TY - JOUR
T1 - Under Pressure
T2 - Applying Practice-Based Learning and Improvement to the Treatment of Chronic Neuropathic Pain in Patients with Burns
AU - Rapolti, Mihaela
AU - Wu, Cindy
AU - Schuth, Olga A.
AU - Hultman, Charles Scott
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/10
Y1 - 2017/10
N2 - Chronic neuropathic pain after burn injury may have multiple causes, such as direct nerve injury, nerve compression, or neuroma formation, and can significantly impair quality of life and limit functional recovery. Management includes a team-based approach that involves close collaboration between occupational and physical therapists, plastic surgeons, and experts in chronic pain, from neurology, anesthesia, psychiatry, and physiatry. Carefully selected patients with an anatomic cause of chronic neuropathic pain unequivocally benefit from surgical intervention. Self-reflection and analysis yield improvement in both efficiency and effectiveness when managing patients with burns with chronic neuropathic pain.
AB - Chronic neuropathic pain after burn injury may have multiple causes, such as direct nerve injury, nerve compression, or neuroma formation, and can significantly impair quality of life and limit functional recovery. Management includes a team-based approach that involves close collaboration between occupational and physical therapists, plastic surgeons, and experts in chronic pain, from neurology, anesthesia, psychiatry, and physiatry. Carefully selected patients with an anatomic cause of chronic neuropathic pain unequivocally benefit from surgical intervention. Self-reflection and analysis yield improvement in both efficiency and effectiveness when managing patients with burns with chronic neuropathic pain.
KW - Burn injury
KW - Chronic pain
KW - Core competencies
KW - Disruptive innovation
KW - Learning curve
KW - Neuropathy
KW - Peripheral nerve decompression
KW - Practice-based learning and improvement
UR - http://www.scopus.com/inward/record.url?scp=85026490700&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85026490700&partnerID=8YFLogxK
U2 - 10.1016/j.cps.2017.06.001
DO - 10.1016/j.cps.2017.06.001
M3 - Review article
C2 - 28888318
AN - SCOPUS:85026490700
SN - 0094-1298
VL - 44
SP - 925
EP - 934
JO - Clinics in Plastic Surgery
JF - Clinics in Plastic Surgery
IS - 4
ER -