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Is physician supervision of the capsaicin 8% patch administration procedure really necessary? An opinion from health care professionals

机译:确实需要对辣椒素8%贴剂施用程序进行医师监督吗?医护人员的意见

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Abstract: Neuropathic pain is difficult to treat and can have a severe effect on quality of life. The capsaicin 8% patch is a novel treatment option that directly targets the source of peripheral neuropathic pain. It can provide pain relief for up to 12 weeks in patients with peripheral neuropathic pain. Treatment with the capsaicin 8% patch follows a clearly defined procedure, and patch application must be carried out by a physician or a health care professional under the supervision of a physician. Nonetheless, in our experience, nurses often take the lead role in capsaicin 8% patch application without the involvement of a physician. We believe that the nurse's key role is of benefit to the patients, as he or she may be better placed, because of time constraints and patient relationships, to support the patient through the application procedure than a physician. Moreover, a number of frequently prescribed drugs, including botulinum toxin and infliximab, can be administered by health care professionals without the requirement for physician supervision. Here we argue that current guidance should be amended to remove the requirement for physician supervision during application of the capsaicin 8% patch.
机译:摘要:神经性疼痛难以治疗,可能对生活质量产生严重影响。辣椒素8%贴剂是一种直接针对周围神经性疼痛源的新型治疗选择。对于周围神经性疼痛患者,它可以提供长达12周的疼痛缓解。辣椒素8%贴剂的治疗遵循明确定义的程序,并且贴剂的应用必须由医师或保健专业人员在医师的指导下进行。但是,根据我们的经验,护士通常在辣椒素8%贴剂应用中起主导作用,而无需医生的参与。我们认为,护士的关键作用是使患者受益,因为由于时间限制和患者之间的关系,护士或护士可能比医师更容易通过申请程序为患者提供支持。此外,保健专业人员可以在不要求医生监督的情况下服用许多经常开的药物,包括肉毒杆菌毒素和英夫利昔单抗。在这里,我们认为应修改当前指南,以消除在应用辣椒素8%贴剂期间对医生进行监督的要求。

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