TY  - BOOK
AU  - Groninger, Hunter
AU  - Mackie-Jenkins, Warren
AU  - Tosca, Regina M
TI  - Consultation for total pain in high-risk obstetrics
SN  - 2045-435X
PY  - 2018///
KW  - *Abdominal Pain/pc [Prevention & Control]
KW  - *Pain, Intractable/pc [Prevention & Control]
KW  - *Palliative Care
KW  - *Pregnancy Complications
KW  - *Referral and Consultation
KW  - Abdominal Pain/et [Etiology]
KW  - Adult
KW  - Female
KW  - Humans
KW  - Obstetrics/mt [Methods]
KW  - Pain, Intractable/et [Etiology]
KW  - Pregnancy
KW  - Risk Factors
KW  - Treatment Outcome
KW  - Young Adult
KW  - MedStar Washington Hospital Center
KW  - Medicine/Palliative Care
KW  - Journal Article
N1  - Available online through MWHC library: 2011 to the present
N2  - Palliative care (PC) consultation rarely takes place in the clinical setting of high-risk obstetrics, where 'total pain' may be undermanaged. Here, we present a case of a young woman carrying twins and hospitalised for acute abdominal pain. Workup for her pain revealed non-viable fetal tissue positioned in the uterine horn; the remaining fetus was viable. Initial attempts to control the patient's pain with strong parenteral opioids by the obstetrics team and the acute pain service failed. The PC service was consulted to assist. Applying a customary interdisciplinary approach in a novel PC clinical setting, the PC service was able to identify and attend to the patient's physical, psychosocial and spiritual pain, resulting in an overall decrease in reported pain scores, decreased opioid requirement and a plan for preservation of the viable fetus. Copyright (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted
UR  - https://dx.doi.org/10.1136/bmjspcare-2017-001392
ER  -