"I just wish I had armfuls of time." These are the words of a four year old facing a life-threatening illness. This text portrays the psychological experience of such children, who are irreversibly changed from the moment of diagnosis. Barbara Sourkes is a psychologist who specializes in psychotherapy with children who have cancer and other serious diseases. In the account, she describes how she works with these children, using drawings, soft toys and dolls, stories and real medical instruments to allow them to communicate their experience of the illness, the treatment they undergo, their relationship with their families, and their feelings of grief and loss in coming to terms with the prospect of death. Making use of the words of children, offering interpretations and practical advice, this is a book that should be useful reading for those concerned with the care of terminally ill children.

Since the first edition of the Handbook on Drowning in 2005, many epidemiological data have confirmed the burden of drowning in several parts of the world. Studies have increased the understanding of effective drowning prevention strategies, rescue techniques and treatment options. Much has been learned about submersion and immersion hypothermia, SCUBA-diving injuries, the life-saving preparations of water-related disasters and how to deal with forensic investigations. In this updated second edition, experts from around the world provide a complete overview of current research data, consensus statements and expert opinions. The book Drowning provides evidence-based practical information and has a unique informative value for various groups with tasks, duties and responsibilities in this domain. In addition, the book may be an inspiration for future networks and research initiatives.

The most misunderstood and complex subject in medicine is the hyperpathic pain of sympathetic dystrophy. More common than previously thought, it comprises between 10 and 20 percent of chronic pain patients. Understanding this self-perpetuating pain -- which "never stops" -- requires unbiased knowledge of physiology and pathology.
Chronic Pain: Reflex Sympathetic Dystrophy, Prevention, and Management is devoted to the subject of Reflex Sympathetic Dystrophy (RSD). The book classifies the different stages of RSD and describes the qualitative and quantitative differences between natural endorphins and synthetic narcotics. Included are long-term follow-ups on sympathectomy patients.
This important reference explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD. In addition, the mechanism of development of RSD is clarified through an extensive collection of drawings and anatomical pictures as well. Other topics include thermographic methods for the diagnosis of RSD, the role of ACTH in the management of chronic pain, and comparisons between the effects of ACTH and those of corticosteroids.

Features
o Classifies the different stages of RSD
o Features the most comprehensive coverage of the literature on RSD and its related aspects
o Describes qualitative and quantitative differences between natural endorphins and systemic narcotics
o Examines the role of ACTH in the management of chronic pain
o Clarifies the mechanism of development of RSD through an extensive collection of drawings and anatomical pictures
o Explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD

This unique new guide integrates recent advances in the biopsychosocial understanding of chronic pain with state-of-the-art cognitive therapy and mindfulness techniques to offer a fresh, highly-effective MBCT approach to helping individuals manage chronic pain. * There is intense interest from clinicians, researchers and patients alike in mindfulness-based therapeutic techniques, and the integration of mindfulness theory and practice with CBT * Provides everything a therapist needs to integrate MBCT into their practice and optimize its delivery, including a manualized 8-session program and guidance on how to teach MBCT skills * Features case studies and real-world examples that help practitioners to avoid common pitfalls and optimize the delivery of MBCT for chronic pain for their own individual clients * Features links to guided meditations, client and therapist handouts and other powerful tools

Recent advances in medicine for resuscitation and care have led to an increased number of patients that survive severe brain damage but who are poorly responsive and non-communicative at the bedside. This has led to a striking need to better characterize, understand, and manage this population who present a real challenge for the assessment of pain and for planning treatment. This edited collection provides clinicians with a guide to recent developments in research on pain perception and assessment, and the detection of consciousness and communication in patients with disorders of consciousness (DOC). With contributions from leading global researchers, the book gives an overview of issues concerning the assessment of pain. It also covers the development of suitable tools both to improve pain management and to detect consciousness and communication in these patients, to influence their prognosis and treatment, and their quality of life. Methodological and ethical issues concerning the implication for future research are also considered. The book will be an invaluable guide for clinicians, medics and therapists working in rehabilitation and acute care, particularly in the demanding field of pain perception, pain assessment and detection of consciousness and communication in patients with DOC. It will also be useful for students and researchers in neuropsychology and medical sciences.

Research has demonstrated that children with cancer and their parents regards procedure-related pain as one of the most difficult parts of having cancer, and their distress continues years after the completion of anti-cancer treatment. This is a practical 'how to' book that will provide readers with the knowledge, skills, structure and techniques to help young patients and their families to cope with painful medical procedures. The author has gathered together over 10 years experience in clinical pediatric oncology and palliative care to provide a concise overview of procedure-related pain. The book describes the pharmacological and psychological methods of pain relief and how they may be combined, along with the difficulties that may be encountered in their implementation. It also encourages better integration between research work and clinical practice. This is an essential guide for all healthcare professionals working with young people in palliative care or oncology, or those working with children undergoing painful treatments for other conditions such as those with diabetes or those undergoing dialysis.

Recent advances in medicine for resuscitation and care have led to an increased number of patients that survive severe brain damage but who are poorly responsive and non-communicative at the bedside. This has led to a striking need to better characterize, understand, and manage this population who present a real challenge for the assessment of pain and for planning treatment. This edited collection provides clinicians with a guide to recent developments in research on pain perception and assessment, and the detection of consciousness and communication in patients with disorders of consciousness (DOC). With contributions from leading global researchers, the book gives an overview of issues concerning the assessment of pain. It also covers the development of suitable tools both to improve pain management and to detect consciousness and communication in these patients, to influence their prognosis and treatment, and their quality of life. Methodological and ethical issues concerning the implication for future research are also considered. The book will be an invaluable guide for clinicians, medics and therapists working in rehabilitation and acute care, particularly in the demanding field of pain perception, pain assessment and detection of consciousness and communication in patients with DOC. It will also be useful for students and researchers in neuropsychology and medical sciences.

Based on an 8-week Mindfulness-based Cognitive Therapy programme, this guide addresses the increasing need for adapted mindfulness in the management of ME/CFS, fibromyalgia, Long Covid, and other chronic fatigue conditions. Using current understanding and theoretical approaches to Long Covid and ME/ CFS, this book allows practitioners to understand how they can adapt their teaching to accommodate patients with specific needs and challenges, including adaptations for brain fog, approaches to rest, movement, daily activity and accompanying difficult thoughts and emotions. Contributions from people who manage ME, fibromyalgia and chronic fatigue through mindfulness are included alongside practical guidance and detailed week-by-week session plans whether that's in-person or online. Filled with helpful diagrams and illustrations, practitioners can use this guide to greatly widen the scope of who they can reach and gently empower clients living with often isolating conditions on how to apply this approach in the long-term to their everyday lives.

For many of the millions of people who undergo anaesthesia each year, it is the source of great fear and fascination. In Counting Backwards, anaesthetist Henry Jay Przybylo has written an unforgettable account of the routine procedure's daily dramas and fundamental mysteries. Przybylo has administered anaesthesia more than 30,000 times on newborn babies, screaming toddlers and sullen teenagers, his own son and even a gorilla. With compassion and candour, he weaves his experiences into stories that explore the nature of consciousness, the politics of pain relief and the wonder of modern medicine. Through its intense and humane tales of mistakes, near-disasters, life-saving successes and moments of grace, Counting Backwards shines a light on a fascinating but unexplored corner of the medical world.

With 300 brand new single best answer questions and reasoned answers, this comprehensive revision guide provides the candidate with the definitive, revision resource for the newly introduced inclusion of SBA questions as part of the Primary FRCA examination. * Test yourself with 300 brand new revision questions and answers in the SBA format of the revised Primary FRCA examination. * Learn through selecting the most appropriate answers. * Questions are organised randomly to provide 10 sets of 30 SBAs practice papers, providing realistic and concentrated exam practice. Written by an experienced author team that has extensive knowledge of the exam through its role teaching Primary FRCA courses, this title is currently one of the only SBA revision guides on the market, in keeping with the new format of the examination. Get Through Primary FRCA: SBAs is essential reading and revision material for postgraduate candidates preparing for the written part of the Primary FRCA examination.

Chinese Auricular Acupuncture provides students and practitioners with a clear, concise, and user-friendly manual on ear acupuncture. It reduces the need for memorization by presenting a method of ear acupuncture that is in keeping with the underpinnings of traditional Chinese medicine. The book can be independently studied and easily used to treat various diseases. It covers ear modalities such as needles, press tacks, seeds and incorporates actual cases from clinical practice to illustrate the clinical applicability of specific modalities and ear acupuncture points. A section on ear diagnosis allows you to supplement your assessment of the pulse, tongue, and hara, thus improving your ability to differentiate the functional basis of imbalance and illness. This edition includes five new chapters on the multiple use of auricular points, prescriptionology practice, common ear questions, new research, and ethical issues. It contains detailed tables and photographs that aid understanding and includes an extensive and updated bibliography. The greatest strength of this book is its user friendliness, which allows both the beginning student and the experienced practitioner to successfully apply auricular medicine in the treatment of their patients in a caring, relatively noninvasive, and effective manner.

"A fascinating, totally seductive read!" -Eula Biss, author of Notes from No Man's Land: American Essays and On Immunity: An Inoculation "A book built of brain and nerve and blood and heart. . . . Irreverent and astute. . . . Pain Studies will change how you think about living with a body." -Elizabeth McCracken, author of Thunderstruck and Bowlaway "A thrilling investigation into pain, language, and Olstein's own exile from what Woolf called 'the army of the upright.' On a search path through art, science, poetry, and prime-time television, Olstein aims her knife-bright compassion at the very thing we're all running from. Pain Studies is a masterpiece." -Leni Zumas, author of The Listeners and Red Clocks In this extended lyric essay, a poet mines her lifelong experience with migraine to deliver a marvelously idiosyncratic cultural history of pain-how we experience, express, treat, and mistreat it. Her sources range from the trial of Joan of Arc to the essays of Virginia Woolf and Elaine Scarry to Hugh Laurie's portrayal of Gregory House on House M.D. As she engages with science, philosophy, visual art, rock lyrics, and field notes from her own medical adventures (both mainstream and alternative), she finds a way to express the often-indescribable experience of living with pain. Eschewing simple epiphanies, Olstein instead gives us a new language to contemplate and empathize with a fundamental aspect of the human condition. Lisa Olstein teaches at the University of Texas at Austin and is the author of four poetry collections published by Copper Canyon Press. Pain Studies is her first book of creative nonfiction.

Containing 220 challenging clinical cases and illustrated with superb, high-quality images, this book covers a wide range of anaesthesia-related questions and answers from straightforward cases through to more challenging presentations. It is an invaluable text for anaesthesia professionals in practice and in training, both for those doctors preparing for higher examinations and for established physicians for their continuing professional development. Nurse anaesthetists, learning at an advanced level, will also benefit from these case discussions.

For hundreds of years cannabis has been used as a therapeutic medicine around the world. Cannabis was an accepted medicine during the second half of the 19th century, but its use declined because single agent pain medications were advocated by physicians who demanded standardization of medicines. It was not until 1964 when the chemical structure of THC (delta 9-tetrahydrocannabinol) was elucidated and its pharmacological effects began to be understood. Numerous therapeutic effects of cannabis have been reviewed, but cannabis-based medicines are still an enigma because of legal issues. Many patients could benefit from cannabinoids, terpenoids and flavonoids found in Cannabis sativa L. These patients suffer from medical conditions including chronic pain, chronic inflammatory diseases, neurological disorders, and other debilitating illnesses. As more states are legalizing medical cannabis, prescribers need a reliable source which provides clinical information in a succinct format. This book focuses on the science of cannabis as an antioxidant and anti-inflammatory supplement. It discusses cannabis uses in the human body for bone health/osteoporosis; brain injury and trauma; cancer; diabetes; gastrointestinal conditions; mental health disorders; insomnia; pain; anxiety disorders; depression; migraines; eye disorders; and arthritis and inflammation. There is emphasis on using the whole plant - from root to raw leaves and flowers discussing strains, extraction and analysis, and use of cannabis-infused edibles. Features: Provides an understanding of the botanical and biochemistry behind cannabis as well as its use as a dietary supplement. Discusses endocannabinoid system and cannabinoid receptors. Includes information on antioxidant benefits, pain receptors using cannabinoids, and dosage guidelines. Presents research on cannabis treatment plans, drug-cannabis interactions and dosing issues, cannabis vapes, edibles, creams, and suppositories. Multiple appendices including a glossary of cannabis vocabulary, how to use cannabis products, a patient guide and recipes as well as information on cannabis for pets.

Highly Commended, BMA Medical Book Awards 2015 In 2008, Paul Farmer and Jim Yong Kim described global surgery as the "neglected stepchild" of healthcare, and now leaders from around the world are working to redefine it as a human right through the Lancet Commission on Global Surgery. In order to help advance global surgery and anesthesia as a public health intervention, providers require a practical, hands-on manual to train and educate them to provide safe and effective surgery and anesthesia in resource-limited settings. In an effort to respond to that need, over 140 clinicians from high-, low-, and middle-income countries collaborated to create the Global Surgery and Anesthesia Manual: Providing Care in Resource-Limited Settings. This guide provides in-depth instruction on epidemiology and ethics surrounding surgical services, and on anesthesia, perioperative care, trauma surgery, and non-trauma surgery. With contributions from a group of culturally and academically diverse clinicians, each chapter is enriched by at least one commentary from a surgeon or anesthesia provider in a low- or middle-income country (LMIC) who shares first-hand perspectives on the realities and complexities of providing surgical care in these settings with limited resources. The book will serve as a core reference for surgeons and anesthesiologists at all levels interested in global surgery. It will assist those working in LMICs who are confronted with surgical problems that they are not routinely exposed to in their traditional practice. Filled with expert guidance, decision-making algorithms, and treatment options, it will also serve as an invaluable text for trainees in LMICs as it covers the majority of surgical disease processes that would be encountered in such settings.

Updated and expanded, this comprehensive new edition captures the considerable evolution in the anesthetic management of patients requiring anesthesia for non-cardiac intrathoracic diagnostic and therapeutic procedures. Major advances addressed include the expanded role of ultrasound beyond trans-esophageal echocardiography, the role of extra-corporeal membrane oxygenation in thoracic anesthesia, and postoperative pain management for thoracic surgery. Chapters are authored by prominent anesthesiologists and feature cases commonly encountered in clinical practice. Authoritative and the leading text in the field, this book will serve as an indispensible guide to practitioners of thoracic anesthesia at all levels.

Experts address the role of neuromodulators and opiate receptors in alcohol and drug dependence. They present innovative research techniques, new discoveries, and possible clinical correlates that allow for a much greater understanding of the clinical phenomena surrounding alcohol and narcotic use. Included in this thought-provoking volume are a comprehensive review of the current knowledge of the endogenous opiates, their interactions with the opiate receptors, and the potential relationship that these substances might have in promoting the development of dependence, tolerance, and withdrawal; the translation of the basic physiologic findings occuring during withdrawal to treatment of withdrawal symptoms in the clinical setting; and a physiological explanation for the rationale of using clonidine and naltrexone to accelaerate the detoxification process without undue discomfort.

Extracorporeal membrane oxygenation (ECMO) is developing rapidly, and is now part of the toolkit for the management of all patients with severe respiratory or cardiac failure. Clinicians of all disciplines are in need of a simple manual, easy and fun to read, that will take them through the management of these patients, explaining the principles of safe and successful practice. Part of the Core Critical Care series, this book is an easy-to-read guide for the aspiring ECMO clinician. Doctors, nurses, physiotherapists, dieticians, pharmacists and all other key members of the team will learn the basics required to better understand the technology and care of the patient. The experienced clinician will enjoy reading through the chapters, which present structured thoughts and knowledge acquired through clinical experience.

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

There have been tremendous recent advances in the pharmacotherapy, dose regimens, and combinations used to treat cancer and for the treatment or prevention of the spread of disease. As a direct result of these advances, there are an increasing number of cancer survivors, although research dealing with chemotherapy-induced pain is still in its early years.

Written for pain management specialists, oncologists, pharmacologists, students, and primary care practitioners, Chemotherapy-Induced Neuropathic Pain provides insight into the important area of chemotherapy-induced neuropathic pain. It reviews the basic and clinical research into the normal physiology of pain transmission pathways, neuropathic pain pathology, the chemotherapeutic drug mechanisms of action and adverse effects, chemotherapy-induced neuropathy, and drug discovery efforts for treatment.

The contributors comprise an impressive list of clinical and basic science experts in the fields of pain mechanisms and pain management. Included are clinical directors of pain clinics and clinical research facilities, directors of large academic pain research laboratories, analgesic drug developers, and presidents of the International Association for the Study of Pain (IASP), Association of Chronic Pain Patients (ACPP), and the British Pain Society (BPS). Through them, the book provides the reader with an exceptional opportunity to acquire a fundamental understanding of the basic concepts related to this topic.

Discusses alternative analgesic techniques - acupuncture, chiropractic, rehab. Covers anesthesia and sedation for the donkey/mule and miniature horse. includes over 400 colour illustrations and tables

This User's Guide advises readers on the many beneficial supplements for reducing pain. These pain-relieving supplements include fish oils, B vitamins, glucosamine, MSM and more traditional homeopathic remedies. The authors also describe how life's stresses can exacerbate pain, and offer simple pain-reducing exercises and stretches.

Another addition to the best selling and well respected Get Through series, Get Through Final FRCA: MCQs is an essential revision guide for the FRCA examination. This revision guide is completely up-to-date, drawing on the latest guidelines, recent breakthroughs and novel therapies in a rapidly evolving speciality. The book encompasses the syllabus of the Final FRCA as set by the Royal College of Anaesthetists, including five complete examinations, each comprising of 90 MCQs. Questions have been modelled on actual exam questions so that they accurately reflect the style and level of difficulty. In addition to providing concise answers there are also links and references, tips for learning and advice on how to approach the examination. As well as covering the syllabus, a chapter is dedicated to guidelines in anaesthesia, documenting the latest publications from bodies such as The National Institute for Health and Clinical Excellence (NICE), The Association of Anaesthetists of Great Britain and Ireland (AAGBI), The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) and many others. With over 950 questions, and containing diagrams found in the actual exam, Get Through Final FRCA: MCQs is the perfect model of preparation for the Final FRCA.

This set provides clinicians with key information on all types of pain: pain syndromes that result from specific conditions; chronic pain from the neck down; and chronic headache and facial pain.
Why every practicing clinician needs a copy of this comprehensive set:
EVIDENCE-BASED AND CLINICALLY ORIENTED - provide pertinent, useful data you need to make accurate diagnoses and develop the best treatment plans for your patients
COMPREHENSIVE CONTENT - with 48 chapters on pain syndromes from head-to-toe and detailed treatment strategies, you'll have all the information you need to improve patient outcomes
USER-FRIENDLY FORMAT - with data organized by pain type, you can easily reference critical information on-the-go
AUTHORITATIVE CLINICAL GUIDANCE - over 25 experts in pain management give you the advice you trust to implement in your daily practice

From over-the-counter cough syrups and prescribed painkillers to street economies of heroin and fentanyl, opioid substances and uses have ignited global debates about national drug policy reform. This book is the first to focus on these issues in South Africa, through a range of disciplinary perspectives.

In twelve chapters, scholars from community medicine, pharmacology, social science and the humanities, along with civic actors and researchers, present their evidence-based arguments and insights, and explore possibilities for harm reduction approaches in South Africa. Chapters cover three core areas: dilemmas of drug policy; contradictions of care and treatment; and the issue of stigma.

Opioids in South Africa invites wider conversation, asking us to imagine policy responses that can better protect the constitutional dignity, health and access to healthcare of people using drugs as well as of their families and communities.