Patient “athlete” with pain in the emergency department of the hospital
DOI:
https://doi.org/10.24195/artstudies.2022-1.3Keywords:
pain, physical activity, trauma, choreotherapy.Abstract
Pain management in physically active people in emergency medicine is an important but poorly studied problem. According to the Hippocratic Oath and the Code of Medical Ethics, the doctor’s task is to reduce pain and suffering. Analgesia is a common example of a bioethical approach to the patient. Violations in treatment contradict the principle of harmlessness. The right to pain relief is a basic human right. This is stated in the Tokyo Declaration, the European Convention on Human Rights, and the Constitution of the Republic of Poland. The right to pain relief is also a patient’s right. Pain is one of the most common reasons patients visit the emergency department. Rapid and effective treatment of pain should be one of the main goals of emergency medicine. Pain assessment and management in emergency are often ineffective and do not meet patient expectations. Therefore, actions aimed at eliminating or minimizing pain are an essential aspect in providing care to injured or aggrieved persons. Many factors should be taken into account when choosing painkillers: age, weight, medications, concomitant diseases, patient personality, hospitalization and surgery options, and physical activity. To effectively manage pain, one must first assess its nature, identify the cause, and then choose the appropriate treatment method. Factors such as leisure time, past sporting history and previous injuries, and their potential impact on current physical activity-related injuries, should also be taken into account. Some scientists point to the fact of lowering the pain threshold in athletes. Others prove that there is a difference in the perception of pain by women and men. Thus, we can conclude that the issue of pain is relevant both for medicine and physical culture. Solving the relevant problem requires a holistic and multifaceted approach, as well as scientifically based therapy. The rehabilitation period also matters. Among other methods, we consider it expedient to investigate art therapy, in particular, choreotherapy, which will be discussed in the next publication.
References
Kosiński S., Siudut B., Oligoanalgezja w medycynie ratunkowej – istota zjawiska, przyczyny i sposoby przeciwdziałania, „Anestezjologia i Ratownictwo” 2009, nr 3, s. 468–481.
Berben S.A., Meijs T.H., Dongen R.T.M., Vugt A.B., Vloet L.C.M., Mintjes-Groot J.J., Achterberg T., Pain prevalence and pain relief in trauma patients in the Accident & Emergency department, ,,Injury. International Journal of Care of the Injured” 2008, 39(5), s. 578–585.
Downey L.V.A., Zun L.S., Pain management in the emergency department and its relationship to patient satisfaction, ,,Journal of Emergencies, Trauma and Shock” 2010, 3(4), s. 326–330.
Karkowski-Soulie F., Lessenot-Tcherny S., Lamarche -Vadel A., Pain in an emergency department: an audit, „The Journal of Emergency Medicine” 2006, 13(4), s. 218–224.
Wordliczek J., Dobrogowski J., Leczenie bólu, Warszawa 2007, s. 12–185.
Hilgier M., O bólu do bólu. Niedokończona rozmowa, Warszawa 2008. Szerla M., Kosztołowicz M., Aplikacja bólu na strukturę osobowości, w: Makiełło-Jarży G., Gajda Z. (red.), Ból i cierpienie, Kraków 2005, s. 46–57.
Zimbardo P., Psychologia i życie, Warszawa 1999. Dobrogowski J., Kuś M., Sedlak K., Wordliczek J., Ból i jego leczenie, Warszawa 1996, s. 20–139.