Re: Pain management in residential care

Issue: BCMJ, vol. 55, No. 5, June 2013, Page 232 Letters

In the article “Practical and strategic pain management in residential care” [BCMJ 2013;55:85-89], an important component of care is not discussed: physiotherapy. Muscle exercise is im­portant—often a painful muscle is a weak muscle. Graduated weight lifting can rebuild muscle and increase the well-being of residents. Even those with cognitive impairment can benefit.

Osteoarthritis is common in the residential care setting, and physiotherapy can also help in the management of this debilitating condition. 
—Audrey Lomax, MCSP, CPA 
Nanaimo

Audrey Lomax, MCSP, CPA,. Re: Pain management in residential care. BCMJ, Vol. 55, No. 5, June, 2013, Page(s) 232 - Letters.



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Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

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The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

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