Assuntos
Analgésicos Opioides/efeitos adversos , Analgésicos Opioides/uso terapêutico , Antineoplásicos/uso terapêutico , Dor do Câncer/tratamento farmacológico , Resistencia a Medicamentos Antineoplásicos/efeitos dos fármacos , Metadona/efeitos adversos , Metadona/uso terapêutico , Neoplasias/tratamento farmacológico , Antineoplásicos/efeitos adversos , Neoplasias Encefálicas/tratamento farmacológico , Aprovação de Drogas , Sinergismo Farmacológico , Alemanha , Glioma/tratamento farmacológico , Humanos , Prognóstico , Sociedades MédicasRESUMO
From the point of view of healthcare policies, improvement in pain care has been required for years; however, there is a great discrepancy between the current need for pain care and the actual provision by healthcare services. This article seeks to demonstrate that while healthcare policies are one of the critical factors involved, a variety of conceptual, diagnostic and therapeutic causes should also be taken into account. Firstly, considering that pain care is primarily concerned with the suffering of pain by patients, the focus lies with their conscious experience in order to define the patients' understanding of pain. Additionally, in this article current biomedical and psychosocial comprehension concerning chronic pain will be illustrated and why it is necessary to broaden our horizons in order to do justice to patients with chronic pain.