SUMMARY
\nCurrent orientation of intervention in human afections with various suff erings has led to fi nding important milestones for diagnosis and specifi c therapy of diseases accompanied by pain, including pain whose organic support is not identifi ed. We begin with a remembrance of the algeziological classifi cation that is followed by the principles of pain treatments. Medicine, doctors and pharmacists have appeared in all peoples in order to dominated and decrease the pain. Currently, pain therapy is practiced in classical medical clinics or in specialized services and clinics.
\nBeneficiaries are the sick – but also the medical staff in hospitals, outpatient clinics or in hospices with an internal disease profi l, pediatrics, oncology, surgery-orthopedics, gynecology-obstetrics, athletics pathology, rheumatology, dermatology, neurology and psychiatry, geriatrics, dentistry, otorhinolaryngology, ophthalmology.
\nKey words: pain classifi cation in childhood and adolescents, acute and chronic pain therapy, local or generalized pain, pharmacological medication, psychosocial measures to exclude pain fi xations<\/p>\n
Classification of pain therapies is based on localization and pain character:
\n\u2013 the first criteria is the inclusion in the pathology of acute pain,
\n\u2013 the second is the diagnosis and therapy of chronic, intermittent or continuous pain, e.g. fibromyalgia, migraine or pain of the limbs, etc.
\nThe following criteria refer to local pain, including: dental pain, eye pain, post-traumatic local pain, migraine, etc., in which, of old times, is used: heat, compression and hydrotherapy. In modern medicine, analgesic drugs are used in the series of peripheral sensory blockages: cocaine, novocaine, lidocaine, xylocaine, ultracaine, ozonotherapy, sonotherapy, etc.; and general analgesics including Paracetamol, Aspirin, Metamizole (Algocalmin), NSAI analgesics and Tramadol opioids, Fentanil etc. [5].
\nIn acute pain there are many interventional iatrogenic therapies [8], so we describe:
\n\u2013 injections and join punctures for therapeutic and diagnostic purposes;
\n\u2013 ileosacral, cervical, thoracic or lumbar branches infiltration;
\n\u2013 injections in the neighborhood of the spine, cranial or peripheral nerves;
\n\u2013 organic or exogenous peripheral nerves blockages; etc.
\nTherapeutic medical guides and qualified physiotherapy are used. Acute medical treatment is flanked and supported by all the officially recognized physiotherapeutic procedures (manual therapies, functional mobilization therapies, spinal column management, medical training therapies).
\nThe concepts of treatment for chronic pain provide:
\n \u2013 Review, supplement, update and prescribe somatic and psychosomatic diagnoses [8];
\n\u2013 Improving physical performance by developing an individual training-rehabilitation plan;
\n\u2013 Verifying additional therapies, updating doses, updating and clarifying somatic and psychosomatic diagnoses;
\n\u2013 Call for NSAI that can be administered at small ages: from 3 months onwards (Valoron) [9];
\n\u2013 Clarification of somatic, mental and psychosocial conditions of pain disorders;
\n\u2013 Reduction of physical limitations related to pain;
\n\u2013 Education and counseling on drug and nondrug medical treatment for self-care and selfcontrol;
\n\u2013 Clarification of individual mechanisms for the development of painful disease; Multimodal therapy [8] aims at:
\n\u2013 The pain medication therapy in accordance with the current findings of the algeolozical research of the pain pathology;
\n\u2013 Individual psychological therapy, cognitivebehavioral group therapy, relaxation procedures, eg:
\nz Progressive muscle relaxation or Schulz autogenous training,
\nz Biofeedback, z Cognitive training on pain neurology,
\nz Imagination techniques, z Dis-stress management,
\nz Assist-oriented training for solutions,
\nz Health, behavioral measures for family reintegration, school and work;
\n\u2013 Behavior towards individual kinetophysiotherapy and group motion therapy after functional analysis; \u2013 Additional physical measures;
\n\u2013 Tai Chi and water group;
\n\u2013 Shiatsu massage;
\n\u2013 EMG Biofeedback;
\n\u2013 Rehabilitation with “Rehabilitation” support\/ case management [9];
\n\u2013 Establishment and development in the short and medium term of a treatment plan with concrete recommendations;
\n\u2013 Preparation at the end of treatment of a comprehensive report on professional results such as individual diagnosis, psychological point of view, therapeutic procedures;
\n\u2013 Chirotherapy associated in some cases [7].
\nAlgeziologists specialize in basic therapies, combining them with complementary pharmacological therapies that predominate sedatives, anxiolytics, antidepressants, sleeping pills and opioids. Psychosociologists’ recommendations in pain therapy refer to the removal from the traumatic environment (family, school, collectivity) or from the natural disaster area (earthquake, flood, typhoon) or from anthropogenic disaster areas (war, bombing, revolutions, sporting events with mass accidents, etc.) [8].
\nNatural botanical treatments include aphitherapy and ginseng products, basil, sweet wood, sunflower, which is recommended based on the therapist’s knowledge and experience [4].
\nThe first psychological intervention with therapeutic role is to listen to the patient who will describe his suffering, this model having a catharctic importance. Psycho-medical attitudes focused on children and adolescents are associated with games, kinetotherapy, melotherapy, open space activities: silviculture, floriculture, agriculture, zootechnics, etc., to create a sense of freedom and independence. It is recommended to find the solutions accepted by the subject in treatment along with the counseling by the family doctor and the pediatrician; knowledge of the details of each case [10].
\nCONCLUSIONS:
\nModern Medicine and Pharmacology return to history and recognize the importance of pain study and treatment. The science of ALGEZIOLOGY has fully embraced the practices of acute and chronic pain sufferers, and the Neuropsychiatry of the child, adolescent, and youth is associated with pain control strategies. The authors present the possibilities of intervention in the pains of these ages, and we will also create an experience in this field.<\/p>\n
BIBLIOGRAPHY :
\n1. Ancuceanu R. Mungiu C.O.; Analgezicele opioide \u2013 V.M.nr.2\/12.01.2018, pag.4;
\n2. Bendelow G.: Pain perception, emotions and gender in Sociologyof Health & Illness. Institute of Education – University ofLondon, 1993;
\n3. Bild Veronica; Antiinfl amatoarele nesteroidiene: evolu\u0163ie \u015fi viitor \u2013V.M. nr.2\/12.01.2018;
\n4. Chiril\u0103 Monica Emilia; Recuperarea medical\u0103 \u2013 o punte a suspinelor – V.M. nr.1\/ 4.01.2019;
\n5. Ciuca Andrada, Baban Adriana, Dumitrascu Dan L.; Dosar Terapia durerii: Durerea ca experien\u0163\u0103 subiectiv\u0103 – V.M. nr.15\/13.04.2018;
\n6. Gurman G.; Alinarea suferin\u0163ei, un scop \u00een sine – V.M. nr.1\/4.01.2019;
\n7. Heijden (von) M.J.S. et all. Assesig and addressing the problemof pain and disstres during wound care procedures in pediatric patients with burns. – BURNS 2017 [http \/\/dx. doi.org \/ 10.101. 6 \/j.];
\n8. Prezentare, Fachklinik Bad Heilbrunn, Zentrum fur Schmerzerkrankungen, 2018;
\n9. Valoron Presentation: Diagnosebogen fur Schmerzpatienten. Der erste Schritt: Schmerzen nehmen; Haus\u00e4rztliche Leitlinie, Schmerz, Th erapie von Schmerzen Konsentierung Version 3.00 17. Oktober 2007, Revision bis sp\u00e4testens 2010, Colectiv;
\n10. Vasile Sorina, Voinea Carmen, Rughinis Cosima: Dosar Terapia durerii: Sociologia durerii – V.M. nr. 15\/13.04.2018;<\/p>","protected":false},"excerpt":{"rendered":"
SUMMARY Current orientation of intervention in human afections with various suff erings has led to fi nding important milestones for diagnosis and specifi c therapy of diseases accompanied by pain, including pain whose organic support is not identifi ed. We begin with a remembrance of the algeziological classifi cation that is followed by the principles […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"footnotes":""},"categories":[530,519],"tags":[248,532],"class_list":["post-4003","post","type-post","status-publish","format-standard","hentry","category-numar-3-vol-2019","category-vol-2019","tag-doru-jurchescu","tag-simona-jurchescu"],"_links":{"self":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts\/4003","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/comments?post=4003"}],"version-history":[{"count":2,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts\/4003\/revisions"}],"predecessor-version":[{"id":4005,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/posts\/4003\/revisions\/4005"}],"wp:attachment":[{"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/media?parent=4003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/categories?post=4003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/snpcar.ro\/en\/wp-json\/wp\/v2\/tags?post=4003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}