Chronic pain is a significant health problem for many children and adolescents, with studies suggesting that as many as 15% to 40% of children suffer from chronic pain. Chronic pain is puzzling for parents to understand because there is often not a clear diagnosis or treatment plan. Unfortunately, many families cannot get the help they need because they live too far from children's hospitals with pediatric pain clinics, where most healthcare providers in this specialized area are based. Managing Your Child's Chronic Pain is a resource for parents to learn how to help their children and families cope with persisting pain using cognitive-behavioral therapy (CBT), an effective intervention to treat children with chronic pain. With the easy-to-use psychological treatment strategies in this book, parents will have practical instructions in CBT for pain management. Authors Tonya M. Palermo and Emily F. Law, pediatric psychologists in the field of child and adolescent chronic pain, discuss the scientific foundation for chronic pain, information about the effectiveness of treatments, and several personal stories of parents and their children with chronic pain. They explain instructions for several different interventions including deep breathing, relaxation strategies, and sleep interventions to allow parents to support these skills with their children. The book concludes with guidance on how to prevent relapse, maintain improvements, and prevent future problems with pain and disability. The first book of its kind, Managing Your Child's Chronic Pain will empower parents to take a hands-on approach to relieving their child's pain.

Schmerz stellt ein Bio-Psycho-Soziales System dar. Im Sinne einer ganzheitlichen Therapie wird auch von interdisziplinarer Schmerztherapie gesprochen. Vor allem Patienten mit chronischen Schmerzen mochten neben der klassischen Schulmedizin uber alternative Methoden informiert werden. Dieses Buch liefert Ihnen dazu einen profunden Uberblick. Nach Informationen zur Schmerzentstehung und Placebo-Effekt stellen die Autoren ausfuhrlich Naturheilverfahren wie Traditionelle Chinesische Medizin, psychotherapeutische Verfahren, physikalische und andere haufig verwendete Methoden vor, u.a. Musiktherapie, Akupressur, medizinische Trainingstherapie."

Chronic pain affects huge numbers of people - the WHO estimates that 37-41% of people across developed and developing countries suffer, and the figure rises in countries like the UK where the population is ageing. From arthritis to migraine, back pain to diabetes, chronic pain is a huge problem for individuals, their families and carers, health providers and employers. David Walton, a clinical and cognitive psychologist who experiences chronic pain himself, guides readers through an understanding of the nature of pain; how the body and mind react to it; how to minimise pain; and how to choose the right therapies, medication and relief strategies. Modern research is presented in an engaging and positive way, alongside self-assessment questionnaires, case studies and practical do's and don'ts. Through an understanding of pain mechanisms and relief strategies, readers will be enabled to manage their symptoms better and regain some control over their daily lives.

The Medicare program serves as the healthcare coverage provider to over 58 million beneficiaries. In serving the over age 65 population, Medicare accounts for a large share of total opioid prescriptions. In 2016, one out of every three beneficiaries was prescribed an opioid through Medicare Part D. While many Medicare beneficiaries with serious pain-related conditions are being properly prescribed opioids, there is mounting evidence of opioid misuse in the Medicare system. This book looks at a proposed programs which seek to increase screening and thus, early detection of potential opioid use disorder upon entry into the Medicare program.

People who have cancer don't always have pain. Everyone is different. But if an individual does have cancer pain, it can almost always be relieved. Cancer pain can range from mild to very severe. Some days it can be worse than others. It can be caused by the cancer itself, the treatment, or both. This book discusses pain control medicines and other methods to help manage pain, and addresses the physical and emotional effects of pain. It includes questions to ask health care professionals, a sample pain control record, a list of resources, and a glossary of terms. This book also provides information and recipes to help patients meet their needs for good nutrition during cancer treatment.

With the right care, there is much that can be done to help anyone with fibromyalgia or myofascial pain syndrome to improve their quality of life dramatically. This book is an easy-to-read and practical guide to dealing with these conditions, written by one of the UK's leading consultants on pain control. It takes a straightforward and down-to-earth look at what these conditions are about; how they might affect different aspects of sufferers' lives; what their options are; and how they can get on with their lives.

In the opening chapter of Chronic Pain: Prevalence, Management and Outcomes, the authors examine how the health care professional might psychologically approach the management of chronic pain. The nocebo effect of some communications will be highlighted, as well as ways to utilise the patient's internal resources to reduce emotional distress. Following this, a study exploring pain coping mechanisms amongst Maltese chronic pain patients is presented. Semi-structured interviews were conducted with 21 participants, and findings derived from a grounded theory methodology revealed that Maltese often display reluctance to rely on pharmacological therapies. The authors address the need for pain treatment, the reduced interference of interventional pain management, the increase of patient self-efficacy, and methods of acceptance for some chronic pain. The closing chapter analyzes 3,434 scheduled prescription drug records for 94 chronic back pain patients from a single clinic, comparing 52 patients enrolled in the New Mexico Medical Cannabis Program with 42 non-enrolled patients over a 24 month period.

In this yearbook for 2012 we present you with the latest research on pain management. We start our with experience from Hong Kong on palliative care and the four year training program and then further along the pages of this yearbook you will find information about pain, psychological symptoms and prescription drug misuse in HIV, oxygen therapy in patients with advanced lung disease, pain beliefs and pain-related profiles of older persons living in nursing homes, happiness among community-dwelling older persons, fibromyalgia in women, chronic headache, pain management programs, and the role of radiotherapy for the management of painful bone metastases. It is our hope that you as the reader will find the information of interest and useful.

In this yearbook for 2011 we start out with a description of research from the University of Toronto in Canada on bone metastases. The next section also from the Odette Cancer Centre, Sunnybrook Health Sciences Centre is about brain metastases, a frequent manifestation of advanced cancer devastating to the patient as typically patients do not survive more than a year upon diagnosis and the treatment itself often results in significant side effects that impact a patients quality of life. The next section is on neuroplasticity, which reflects the ability of human brain to alter the pattern of neural activation in response to previous experience, and recent findings indicate that the effects of experience can lead to both structural as well as functional reorganisation. If neuromodulatory approaches prove to be safe and effective, they could change the current view of best practice in pain management and assume a significant role in the clinic. This yearbook will present you with the latest research on pain management.

The VA/DoD published the first Clinical Practice Guideline for management of opioid therapy for chronic pain in 2003. This original publication was intended to improve pain management, quality of life, and quality of care for veterans. The focus of the guideline has been to provide education and guidance to primary care clinicians, researchers and other health professionals as they encounter patients with persistent pain and its complications. This book aims to update the evidence base of the 2003 Guideline. It is focused, as was the original CPG, on chronic opioid therapy (opioid therapy for more than one month). It is directed to the clinician who is interested in knowing more about this approach to the management of chronic pain.

Pain is a response of the body to the action of injuring stimuli. Notwithstanding an unpleasant experience, it appears to be an important component of the defence system of the organism and a permanent regulator of homeostatic reaction. The organism's reaction to pain is a multi-component one and involves sensory-discriminative, emotional-affective and cognitive characteristics. Clinically, neuropathic pain is characterised by spontaneous ongoing or shooting pain and evoked amplified pain responses after nocuous or innocuous stimuli. The study of pain, therefore, and search for the treatment strategies have a paramount role in modern neurobiology. Numerous anatomy-physiological studies have revealed a number of brain structures involved in the shaping of pain and endogenous analgesia. This book presents and examines current research discovered in a behavioural study of 'non-opioid' tolerance.

This book presents current research in the study of analgesics. Topics discussed include the role of intravenous NSAIDs in the multimodal management of postoperative pain; analgesic use in the management of painful diabetic neuropathy; modulation of the development of morphine antinociceptive tolerance by endoplasmic reticulum chaperones; analgesics effect on traditional medicine through their modulation on tetrodotoxin-resistant sodium channel and transient potential vanilloid receptor 1 and the efficacy of neurotropin in chronic fatigue syndrome. (Imprint: Nova)

This classic text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. It is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: 'If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared, it has remained the classic treatise on the initial approach to abdominal pain.' Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high-anxiety situation, and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 22nd Edition, Dr. Silen has again updated the text in a respectful but significant way. He has added a chapter on the increasing disorder of diverticulitis, reexamines the use of analgesics, emphasizes the costs of over-testing, and updates all recommendations regarding trauma, radiologic studies, and therapeutic recommendations.

Chronic pain challenges the central tenet of biomedicine: that objective knowledge of the human body and mind is possible apart from subjective experience and social context. Sufferers, finding that chronic pain alters every aspect of life, often become frustrated and distrust a profession seemingly unable to explain or effectively treat their illness. The authors of this innovative volume offer an entirely different, ethnographic approach, searching out more effective ways to describe and analyze the human context of pain.
How can we analyze a mode of experience that appears to the pain sufferer as an unmediated fact of the body and is yet so resistant to language? With case studies drawn from anthropological investigations of chronic pain sufferers and pain clinics in the northeastern United States, the authors explore the great divide between the culturally shaped language of suffering and the traditional language of medical and psychological theorizing. They argue that the representation of experience in local social worlds is a central challenge to the human sciences and to ethnographic writing, and that meeting that challenge is also crucial to the refiguring of pain in medical discourse and health policy debates.
Anthropologists, scholars from the medical social sciences and humanities, and many general readers will be interested in "Pain as Human Experience," In addition, behavioral medicine and pain specialists, psychiatrists, and primary care practitioners will find much that is relevant to their work in this book.

In the year 2008 the new "Journal of Pain Management" was begun under the auspicies of the National Institute of Child Health and Human Development in Israel in collaboration with Nova Science Publishers in New York with the hopes of facilitating an outlet for peer-reviewed papers in the areas of pain and pain management from a holistic, practical, and clinical point of view. This yearbook for 2008 contains selected research published from the "Journal of Pain Management" by leading researchers from all over the world.

Accidental falls are the leading cause of death among older adults in the United States. One third of all adults aged 65 and older report falling each year. Elders living in institutions have 3 times the chance of falling compared to those living in their homes. Accidental falls are also very common in children of all ages. Young children learning to walk and toddlers are at greater risk of accidental falls resulting in possible cranio-cerebral injury. Practical implications for fall-prevention programs such as balance-training programs or mobility aids to reduce restrictions on lateral stepping movements can reduce accidental falls. This book presents research findings on the causes, preventions and interventions that impact fall risk.

Pain is an emotion experienced in the brain, it is not like touch, taste, sight, smell or hearing. It is categorised into Acute Pain less than twelve weeks duration and Chronic Pain if over twelve weeks. Pain can be perceived as a warning of potential damage, but can also be present when no actual harm is being done to the body. This book examines new research into the causes, symptoms and treatments of pain.

Basic science and clinical pain research is particularly challenging for several reasons. First, pain is a subjective experience in response to nociception that follows actual or potential tissue damage. Since the ability to respond to this warning signal is essential for our survival, the nociceptive system that produces and transmits nociceptive signals is remarkably redundant and involves diffuse regions of the central nervous system. Second, unlike other sensory modalities, pain is a multi-dimensional experience including at least cognitive, affective, and sensory-discriminative components. Third, pain experiences can be influenced by psychological, socioeconomic, cultural, and genetic predispositions, making it exceedingly complicated to study pain and pain modulation. In this first volume, the current status and new trends of pain research are selectively discussed in order to take a critical and constructive look at the achievements of basic science research that have made significant differences in clinical pain management as well as the gaps between basic science research and clinical pain management.

A rich and rewarding life is possible for those of us who live with chronic pain. Based on acceptance and commitment therapy (ACT), one of the most promising and fastest growing psychotherapies being practiced today, this book breaks with conventional notions of pain management. These 'feel good' approaches-including the use of pain-killing medication-all work to prevent painful sensations. The ACT approach, however, begins with the assumption that pain is a normal part of living that teaches us a lot about the state of our bodies and minds. Attempts to avoid it often cause more harm than good. By accepting and learning to live with pain, you limit the control it exerts over you. Mindfulness exercises, in particular, help you transform pain from a life-defining preoccupation to a simple experience. From this strong position, you can make choices that will lead to the life you've always wanted. Committed action is the way to make it happen.

Chronic pain is a medical mystery, debilitating to patients and a source of frustration for practitioners. It often eludes both cause and cure and serves as a reminder of how much further we have to go in unlocking the secrets of the body. A new field of pain medicine has evolved from this landscape, one that intersects with dozens of disciplines and subspecialties ranging from psychology and physiology to anesthesia and chiropractic medicine. Over the past three decades, researchers, policy makers, and practitioners have struggled to define this complex and often contentious field as they work to establish standards while navigating some of the most challenging philosophical issues of Western science. In The Politics of Pain Medicine: A Rhetorical-Ontological Inquiry, S. Scott Graham offers a rich and detailed exploration of the medical rhetoric surrounding pain medicine. Graham chronicles the work of interdisciplinary pain management specialists to found a new science of pain and a new approach to pain medicine grounded in a more comprehensive biospychosocial model. His insightful analysis demonstrates how these materials ultimately shape the healthcare community's understanding of what pain medicine is, how the medicine should be practiced and regulated, and how practitioner-patient relationships are best managed. It is a fascinating, novel examination of one of the most vexing issues in contemporary medicine.

This textbook is written as a comprehensive overview of acute pain management. It is designed to guide clinicians through an impressive array of different options available to them and to patients. In the last decade there has been a flurry of interest in the extent to which acute pain can become chronic pain, and how we might reduce the incidence of such chronicity. This overview covers a wide range of treatments for pain management, including the anatomy of pain pathways, the pathophysiology of severe pain, pain assessment, therapeutic guidelines, analgesic options, organization of pain services, and the role of anesthesiologists, surgeons, pharmacists, and nurses in providing optimal care. It also discusses the use of patient-controlled analgesia and how this may or may not be effective and useful.

This book provides a practical and comprehensive review of pain medicine in a clear and easy to apply question and answer format. Divided by topic, the book includes Q&As on Pain Basics, Psychology, Common Pain Syndromes, Medications, Pain Management in Special Populations and Interventional Pain. It is intended as a guide for residents and fellows and is written in such a manner to provide instantaneous feedback on correct answer choice and explanation for self-evaluation while preparing for written board examinations. Questions and Answers in Pain Medicine: A Guide to Board Exams fulfills the need for a resource that is similar to the Accreditation Council for Graduate Medical Education (ACGME) board examination in the US as well as international equivalents. It utilizes a fully Q&A approach which is how many students prefer to study. Written by a physician who has recently passed the ACGME written board exam and the founder of a pain management fellowship program for nearly 20 years, the authors provide valuable insight for successfully undertaking board examinations in pain medicine.

This book presents an integrated approach for concurrently treating chronic pain and opioid use. Many patients who suffer from chronic pain are also managing opioid medications. Because this population often requires a higher level of care, it is critical for providers to address pain and opioid management together. This book presents an integrated healthcare team approach that helps patients manage opioid use in a structured, safe, and supportive environment while also exploring all of the factors that impact the patients' pain experience. This whole-person approach to care allows for cross-cutting strategies to be applied and maximizes the reduction of suffering. The behavioral treatment strategies in this book can help providers assist patients who are struggling with chronic pain and have relied on opioids at one point. This includes individuals that are considering de-prescribing, are in the process of opioid tapering, have recently discontinued from opioids, or are currently using opioids effectively for pain. Combining expert clinical guidance with the latest research and practical case examples, the book helps practitioners across healthcare disciplines understand their patients, improve rapport and engagement, and implement treatment strategies to help patients live their best lives.

Schmerzen erfolgreich behandeln- Lebensqualitat foerdern! Dieses Fachbuch bietet Mitarbeitern aus Pflege und medizinischen Assistenzberufen umfangreiche Anleitung fur die erfolgreiche und professionelle Versorgung von akuten und chronischen Schmerzpatienten. Die erfahrene Autorin vermittelt neben den Grundlagen des Schmerzes und der verschiedenen Schmerzformen zahlreiche relevante Inhalte fur den Praxisalltag. Die Schmerzanamnese, Schmerzerfassung und Dokumentation sind wichtige Assessmentinstrumente fur das pflegerische Handeln. Unterschiedliche Ursachen und Krankheitsbilder, sowie die verschiedenen Patientengruppen werden berucksichtigt und differenziert dargestellt. Lernen Sie die aktuellen therapeutischen Moeglichkeiten kennen und erlangen Sie umfangreiches Wissen zum Thema. So foerdern Sie die Lebensqualitat der Ihnen anvertrauten Patienten. Vertiefen Sie Ihr Wissen und gewinnen Sie Sicherheit im Umgang mit Schmerzpatienten.