This book provides a concise yet comprehensive overview on the use of opioids in the ICU, offering practical, real-world recommendations on opioid utilization and alternative therapies. The text explains the physiology and assessment of pain and the need for analgesia in the ICU, details the pharmacology of opioids and their use in providing analgesia, sedation, and comfort for patients during critical illness, and summarizes advanced pharmaceutical and surgical approaches to pain management and procedural applications that can supplement, minimize, or replace opioids for the ICU patient. The book also includes algorithms and step-by-step approaches on navigating the delicate balance between the relief of suffering and the adverse effects of opioids, as well as a dedicated section on the management of critically ill patients with preexisting opioid tolerance. Written by experts in the field, Opioid Use in Critical Care: A Practical Guide is a valuable resource for ICU providers who treat and manage critically ill patients with opioids.

Everyone experiences pain, whether it's emotional or physical, chronic or acute. Pain is part of what it means to be human, and so an understanding of how we relate to it as individuals - as well as cultures and societies - is fundamental to who we are. In this important new book, the first in Routledge's new Critical Approaches to Health series, Robert Kugelmann provides an accessible and insightful overview of how the concept of pain has been understood historically, psychologically, and anthropologically. Charting changes in how, after the development of modern painkillers, pain became a problem that could be solved, the book articulates how the possibilities for living with pain have changed over the last two hundred years. Incorporating research conducted by the author himself, the book provides both a holistic conception of pain and an understanding of what it means to people experiencing it today. Including critical reflections in each chapter, Constructing Pain offers a comprehensive and enlightening treatment of an important issue to us all and will be fascinating reading for students and researchers within health psychology, healthcare, and nursing.

A STIRRING EXAMINATION OF A LOOMING CRISIS Virtually everyone has taken antibiotics. They can be lifesavers - or they can be useless. But what are they? How are they used? And what happens as the effectiveness of antibiotics begins to decline? Antibiotics: What Everyone Needs to Know (R) examines the personal and societal implications of our planet's most important - and arguably most overused - medications. In a question-and-answer format, it unpacks the most complicated aspects of this issue, including: * How antibiotics are used (and overused) in humans, plants, and livestock * The consequences to date, and the potential crisis ahead, as overuse of existing antibiotics breeds new resistance in bacteria * How the globalized world enables antibiotic resistance more quickly * Collateral damage, individually and societally, of antibiotic use * The difficult decisions ahead related to medical care and the food system Grounded in the latest scientific research and translated for general readers, Antibiotics: What Everyone Needs to Know (R) offers a clear-eyed overview of where we are, and what the future holds, as antibiotics lose their might.

Epidural Anaesthesia: Images, Problems and Solutions brings together the most comprehensive collection of post-block epidurograms in the world into a single volume. With accompanying X-rays and contrast injection images, it clearly explains why an epidural block has failed and provides practical advice on how to avoid complications in the future. Key featuers: Contains over 180 clearly labelled X-rays and contrast injection images to help you learn using these examples. Uses X-rays and contrast injection images rather than more complext imaging technologies, to allow quick assessment of blocks in the most basic radiology department. Written by a world-renowned expert, providing consistency of style and approach throughout. Companion website contains downloadable images as well as moving X-rays of contrast injection, 3D reconstructions and explanatory cartoons. This unique book for specialist and trainee anaesthetists demonstrates, with simple X-rays and contrast injection, why epidurals are occasionally imperfect. Epidural Anaesthesia: Images, Problems and Solutions will enable you to refine your technique and avoid adverse outcomes in practice.

This 10-lesson pain self-management program offers tools and strategies for coping with chronic pain, finding what works, building resilience, and moving forward despite setbacks. Despite recent advances in the study of pain, there is still no medical treatment, alternative therapy, or herbal remedy that can eliminate all pain for all people all of the time. And many who suffer chronic pain know all too well the risks of over-reliance on pain medications. Only you know the ins and outs of your pain; only you can change your feelings of helplessness and despair into empowerment and resilience in the face of persistent pain and its many effects on your life. The authors of this bestselling book are highly-respected experts on pain management who have successfully treated thousands of patients. Their 10-lesson self-management program offers clinically-proven strategies for making simple, gradual adjustments to daily patterns so you can take cope with chronic pain and take charge of your life. Readers of this book will learn how to: Identify and reject harmful myths about pain Balance activity and restFix sleep problems Leverage family and friends for support Manage emotional response to pain Regain self-confidence Avoid relapsing into unhealthy behaviors This revised edition offers important information on the risks of opioid use for chronic pain, and discusses new treatment options including acceptance and commitment therapy, mind-body interventions such as tai chi, and cannabinoids. It also includes a Resource Guide that shows readers how to access support groups and find help paying for health insurance and medication; offers tips for communicating with healthcare teams and employers; and recommends mobile apps to assist with self-management strategies.  

Largely reorganised and much expanded in this second edition, Practice and Procedures brings together in a single volume general methods of pain assessment and presents the wide range of therapies that can be provided by a range of health care disciplines. Authored by a multidisciplinary team of experts, chapters can stand alone for readers looking for a general overview of the methods of techniques for pain management available to them or work to complement chapters in the preceeding three volumes, providing practical procedures and applications in the management of acute, chronic and cancer pain. The book is divided into three parts. Part One covers the principles of measurement and diagnosis, including history taking and examination, the selection of pain measures, diagnostic tests and novel imaging techniques. Part Two discusses the full range of therapeutic protocols available, from pharmacological therapies, through psychological techniques, physical therapy and international procedures, to techniques specific to pain assessment and management in paediatric patients. Part Three provides information on planning, conducting, analysing and publishing clinical trials, with invaluable guidance on the techniques of systematic review and meta-analysis in pain research. Part Four considers the role of multidisciplinary pain management teams, their organization, their place within different health care systems, and how best to manage change when implementing such a service. Part Five concludes the volume, investigating the use of guidelines, standards and quality improvement initiatives in the management of post-operative pain, and discussing the expert medicolegal report.

Neuropuncture is the clinical manual of a groundbreaking acupuncture system that incorporates neuroscience into its clinical applications for pain management, orthopaedic conditions and internal medicine. It shows acupuncturists how to apply research into the neurophysiological mechanisms of acupuncture and electrical acupuncture to the traditional TCM model of healthcare. The book explains how acupuncture works using Western medical science and illustrates how to apply this knowledge to clinical cases with electrical acupuncture, creating evidence-based acupuncture protocols. These protocols are clinically proven and result in reproducible clinical outcomes.

This book introduces the reader to the complexities and management of chronic/persistent pain. Chronic pain affects one in seven in the UK population and can be experienced as a symptom of disease or trauma but can also exist without the presence of either of these. This is aimed at non-specialist working in all areas of health care who want to know more about this complex problem.

This book begins by exploring models of care and introduces the reader to the biopsychosocial model before going on to explain the physiology of pain. Further chapters explore the snuffer's experience, the appraisal of pain, and barriers to effective pain management and treatment strategies.

Working with a child in pain is difficult, unavoidable and especially challenging when the child cannot explain what they are feeling. In this important book, Bernie Carter and Joan Simons bring together experience, evidence and research to deconstruct the topic and present the reality of children's pain. Each chapter starts with a personal story from a child, a family member or a healthcare professional. The stories are drawn from a wealth of original research, and focus the reader on the individual child and their family. The chapter then goes on to introduce the relevant research, theory and implications for practice, so health professionals can use the evidence to support compassionate, child-centred care. Among the topics addressed are: - Ethical dilemmas - Assessing pain - Working in different settings - Inexplicable pain It is valuable reading for any healthcare student or professional working with children of all ages.

Chronic illness and pain are now, more than ever, seen asas major problems in the current health care system. Because they are unresponsive to both antibiotics and surgery, theyr are seen as elusive and mysterious. The National Medical Expenditure Survey estimates that over 80 million U.S. citizens live with a chronic illness. The most prevalent are arthritis, diabetes, respiratory diseases, hypertension and mental illness. This book uses the novel Robinson Crusoe as an archetypal metaphor for the patients who must learn to survive on their own isolated "island" of chronic pain. This unique style is combined with a variety of in-session approaches and other tools which clients have found helpful in identifying their goals and progress. By emphasizing the importance of self-care the authors hope to diminish the sense of helplessness felt by the both the patients their loved ones.

Epigenetics of Chronic Pain, Volume Nine, presents comprehensive information on the role of epigenetics in chronic pain sensitivity, providing a detailed, but accessible, view of the field from basic principles, to clinical application. Leading international researchers discuss essential mechanisms of chronic pain epigenetics, including the molecular processes of chromatin remodeling, histone modifications, and the microRNAs and noncoding RNAs involved in regulating genes tied to pain sensitivity. The influence of epigenetics in inflammatory, neuropathic, visceral and other pain models is examined, with data derived from epigenetic studies on peripheral and central mechanisms of pain sensitivity in animal models and clinical cases studies. The studies and case examples cited highlight therapeutic pathways of significance and next steps for researchers to develop epigenetic-based treatments for chronic pain. In recent years, epigenetic regulation of gene expression has been shown to play a central role in managing human pain sensitivity. Findings show that expression of many genes critical to increases or decreases in pain sensitivity are indeed regulated by DNA methylation and its enzymes, histone-involved chromatin remodeling, and noncoding RNAs, mainly microRNAs.

Pain is a personal experience, which everyone encounters at some time, that for some unfortunate individuals becomes a permanent factor in their quality of life and clinical treatment. This is the first book to provide a comprehensive, integrated and accessible account of the experience of pain and its implications. It was written for psychologists, doctors, therapists, counsellors, and nurses in both academic and treatment settings. The experience of pain is examined at all stages from first symptoms of pain and how they relate to personal, social and cultural beliefs and attitudes, through the consultation and treatment process, personal coping, and the effects of pain on patient and carers. At every stage the discussion is based on relevant psychological concepts and a review of the latest research. The book provides an integrated, multidisciplinary account of cognitive, biological and social aspects of pain. An emphasis on social psychological processes leads to a new model of pain that will enlighten both teaching and treatment and guide further research. Accounts of pain often deal with specific, specialised aspects but many students and healthcare professionals need a wider, more person-centred understanding of pain, and will find this book a valuable resource and guide to the experience of pain and its implications for treatment and coping.

This book focuses on the modern clinical management of acute and chronic pain syndromes. It not only presents information in a clinically illuminating format, but in a manner that is cognizant of the current prescription opioid epidemic. Divided into seven sections, this book covers acute pain, common pain conditions, regional pain problems, interdisciplinary evaluation and treatment, medical treatments and pain in different stages of life. Concluding with the exploration of several special topics, the last section includes an important discussion on the regulatory and legal issues in the use of controlled substances. Chapters are concise and relevant, with an emphasis on treatment based upon evidence from clinical trials and interpretation by practitioners in the field. Expertly written text is further supplemented by high-quality figures, images and tables outlining proven treatments with drug, dose or other information describing details of treatment. Timely, informative, and socially conscious, Pain Management for Clinicians: A Guide to Assessment and Treatment is a valuable reference for clinicians who manage patients with chronic and common pain problems.

This book offers a thorough foundation for acupuncturists on the eight extraordinary vessels in Classical Chinese medicine. The contents cater for the beginner by providing a basic level introduction to the theory and practical application of the eight extraordinary vessel system to acupuncture practice and the healing process. History, the vessels, the pulses, point combinations and safety protocols are all covered, and case studies help demonstrate how this knowledge can be used in treatment. The book includes many helpful illustrations as well as sections on common problems particularly suited to 8EV treatment such as fertility, depression and emotional pain.

This comprehensive, practical guide provides information for medical staff supervising patient controlled analgesia including drug regimens, physical and psychological effects, and issues of safety

Providing an evidence-based, practical guide to care in all areas of children's pain management, Managing Pain in Children offers nurses and other healthcare professionals an introduction to the skills and expertise to manage children's pain effectively. This fully-updated second edition first explores the relevant anatomy and physiology of children, the latest policy guidelines surrounding pain management and ethical issues involved in managing children's pain. Various pain assessment tools available for children and non-drug methods of pain relief are then explored and applied to practice in relation to acute pain, chronic pain, palliative care and the management of procedural pain. The evidence base, assessment techniques, pain-relieving interventions, and guidance for best practice in both hospital and community settings are covered throughout, making this title an ideal resource for all nurses and healthcare professionals working with children.

This book serves as a practical resource for pain medicine providers. It presents important clinical concepts while covering critical pain medicine fundamentals. Chapters were carefully chosen to cover common aspects of clinical pain medicine and also follow a common format to facilitate quick look-up. Each chapter includes a concise discussion of the latest supporting evidence as well as relevant case scenarios. The coverage is clinically and board relevant, evidence-based and up-to-date. It will appeal to residents preparing for the written board examination and practitioners preparing for board re-certification, which now occurs every 10 years. Beyond these groups, the book has the potential to appeal to learners and practitioners around the world; pain medicine is burgeoning globally, and there is great need for concise, clinically relevant resources.

This book provides an insight into the emerging trends in pathogenesis, diagnosis and management of many diseases associated with visceral pain. Key features of the book include overviews of nociceptive pathways and hormonal modulation related to the pathogenesis of functional and other disorders. The text gives a lucid view of novel aspects of pain generation and perception. This book aims to provide a framework for understanding the most significant signaling processing in order to unravel the enigma of visceral pain. This book is expected to be a valuable resource for clinicians and scientists who are interested in recent research trends associated with nociceptive diseases. It is also recommended to students, health care providers and patients who seek a fundamental understanding of neuronal modulatory systems.

Exploring the Buddhist/Taoist concept of non-doing and intention in relation to bodywork, this book focuses on how the therapist should approach their client without agenda and meet them where they are at. This requires the therapist to pay attention to their own surfacing intentions and leave assumptions behind so they may focus on simply 'being', which is a profoundly active, non-reactive expression of presence, rather than a passive state of resignation. The ramifications of sub-conscious doing and wilful intention can negatively impact expressions of health and so the author explains how therapists may skilfully navigate between intention, attention and embodied non-doing whilst treating clients, and how this creates the foundations for safe relational touch.

In this yearbook for 2015 we present you with the latest research on pain management. We start out with chapters on cancer, intellectual disability and pain. Then we move into the field of palliative care, quality of life and cancer. Post-traumatic stress disorder in cancer patients is discussed from experiences in Canada and you will also find a chapter on burnout for professionals working with cancer patients. Social work related to end of life is also presented and it is our hope that you as the reader will find the information of interest and useful.