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Hello I am Steven Richeimer,Chief of the Division of Pain Medicine
at the Keck School of Medicine atthe University of
Southern California in Los Angeles.Today we're gonna discuss how technology
provides some solutions in assistance fortreating difficult to control pain and
other symptoms of discomfort.
However, it is important for
us to understand the pain is notoccurring as a simple manifestation
of a physiological problem.Pain in fact,is not exactly the same thing as suffering
as we see in the middle of this slide.Pain and suffering overlap,
but they are not identical andthere are many factors that contribute to
the degree of suffering of the patient.These includes psychological factors,spiritual factors,
social and family factors.Therefore, it is very important
that when we turn to technologicalsolutions that we are not providing
them in a sterile environmentthat ignores the entire context of
the patient's pain and their suffering.
When we examine the patient with pain,
it's important forus to understand the pattern of
the pain that they suffer with.So for instance, providing long-acting
opioids provides an excellentsteady baseline of pain control for
the patient who has persistent pain.But it is not an effective approach for
the patient who has spikes of episodic orbreakthrough pain.For such an approach we need to be able
to rapidly deliver additional medication.