The challenges of understanding and managing pain in the heart failure patient

Current Opinion in Supportive and Palliative Care

Volumn 7, Issue 1, 2013, Pages 14-20

  Light McGroary, Kellyann ^a   Goodlin, Sarah J ^b  

^a UNIVERSITY OF IOWA HOSPITALS AND CLINICS   (United States)

^b PORTLAND VA MEDICAL CENTER   (United States)

Author keywords

Heart failure; Opioids; Pain

Indexed keywords

ANALGESIC AGENT;

ANALGESIA; CLASSIFICATION; COMORBIDITY; DISEASE COURSE; FAMILY RELATION; HEART FAILURE; HUMAN; MENTAL STRESS; METHODOLOGY; PAIN; PALLIATIVE THERAPY; PATHOPHYSIOLOGY; PSYCHOLOGICAL ASPECT; REVIEW; SICKNESS IMPACT PROFILE; STANDARD;

ANALGESICS; COMORBIDITY; DISEASE PROGRESSION; FAMILY RELATIONS; HEART FAILURE; HUMANS; PAIN; PAIN MANAGEMENT; PALLIATIVE CARE; SICKNESS IMPACT PROFILE; STRESS, PSYCHOLOGICAL;

EID: 84877947262     PISSN: 17514258     EISSN: 17514266     Source Type: Journal    
DOI: 10.1097/SPC.0b013e32835c1f2f     Document Type: Review

References (14)

1. Godfrey C, Harrison M, Medves J, Tranmer J. The symptom of pain with heart failure: a systematic review. J Card Fail 2006;12:307-313.
2. Goodlin S, Wingate S, Albert N, et al. Investigating Pain in Heart Failure Patients: the pain assessment, incidence, and nature in heart failure (PAINHF) study. J Card Fail 2012;18:776-783. This is the first study which is aimed directly at understanding the complexity of the pain experience of the heart failure patient and to document the frequency of occurrence and the type of pain. It is a foundational study upon which to build a body of knowledge regarding pain and suffering in heart failure patients.
3. International Association for the Study of Pain. IASP pain terminology. In Merskey H, Bogduk N, editors. Classification of Chronic Pain. 2nd ed Seattle , WA : IASP Press: 1994. http://www.iasp-pain.org/Content/NavigationMenu/ GeneralResourceLinks/PainDefinitions/default.htm. Accessed October 5, 2012.
4. Saunders C, Baines M. Living with dying. 2nd ed. New York : Oxford University Press;1984.
5. International Association for the Study of Pain. IASP pain terminology. In: Merskey H, Bogduk N, editors. Classification of chronic pain. 2nd ed Seattle , WA : IASP Press;1994. http://www.iasp-pain.org/Content/NavigationMenu/ GeneralResourceLinks/PainDefinitions/default.htm. [Accessed 5 October 2012]
6. McCaffery, Pasero M. Pain: clinical manual. 2nd ed St Louis : Mosby;1999
7. International Association for the Study of Pain. IASP pain terminology. In Merskey H, Bogduk N, editors. Classification of chronic pain. 2nd ed Seattle , WA : IASP Press;1994. http://www.iasp-pain.org/Content/NavigationMenu/ GeneralResourceLinks/PainDefinitions/default.htm. [Accessed 5 October 2012]
8. Leleszi J, Lewandowski J. Pain management in end-of-life care. J Am Osteopath Assoc 2005;105:S6-S11.
9. Lynn J, Teno JM, Phillips RS, et al. Perception by family members of the dying experience of older and seriously ill patients. Ann Intern Med 1997;126: 77-106.
10. Goebel J, Doering L, Shugarman L, et al. Heart failure: the hidden problem of pain. J Pain Symp Management 2009;38:698-707.
11. Goebel J, Doering L, Evangelista LS, et al. A comparative study of pain in heart failure and nonheart failure veterans. J Card Fail 2009;15:24-30.
12. Clark AL, Goode KM. Do patients with chronic heart failure have chest pain? Int J Cardiol 2012. doi: 10.1016/j.ijcard.2011.12.042.
13. Richter A, Cederholm I, Fredrikson M, et al. Effect of long-term thoracic epidural analgesia on refractory angina pectoris: a 10-year experience. J Cardiothorac Vasc Anesth 2012;5:822-828. This was an interesting prospective study of a cohort of patients with refractory angina. It used thoracic epidural analgesia which was given long term at home with good success in improving quality of life and relief of pain without significant adverse effects.
14. Vargas-Schaffer G. Is the WHO analgesic ladder still valid? Can Fam Physician 2010;56:514-517.