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„"Pain is what the patient says it is."“

Pain is a multifaceted issue. It is a multi-professional issue. It is a socio-political issue. All of this became abundantly clear at the Second Pain Forum of the German Pain Society (DSG), where DSG President Prof. Dr. Michael Schäfer advocated for "local, comprehensive, and easily accessible pain care." His demand, along with references to the consensus paper jointly adopted by all pain societies, which outlines a tiered pain care system in Germany, and to the recent resolutions of the Joint Health Conference (GMK) on pain care and the establishment of an ad-hoc commission to create a pain atlas that will correlate the current state of pain care with actual pain care needs, resonated with the representatives from science, research, and the medical profession, as well as from politics and nursing.

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First publication date: 31.03.2015

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From the perspective of the German Nursing Council, it is welcome, as Nursing Council President Andreas Westerfellhaus stated in his keynote address, that the adoption of the Health Ministers' Conference resolution, also mentioned by Schäfer, signifies a strengthening of pain management. However, the next step is the implementation of this resolution, leading to the development of concrete measures in everyday nursing and medical practice. In his view, it is essential to assign a new and different significance to the topic of pain across all professional groups. As Westerfellhaus explained: "Pain therapy is an interdisciplinary and interprofessional task that must operate across sectors." This urgently requires the further development of qualification structures for nurses and physicians, for physiotherapists and pharmacists – and this must be implemented in all sectors. It is important to promote and network existing models, such as the "Pain-Free City of Münster.".
For Dr. Martina Wenker, Vice President of the German Medical Association, there are currently several complex issues that occupy her intensively. The first is the cross-cutting issue of hygiene, along with antibiotic resistance, palliative and hospice care, and pain management, which she deals with professionally as a trained internist. However, particularly in pain management, within the context of hospital planning and quality assurance at the federal and state levels, measuring high-quality pain care is anything but trivial. Since good and successful pain management is a complex, cross-cutting issue involving various professional groups and disciplines in a multi- and interprofessional manner, a simple "quality indicator of pain or lack thereof" as the basis for potential reimbursement increases or decreases within the framework of future hospital financing, in her estimation, "cannot even begin to address this problem." In light of the GMK resolution, the German Medical Association believes that a systematic development of valid quality assurance instruments is needed first, similar to other cross-cutting issues such as hygiene, nosocomial infection, discharge management, and pressure ulcer prevention. Wenker, who explicitly addressed those present...

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