Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 1.736
5-Year Impact Factor – 2.135
Index Copernicus  – 168.52
MEiN – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2015, vol. 24, nr 5, September-October, p. 905–910

doi: 10.17219/acem/26394

Publication type: review article

Language: English

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Problems and Barriers in Ensuring Effective Acute and Post-Operative Pain Management – an International Perspective

Wioletta Mędrzycka-Dąbrowska1,A,B,C,D, Sebastian Dąbrowski2,B,C, Andrzej Basiński3,E,F

1 Department of General Nursing, Medical University of Gdańsk, Poland

2 Department of Anesthesiology and Intensive Care, Obodzińskiej-Król Memorial Hospital, Malbork, Poland

3 Clinical Emergency Department, Medical University of Gdańsk, Poland


Pain management originated at the turn of the 1960s and 70s in the United States, and spread to Western Europe almost a decade later. It is estimated today that a lack of adequate pain management affects 80% of the global population, and is a serious problem in over 150 countries. At the national level, the greatest burden of inadequate pain management is borne by the elderly, pregnant and breastfeeding women, children, people coping with addictions to harmful substances, and the mentally ill. In spite of enormous progress, there are still significant barriers to comprehensive pain management. Pain management should be considered a priority. It is an interdisciplinary task requiring the cooperation of the whole medical staff. The current review of literature revealed a number of factors limiting the possibility of achieving effective pain management, related to healthcare systems, medical staff and patients.

Key words

barriers, acute pain, post-operative pain, old age

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