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Could pain understanding by patients help the assessment of trigeminal neuralgia? Translated title: A compreensão da dor pelo paciente pode ajudar no tratamento da neuralgia do trigêmeo?

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      Abstract

      ABSTRACT BACKGROUND AND OBJECTIVES: To observe the efficacy of pain management by means of an educational proposal to address patients with trigeminal neuralgia, which is a chronic pain with high daily activity limitation rates. METHODS: Eight patients being treated of trigeminal neuralgia participated in weekly meetings on pain in a general reference hospital. Patients had uncontrollable pain in spite of treatments so they would come very frequently to the hospital (once every one or two weeks). Patients were invited to participate in a series of meetings (four) to receive information and discuss about the disease and pain. RESULTS: There has been increased interval between appointments for two patients, who went from weekly to biannual visits, and six patients were discharged with controlled symptoms. CONCLUSION: Education on pain has helped its management and coping by patients, by means of understanding their condition, in addition to improving their abilities to deal with it, decreasing hospital visits due to less pain recurrence.

      Translated abstract

      RESUMO JUSTIFICATIVA E OBJETIVOS: Verificar a eficácia do tratamento da dor, por meio de uma proposta educativa para a abordagem de pacientes com neuralgia do trigêmeo, uma dor crônica com alto índice de limitações em atividades diárias. MÉTODOS: Oito pacientes com neuralgia do trigêmeo em tratamento frequentaram encontros semanais sobre a dor em um hospital geral de referência. Eles apresentavam dor incontrolável apesar dos tratamentos e por isso compareciam em atendimentos com alta frequência (1 vez a cada 1 ou 2 semanas). Eles foram convidados a participar de uma série de encontros (4) para receber informações e discutir sobre a doença e a dor. RESULTADOS: Observou-se que houve um aumento nos intervalos de tempo entre as consultas de 2 pacientes, que passaram de visitas semanais para bienais, e 6 pacientes tiveram alta e controle dos sintomas. CONCLUSÃO: Educação em dor auxiliou no seu manuseio pelos pacientes e em seu enfrentamento, por meio do entendimento de sua condição e no aumento de habilidades para lidar com ela, reduzindo visitas ao ambulatório por conta da menor recorrência de dor.

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      Most cited references 23

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      Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia

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        The Effects of Problem-Based Learning On Problem Solving

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          Idiopathic trigeminal neuralgia Clinical aspects and dental procedures

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            Author and article information

            Affiliations
            [1 ] Universidade de São Paulo Brazil
            [2 ] Universidade de São Paulo Brazil
            [3 ] Universidade de São Paulo Brazil
            Contributors
            Role: ND
            Role: ND
            Role: ND
            Journal
            rdor
            Revista Dor
            Rev. dor
            Sociedade Brasileira para o Estudo da Dor
            2317-6393
            June 2016
            : 17
            : 2
            : 93-95
            S1806-00132016000200093
            10.5935/1806-0013.20160022

            This work is licensed under a Creative Commons Attribution 4.0 International License.

            Product
            Product Information: SciELO Brazil
            Categories
            CLINICAL NEUROLOGY
            CRITICAL CARE MEDICINE
            NEUROSCIENCES

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