to overpower these stressors, which completely drains our nervous system and destroys our health.

Take the time to explore ways to achieving better health, understanding that the level of health you can bring to your life is already improving, by merely trying.

Fibromyalgia

Fibromyalgia, like chronic fatigue, is an extraordinarily difficult disease to control. Many victims of this disease lose hope because the pharmaceuticals prescribed do so little to help. Even alternative therapies seem to do little more than prevent the condition from worsening.

Often, the source of Fibromyalgia is multiple. Emotional issues, physical traumas, gastro-intestinal disorders, and other causes have been associated with this disease. It is important for the Fibromyalgia patient to create a lifestyle that can lessen each of these contributors.

The most important culprit to be addressed is the mental stress or the emotional component of the problem. This is a long road to pursue. There are many effective techniques, including yoga, meditation, and mind-body exploration techniques. The key is to identifying the real source of mental unhappiness or stress. Also, a key is to bring into your life is the goal of exciting and energizing your mind into a state that desires greater physical strength.

Furthermore, techniques that energize the body and strengthen the musculature must be explored. Foods that bring the body energy and relax the musculature should be examined, as well as different techniques that strengthen the spine and balance the nervous system.

The methods and the alternative medicines that assist in reducing and even eliminating Fibromyalgia should all be explored. Often the same conditions that are responsible for Fibromyalgia are responsible for other physical ailments, and different symptomatologies can have the same effective forms of treatments.

Explore and decide for yourself the lifestyle and mental and physical health you wish to strive for that will be effective in reducing your Fibromyalgia.

About the Author:

Dr. Bryan Brodeur is the owner of the health and wellness web site, VitalityHouse, and the author of Vitalism. Download a free introduction for this health and fitness e-book on his home page.

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