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Barrier to Pain
TreatmentOleh
Dr.Nella Abdullah ,SpAn.MARS
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PREVALENSI CHRONIC PAIN
Usia Produktif di USA : 2 %--40 % dari populasi penduduk
45% - 80 % home care
40% -80% inadekuat treatment
Chronic Pain public health problem
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Why Public Health
problem??
Medical expenses
Lost income
Lost productivity
100 Milyard US /tahun .
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Barriers
Petugas kesehatan : dokter,perawat , farmacist dll
Pasien dan keluarga
Regulasi dari RS dan pemeritah
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Barrier :Dokter &
Nakes
Kesenjangan Ilmu Pengetahuan
Keraguan Memakai Opioids
Inadekuat Assesment Skills.
Kesalahpahaman Penggunaan Opioids antara
dokter,perawat,pharmacists (side efek , adiksi.dll).
Kesulitan menghitung dosis opioids .
Pain management bukan prirotas utama.
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BARRIER:PASIEN &
KELUARGA
Komunikasi :kesulitan asses nyeri pada pasien tua
karena gangguan cognitive dan sensory.
Takut adiksi ,efek samping obat yang diberikan .
Masking Symptoms,karena pasien
menolak ,dimentia,atau tidak komplain nyeri karenaa good patient.
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Barrier :Regulasi RS &
Pemerintah
Peraturan yang ketat terhadap peresepan opiods,
.Ketersediaan obat .
Inadekuat edukasi dan SDM.
Perobahan asuransi kesehatan .
Pain management bukan prioritas
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BARRIER to pain
management
Affective Barriers:ansietas dan depresi yg hebat bisa
meningkatkan intensitas nyeri.
Cognitive barriers:takut terhadap efek opioids spt
adiksi dan efek samping.
Sensory barriers:pasien stop minum obat karena efek
samping spt dry mouth ,sweating,nafsu makan turun .
Komunikasi pain:Sangat tergantung pada cognitive
pasien,sensory dan affective barrier.
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