Biomaterial Database

Development of acute pain service in an Indian cancer hospital. 2010

P N Jain, and A Chatterjee

Department of Anaesthesiology, Critical Care & Pain, Tata Memorial Hospital, Parel, Mumbai, India. pnj5@hotmail.com

Postoperative pain relief continues to be a major challenge for all health care professionals caring for such patients in India. Acute pain services are almost nonexistent, even in large private and university hospitals. As per our estimate not more than 10 such services are available. Tata Memorial Hospital is a tertiary care cancer center that started one of the first Acute Pain Services (APS) in India in 2002 to provide safe and effective postoperative pain management. APS guidelines and protocols have since been implemented and patients are monitored by a team of a consultant physician, a nurse, and a medical resident. Audits are done at regular intervals to evaluate the efficacy of service and patient satisfaction. Pain scores declined yet the patient satisfaction has not improved. Postoperative outcome studies are yet to be undertaken. The development and current activities of the APS that can be implemented in a country that does not have sophisticated acute pain management teams are described.

UI	MeSH Term	Description	Entries
D007194	India	A country in southern Asia, bordering the Arabian Sea and the Bay of Bengal, between Burma and Pakistan. The capitol is New Delhi.	Republic of India
D008485	Medical Audit	A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.	Audit, Medical,Audits, Medical,Medical Audits
D010149	Pain, Postoperative	Pain during the period after surgery.	Acute Post-operative Pain,Acute Postoperative Pain,Chronic Post-operative Pain,Chronic Post-surgical Pain,Chronic Postoperative Pain,Chronic Postsurgical Pain,Pain, Post-operative,Persistent Postsurgical Pain,Post-operative Pain,Post-operative Pain, Acute,Post-operative Pain, Chronic,Post-surgical Pain,Postoperative Pain, Acute,Postoperative Pain, Chronic,Postsurgical Pain,Postoperative Pain,Acute Post operative Pain,Chronic Post operative Pain,Chronic Post surgical Pain,Chronic Postsurgical Pains,Pain, Acute Post-operative,Pain, Acute Postoperative,Pain, Chronic Post-operative,Pain, Chronic Post-surgical,Pain, Chronic Postoperative,Pain, Chronic Postsurgical,Pain, Persistent Postsurgical,Pain, Post operative,Pain, Post-surgical,Pain, Postsurgical,Post operative Pain,Post operative Pain, Acute,Post operative Pain, Chronic,Post surgical Pain,Post-operative Pains,Post-surgical Pain, Chronic,Postsurgical Pain, Chronic,Postsurgical Pain, Persistent
D002173	Cancer Care Facilities	Institutions specializing in the care of cancer patients.	Hospitals, Cancer,Cancer Care Facility,Cancer Hospital,Cancer Hospitals,Facilities, Cancer Care,Facility, Cancer Care,Hospital, Cancer
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000208	Acute Disease	Disease having a short and relatively severe course.	Acute Diseases,Disease, Acute,Diseases, Acute
D017060	Patient Satisfaction	The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.	Satisfaction, Patient
D017410	Practice Guidelines as Topic	Works about directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.	Clinical Guidelines as Topic,Best Practices,Best Practice
D018710	Pain Clinics	Facilities providing diagnostic, therapeutic, and palliative services for patients with severe chronic pain. These may be free-standing clinics or hospital-based and serve ambulatory or inpatient populations. The approach is usually multidisciplinary. These clinics are often referred to as "acute pain services". (From Br Med Bull 1991 Jul;47(3):762-85)	Acute Pain Service,Multidisciplinary Pain Centers,Pain Centers,Pain Relief Units,Multidisciplinary Pain Clinics,Pain Service, Acute,Acute Pain Services,Center, Multidisciplinary Pain,Center, Pain,Centers, Multidisciplinary Pain,Centers, Pain,Clinic, Multidisciplinary Pain,Clinic, Pain,Clinics, Multidisciplinary Pain,Clinics, Pain,Multidisciplinary Pain Center,Multidisciplinary Pain Clinic,Pain Center,Pain Center, Multidisciplinary,Pain Centers, Multidisciplinary,Pain Clinic,Pain Clinic, Multidisciplinary,Pain Clinics, Multidisciplinary,Pain Relief Unit,Pain Services, Acute,Service, Acute Pain,Services, Acute Pain,Unit, Pain Relief,Units, Pain Relief