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What Interventions Improve Outcomes for the Patient Who Is Depressed and in Pain?

Identifieur interne : 000686 ( Main/Exploration ); précédent : 000685; suivant : 000687

What Interventions Improve Outcomes for the Patient Who Is Depressed and in Pain?

Auteurs : Susan V. Brammer [États-Unis]

Source :

RBID : pubmed:30342882

Descripteurs français

English descriptors

Abstract

SPECIFIC CLINICAL ISSUE

The purpose of this clinical consultation is to offer nurses evidence-based strategies to provide holistic care to their patients with comorbid depression and pain. The combination of depression and pain is common and, if not managed effectively, has negative outcomes. Treatment-resistance is one negative outcome. The worst-case scenario for unrelieved depression and/or pain is suicide.

MAJOR PRACTICE RECOMMENDATIONS BASED ON BEST EVIDENCE

Antidepressants, particularly duloxetine, have had efficacy for pain and depression. Cognitive behavioral therapy, an evidence-based treatment for depression, has been found to decrease pain. Examples of additional interventions include exercise, relaxation techniques, mindfulness, and music. Providing holistic nursing care and working with other disciplines optimizes more effective management of these co-occurring conditions.


DOI: 10.1016/j.pmn.2018.06.006
PubMed: 30342882


Affiliations:


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Le document en format XML

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<term>Depressive Disorder (therapy)</term>
<term>Duloxetine Hydrochloride (therapeutic use)</term>
<term>Humans (MeSH)</term>
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<term>Chlorhydrate de duloxétine (usage thérapeutique)</term>
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<term>Douleur rebelle (thérapie)</term>
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<term>Pain, Intractable</term>
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<b>MAJOR PRACTICE RECOMMENDATIONS BASED ON BEST EVIDENCE</b>
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<p>Antidepressants, particularly duloxetine, have had efficacy for pain and depression. Cognitive behavioral therapy, an evidence-based treatment for depression, has been found to decrease pain. Examples of additional interventions include exercise, relaxation techniques, mindfulness, and music. Providing holistic nursing care and working with other disciplines optimizes more effective management of these co-occurring conditions.</p>
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