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• W347102562 abstract "‘Doctors think they deal with pain well. That this is a delusionary idea is well documented but still not accepted by most physicians. Since beliefs are not subject to normal rules of scientific persuasion, simple explanation of the self-evident does not alter medical practice; only social pressure or consumer demand seem effective. The first has driven the development of terminal care and the second has altered obstetric analgesia. Attention has now turned to postoperative pain’ (1). ‘During the first 24 hours after surgery recorded pain levels were 60% of the maximum. The median interval between the return of pain and a further injection of analgesic was 2 hours. Expectations of pain relief were low, and for 70% of the patients the pain was at least as bad as they had expected. Only half of the medical and nursing staff questioned thought that post-operative analgesia should relief pain completely; drugs were prescribed and administered with too little attention to the patient’s response and too much concern about adverse effects and opioid dependence’ (2)." @default.
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• W347102562 date "2006-01-01" @default.
• W347102562 modified "2023-09-23" @default.
• W347102562 title "The acute pain service (APS): How we should have done it." @default.
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