34 posts · 17,251 views
The purpose of this blog is reflected in the name Picture of Pain, since it will illustrate the multiple sides of pain, of pain management and living with pain, with the purpose of improving pain management in general and improving the quality of life for pain patients . The blog will “show pain” through references from research, case studies, debate and news, and aim to be a resource for healthcare professionals and their patients on pain and pain related topics, and an education resource on pain management topics both with respect to DoloTest and in general.
This is the second blog post of three about challenges in pain management using opioids and how we can navigate between risk of addiction and helping the patient... Read more »
Henriette Poulsen, M.D. and Kim Kristiansen, M.D. (2011) What are the similarities between chronic pain and opioid addiction?. Picture of Pain Blog. info:/http://blog.dolotest.com/?p
Today we have a pretty good knowledge of the mechanisms behind chronic pain. This is a presentation of the basic understanding of how chronic pain starts, what causes it and why we most often are not able to see it on x-ray, MRI or other diagnostic procedures despite the fact that the patient are experiencing pain. We comes around allodynia, hyperalgesia, sensitization regulatory pathways and influence of sleep, depression and much more.
We also take a look on what could be wrong with “........ Read more »
Kim Kristiansen. M.D. (2011) The Princess on the Pea – Mechanisms of Chronic Pain. Picture of Pain Blog. info:/http://blog.dolotest.com/2011/07/07/the-princess-on-the-pea-mechanisms-of-chronic-pain/
Close to half of all patients coming to primary care are experiencing sleep problems, but not necessarily presenting it. Increased experienced intensity of sleep problems are associated with significant increases of both average pain intensity and risk of Major Depressive Disorder. DoloTest provide an easy way to find and evaluate this coexistence. This is the conclusion of data I am presenting today at a poster.
... Read more »
Kim Kristiansen, M.D. (2011) Sleep, Pain and Depression in Primary Care. Picture of Pain Blog. info:/hhttp://blog.dolotest.com/2011/09/09/sleep-pain-and-depression-in-primary-care/
Danish Doctor Henriette Poulsen about "the language of pain" based on David Brio's book by the same name. The post discusses communication, mutual understanding, adherence to treatment, DoloTest and more... Read more »
Kim Kristiansen, M.D., & Henriette Poulsen, M.D. (2011) I feel terrible – but I can’t explain how it feels!. Picture of Pain Blog. info:/http://blog.dolotest.com/2011/08/18/i-feel-terrible-–-but-i-can’t-explain-how-it-feels/
A report published last week by the Danish company KMD contains a survey among 1100 Danish patients with chronic diseases It seems that we can provide better care for lower costs using telemedicine. www.dolotest.com... Read more »
Kim Kristiansen, M.D. (2011) Patients with Chronic Conditions Want Telemedicine Study Shows. Picture of Pain Blog. info:/hhttp://blog.dolotest.com/?p
Persistent pain in the older adult is a complex and challenging situation. In this blog post Dr. Henriette Poulsen discusses important issues when caring for older persons with pain. ... Read more »
Henriette Poulsen M.D. (2011) Patients with Chronic Conditions Want Telemedicine Study Shows. Picture of Pain Blog. info:/Patients with Chronic Conditions Want Telemedicine Study Shows
Case from a Danish Doctor about pain, Quality of Life and clinical use of DoloTest with a 90 years old woman... Read more »
Kim Kristiansen, M.D. (2011) CASE: 90 Years Old Woman With Persistent pain. Picture of Pain Blog. DOI: http://blog.dolotest.com/2011/05/10/case-90-years-old-woman-with-persistant-pain
New Picture of Pain Podcast on iTunes. This podcast is a talk with Dr.Henriette Poulsen, M.D: abut this problem, the size of the problem, its consequences and what we can do to solve it, based on her resent blogpost at the Picture of Pain Blog... Read more »
Kim Kristiansen, M.D. (2011) Why do Some Persons Living With Chronic Pain or Pain Related Conditions Not Seek Help ?. Picture of Pain Blog. info:/hhttp://blog.dolotest.com/?p
Presentation from WONCA Europe 2011 about how to use DoloTest as an easy to use and validated tool to share information and understanding between pain patients and Healthcare professionals and to involve the patient.... Read more »
Kim Kristiansen, M.D. (2011) Bridging the Communication Gap with DoloTest. WONCA 2011. Picture of Pain Blog. info:/http://blog.dolotest.com/2011/09/20/bridging-the-communication-gap-with-dolotest-wonca-2011/
It is challenging to navigate between effect of treatment and risk of aberrant drug behaviour when treating chronic pain with opioids. In this blog post we will describe methods to navigate in this difficult field from a clinical point of view.... Read more »
Kim Kristiansen, M.D and Henriette Poulsen, M.D. (2012) Tailor-made Chronic Pain Management and Reducing the Risk of Opioid Addiction. Picture of Pain Blog. info:/
Presenting results from a resent published study indicating ways to provide better outcomes after three months for patients with acute low back pain. www.dolotest.com... Read more »
Kim Kristiansen, M.D. (2011) Reducing the Risk for Chronic Pain. Picture of Pain Blog. info:/hhttp://blog.dolotest.com/?p
Chronic pain is more frequent than diabetes, cancer and coronary heart disease combined . American Pain Foundation has calculated this, I have calculated same proportion for Denmark, and I am sure similar proportions can be found for every country in the western world. It is of cause an eye opener for how we use our resources, priority, awareness and educational activities in health care, but it can actually also be used for something else and indeed important.... Read more »
Kim Kristiansen, M.D. (2011) Let’s Learn From Ourselves How We Can Improve Pain Management . Picture of Pain Blog. info:/http://blog.dolotest.com/2011/11/10/let’s-learn-from-ourselves-how-we-can-improve-pain-management/
"Causes of Sleep deprivation" was selected as one of the great challenges in health care at TEDMED 2012... Read more »
Kim Kristiansen, M.D,. (2012) Causes of Sleep Deprivation – One of the TEDMED Great Challenges in Health Care. Picture of Pain. info:/
Chronic pain patients needs help - and often opioids. The primary goal are improving QoL. But opioids have a risk of addiction. This post is the first in a row to discuss this complex and to try to find a way to navigate in this field... Read more »
Henriette Poulsen, M.D and Kim Kristiansen, M.D. (2011) Opioids in Chronic Pain Management – Navigating Between Effect and Addiction. Picture of Pain Blog. info:/http://blog.dolotest.com/2011/12/01/opioids-in-chronic-pain-management-navigating-between-effect-and-addiction/
Last week was European Week Against Pain, and to mark this information from a new study was released. It is a study from a group of primary care physicians across Europe with special interest in pain and pain management called OPENMinds Primary Care – and I am part of that group. What our study has shown is, that more than half (52%) of European primary care physicians use no form of assessment tool to measure peoples’ levels of pain... Read more »
Kim Kristiansen, M.D. (2011) Pain is not being adequately assessed, our new study shows. Picture of Pain Blog. info:/http://blog.dolotest.com/2011/10/18/pain-is-not-being-adequately-assessed-our-new-study-shows/
Why do some patients with pain and/or depression not seek help - and what can we do to help them... Read more »
Henriette Poulsen, M.D. (2011) Patient’s delay in persistent pain treatment and depression – when disclosing a painful knowledge feels worse than living with physical and mental anguish. Picture of Pain. info:/http://blog.dolotest.com/2011/10/06/patient’s-delay-in-persistent-pain-treatment-and-depression-–-when-disclosing-a-painful-knowledge-feels-worse-than-living-with-physical-and-mental-anguish/
We know from many studies that healthcare professionals (HCP) generally make significant underestimations of their patients’ pain intensity and the impact of the pain. But why, and what can we do to improve that?... Read more »
Kim Kristiansen, M.D. (2011) Why do Healthcare Professionals Underestimate Pain and its Consequences -and does it matter ? . Picture of Pain Blog. info:/why-do-healthcare-professionals-underestimate-pain-and-its-consequences
How we can identify the chronic pain patients with the highest cost for health care... Read more »
Kim Kristiansen, M.D. (2012) Chronic Pain has a Price. Picture of Pain. info:/
The Simple Idea That Is Transforming Health Care... Read more »
Kim Kristiansen, M.D. (2012) Could This Improve Health Care?. Picture of Pain Blog. info:/
It is actually no wonder that many healthcare professionals have problems accepting fibromyalgia as a disease, this blog discusses why an how we can improve... Read more »
Kim Kristiansen, M.D. (2012) The Fibromyalgia Challenge. Picture of Pain. info:/http://blog.dolotest.com/?p
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