Under Pressure: Applying Practice-Based Learning and Improvement to the Treatment of Chronic Neuropathic Pain in Patients with Burns

Mihaela Rapolti, Cindy Wu, Olga A. Schuth, Charles Scott Hultman

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)925-934
Number of pages10
JournalClinics in Plastic Surgery
Volume44
Issue number4
DOIs
StatePublished - Oct 2017
Externally publishedYes

Keywords

  • Burn injury
  • Chronic pain
  • Core competencies
  • Disruptive innovation
  • Learning curve
  • Neuropathy
  • Peripheral nerve decompression
  • Practice-based learning and improvement

ASJC Scopus subject areas

  • Surgery

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