In March 2010 parliament approved the law unanimously 38 having as its object "Measures to ensure access to palliative care and pain therapy." To promote the application of the law quickly and uniformly throughout the country was held in Rome on November 22 last year at the Ministry of Health meeting of 40 major Italian scientific societies, including the ACP. This meeting, called IMPACT 2010 (Interdisciplinary Multitask Pain Cooperative Tutorial) follows the first meeting in Florence in July 2010. The IMPACT project 2010 has as objective to promote "The actual impact at national level 38 of the Law on good clinical practice in pain management." Do so, namely, that Law 38 does not remain a law is not uniformly applied or not applied, as was the case for the project "Hospital without pain" from 2001. The ACP, which for years has at heart the problem of prevention of procedural pain and pain therapy has promoted, among other things, research into how pain is treated in the pediatric wards of hospitals in Italy, took part actively the wording of the pediatric part of the law. Pain therapy is applied to the therapeutic approach for chronic forms of pain control. Palliative care, however, as defined by the World Health Organization, are "an approach that improves the quality of life of patients and families who are confronted with the problems associated with incurable diseases through prevention and relief from suffering , achieved through early identification and treatment of pain and other physical, psychosocial and spiritual. " Among other things, according to this law, doctors must all must register on the chart each patient's pain intensity (after appropriate measurement of pain using the appropriate scale) and analgesic medication in the dosage and results. And this must be done both at local level hospital. The law provides for the establishment of two separate care networks. A network (which includes the Hospice) ensure the implementation of palliative care to terminally ill patients, the other, which includes clinics and centers of Pain Therapy, provides assistance to patients with chronic pain. These networks involve both general practitioners, hospital specialists and Algology that, in order to ensure the best course of patient care. The law also provides art. 12, paragraph 2, the availability of 100 million euro per year and € 2,450,000 in the biennium 2010-2011 for the implementation of experiments on the regional project "Hospital-territory without pain." They are also subject to the specialized training and retraining of health personnel, with university courses and masters are dedicated to the theme of the ad hoc pain. For the first time in Europe was established for children as a right of access to palliative care and pain management through specific dedicated services. The ACP feel concerned at the forefront in the application of the law concerning children is through the dissemination content of the law itself is by organizing training programs for pediatricians and family of those hospitals.
Luciano de Seta Hospital ACP Group Coordinator
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