English:
Strong opioids are widely used for managing chronic pain problems. These patients will also require a background dose opioid to prevent withdrawal and may exhibit tolerance. Patients may also present with acute exacerbations of chronic problems for low back pancreatitis and renal calculi. example chronic pain. The triggers for exacerbation be psychological and social the may rather than a change in the underlying pathology. Multi- disciplinary assessment is often necessary. An individual treat- ment plan agreed with all staff and with the patient may help to reduce frustrations associated with frequent re-admissions.