A philosophy for treating chronic pain

The Journal of the American Medical Association has an article in their Clinical Crossroads series by Dr. James Rathmell that presents a case history of a 50-year-old man with chronic back pain. Dr. Rathmell is Director of the Center for Pain Medicine at the Massachusetts General Hospital in Boston.

I’ve focused on his thoughts as they relate to non-pharmacologic treatment options and his philosophy on treating the chronic pain patient. Continue reading A philosophy for treating chronic pain →

Palliative care for heart disease patients

People living with heart failure have similar symptoms and levels of depression and spiritual well-being as patients with advanced lung and pancreatic cancer.

Dr. David Bekelman from the University of Colorado Denver School of Medicine thinks, “Perhaps we can do more to reduce [this] burden for heart failure patients.” Continue reading Palliative care for heart disease patients →

Obtaining a patient’s spiritual history


In an earlier post I quoted from an article by Dr. Christina Puchalski on the physician’s role in providing spiritual care. Here, Dr. Puchalski outlines the essential components of taking a spiritual history using the acronym, F. I. C. A.

Considering the prevalence of prayer as a form of CAM, this acronym should be useful to healthcare providers. It also provides a guide to patients on what is appropriate information to provide during a doctor visit.

F. Faith and belief
Continue reading Obtaining a patient’s spiritual history →

Complementary and Alternative Medicine: Fair, Balanced, and to the Point