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A high percentage of patients with dementia experience debilitating pain. Untreated, it can result in mental and physical impairment; a higher frequency of neuropsychiatric symptoms such as agitation, depression, and sleep problems; and adverse events such as falls, hallucination, and even death. With the help of Pain in Dementia (an IASP publication), you can learn new ways to give these patients a better quality of life! A multidisciplinary team of leading experts navigates the complex clinical challenges associated with pain among these patients. They identify the sources of pain, even in patients who have trouble communicating, and recommend the most effective pain treatment options.Key Features Diagnose pain using today's best methods , including self-report measures, observer ratings, psychophysical and behavioral pain analysis, and more. Avoid inappropriate use of pain medication through coverage of pharmacologic and non-pharmacologic management options, including exercise and physical therapy, psychological approaches, placebo analgesia, and palliative care. Understand the current knowledge gaps and join the search for better solutions.
This supplement of Acta Neurochirurgica contains the proceedings of the Ninth Convention of the Academia Eurasiana Neurochirurgica held in Chateau St. Gerlach, Houthem, The Netherlands, 29 July - 1 August 1998. During this convention a three-day symposium on Neurosurgery and Medical Ethics was held. In this time of tremendous technical advancement in medicine in general and neurosurgery in particular, we are liable to lose sight of the sick patient as a human being, and the odds are that he will be the object rather than the subject of our action in the near future. It is a purpose and a task of the Academia Eurasiana Neurochirurgica to recognize this thread and to pay attention to tradition, morality and ethics in neurological surgery. The theme of this convention and the subject of the symposium met this purpose as no other. In the scientific sessions during the first day, the moral backgrounds of medical ethics in the most important cultures and religions in east and west were elucidated by invited experts in this field. A mutual respectful understanding of each other's conception of and belief in ethical principles is a growing necessity in our multicultural societies in both continents. On the second day, the ethical aspects of different fields of neurological surgery were discussed by members of the Academia. In this context, also the internationally much-discussed and much-criticized regulations on euthanasia in The Netherlands were explained.
With the growing dependency on prescription drugs and concerns about the rise of opioid addiction, providing effective pain management alternatives is a primary concern for health professionals and all of society. Online tools and alternative therapies are becoming more prevalent in supporting the management of pain and provide treatment opportunities for patients who do not want to rely solely on prescription medication. Alternative Pain Management: Solutions for Avoiding Prescription Drug Overuse is an essential reference source that provides alternative solutions for managing and treating chronic pain, including through the use of mobile applications, online programs, self-management strategies, and virtual reality. Additionally, the book promotes a further understanding of pain and how it is diagnosed and reviews pharmaceutical accountability when prescribing drugs for pain management. Highlighting a range of topics such as cryotherapy, pain assessment, and prescription tracking, this publication is an ideal reference source for physicians, nurses, hospital staff, surgeons, medical professionals, pharmacists, researchers, academics, and upper-level students.
In recent years the field of regional anesthesia, in particular peripheral and neuraxial nerve blocks, has seen an unprecedented renaissance following the introduction of ultrasound-guided regional anesthesia. This comprehensive, richly illustrated book discusses traditional techniques as well as ultrasound-guided methods for nerve blocks and includes detailed yet easy-to-follow descriptions of regional anesthesia procedures. The description of each block is broken down into the following sections: definition; anatomy; indications; contraindications; technique; drug choice and dosage; side effects; potential complications and how to avoid them; and medico-legal documentation. A checklist record for each technique and a wealth of detailed anatomical drawings and illustrations offer additional value. Regional Nerve Blocks in Anesthesia and Pain Medicine provides essential guidelines for the application of regional anesthesia in clinical practice and is intended for anesthesiologists and all specialties engaged in the field of pain therapy such as pain specialists, surgeons, orthopedists, neurosurgeons, neurologists, general practitioners, and nurse anesthetists.
Essentials of Pain Management is a concise, evidence-based guide that stresses a multidisciplinary approach to pain and provides a thorough review of clinical principles and procedures. Edited by faculty from Yale and Harvard Medical Schools, Essentials provides a practical approach to pain management for every type of pain management practitioner. Features: * Extensive case vignettes illustrating specific pain management challenges and solutions * Multiple-choice questions with detailed answers useful for exam preparation * In-depth discussions of palliative medicine, end-of- life care, physical therapy and acupuncture, behavioral therapy, and pediatric and elderly pain * A formulary of commonly used drugs for an easy go-to reference for every office * Special considerations for nurses and dentists From career choices in pain management to the specific drugs, procedures, and therapies that can alleviate pain, Essentials of Pain Management is a valuable resource for all pain management practitioners.
The second edition of the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach expands on the first edition by providing a number of timely new features. Most important of these are the revised recommendations from the American Geriatrics Society on prescribing that reflect the many new agents available since the last guidelines were released in 2001. Additionally, concepts such as synergy in prescribing for older adults have been better delineated in this edition. The most salient features of the original edition have been retained and updated, including the full range of approaches for pain assessment and prevention, interventional strategies, guidance on pharmacotherapy and nonpharmacologic pain relief strategies for seniors, preventive analgesia, the role of rehabilitation in sound pain treatment, legal and public policy issues in pain care for seniors, pain management in long-term care, and even the issue of spirituality as an adjunct to pain management. The second edition also includes a new chapter on resources, which includes organizations, internet websites, and guidance on acquiring additional consultation for pain intervention. Of particular interest is an updated discussion of the effect that electronic medical records and internet-based personal health records will have on pain relief in older adults and a new chapter that serves as a resource guide for patients and caregivers trying to navigate the waters of pain relief assistance. This issue has not been addressed substantively in the pain management literature and the ramifications for older adults are particularly poignant. Comprehensive and practical, the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach (Second Edition) is a comprehensive resource with targeted, practical information that will be of vital importance for all clinicians who provide care for seniors.
This is the second part in a two-volume work on neuromodulation. It describes the techniques and procedures applied by direct contact with the central nervous system or cranial nerves (in order to modulate the function of neural networks) or in deeply located structures inside the nervous system (in order to alter the function on specific networks).
International experts present in this volume advances in reconstructive neurosurgery focusing on the fields of neurotrauma and neurodegenerative disorders. The highlights include building an international strategy for risk reduction, documentating an multidisciplinary approach towards restoration of function in paraplegic spinal cord-injured patients, describing a new approach for statistical analysis in traumatic brain injury trials, describing blood flow changes in diffuse brain injury, discussing rehabilitation programs in Germany following acute brain injury, describing research data form Taiwan on neurotrauma, showing the neuropsychiatric effects from deep brain stimuation fro ovement disorders, difining the role played by imanging for deep brain stimulation targeting in mental illness, using radiosurgery in decompresssion in the treatment of trigeminal neuralgia, describing the development of radiosurgery from brain to the spine, listing new transgenic animal models of Parkinson's disease, discussing gene therapy for neuropathic pain and Parkinson's disease, and finally, discussing constrained-induced movement therapy fro stroke patients, and endovascular therapy for cerebrovenous disorders.
Pain is immediate and searing but remains a deep mystery for sufferers, their physicians, and researchers. As neuroscientific research shows, even the immediate sensation of pain is shaped by psychological state and interpretation. At the same time, many individuals and cultures find meaning, particularly religious meaning, even in chronic and inexplicable pain.
This ambitious interdisciplinary book includes not only essays but also discussions among a wide range of specialists. Neuroscientists, psychiatrists, anthropologists, musicologists, and scholars of religion examine the ways that meditation, music, prayer, and ritual can mediate pain, offer a narrative that transcends the sufferer, and give public dignity to private agony. They discuss topics as disparate as the molecular basis of pain, the controversial status of gate control theory, the possible links between the relaxation response and meditative practices in Christianity and Buddhism, and the mediation of pain and intense emotion in music, dance, and ritual. The authors conclude by pondering the place of pain in understanding--or the human failure to understand--good and evil in history.
Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain. Of special value, the charting forms and patient educational materials on CD-ROM have been expanded to include ready-to-use screening tools for depression and anxiety, neuropathic pain tools, and fibromyalgia assessment tools. Chronic Pain: A Primary Care Guide to Practical Management, Second Edition provides strategies and techniques that are designed to improve the confidence with which the primary care physician can approach patients with complex pain complaints, reduce staff stress, and improve patient success.
Diagnose and treat your patients confidently with Fundamentals of Pain Medicine. This comprehensive new resource addresses the concerns you face when treating your patients with acute and chronic pain. Chapters present the key pain management options available today along with expert advice and insight into overcoming diagnostic and therapeutic obstacles, including prescribing medications and avoiding opioid abuse. In addition to interventional and non-interventional treatments, multidisciplinary approaches such as physical therapy, complementary therapy, and chiropractic treatment are presented. Fundamentals of Pain Medicine is an essential guide for any healthcare professional seeking to improve the quality of pain treatments and patients' comfort. Features: eBook with searchable text, accessible image bank, and patient education materials Illustrations accompanying text with numerous images and boxed elements Numerous case examples and most common treatments, relevant and applicable to everyday clinical use Step-by-step instruction on office-based procedures Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access Complete content with enhanced navigation A powerful search that pulls results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future
Pain related to cancer impacts all of your patients, no matter the stage or type of disease. As a result, cancer pain management becomes a strong focus of your practice and you need strategies and information to help your patients cope with this common-and sometimes complicated-issue. Cancer Pain Management Scenarios presents eleven scenarios of patients dealing with varying levels of cancer-related pain. In each scenario, you will be presented with a case study and a series of questions and answers that will help you lead you to a better understanding of how to manage pain. In the scenarios, you will get specific details on such issues as testing and assessment, common causes of pain, symptoms, treatment, and pain management issues such as how to calculate proper dosage, how to determine a proper medication regimen, and how to define drug addiction.
This book focuses on both the management of the pain as well as the pain patient and is formatted as a practical, evidence-based guide to managing chronic pain conditions. It meets the market need for a reference that aides physicians in understanding and improving chronic pain in their patients. Organized across 46 chapters, the book begins with an introduction on chronic pain evaluation, and specifically stresses the importance of complete patient evaluation including social and psychological evaluation. Subsequent chapters then start with an evaluation, medical and interventional options available, how and when to move from one option to another and the level of evidence offered for each intervention. These unique chapter elements provide the reader with a case-based approach to managing their patients. Additionally, a brief discussion of epidemiology and pathophysiology of the disease process is included and the technical aspects of interventional techniques are reviewed. Edited by a leader in the field with international contributing authors across pain medicine, Practical Chronic Pain Management this book is written primarily for anesthesiologists, pain specialists, rheumatologists, and primary care physicians.
Managing Cancer Breakthrough Pain is a comprehensive review of cancer breakthrough pain (cBTP) and rapid-onset opioids (ROO), the only treatment approved for cBTP episodes. The book was originally commissioned due to the current rapid growth of the ROO market and the epidemic of ROO abuse. This book will review the historical background and definitions of cBTP and ROOs, assessment methods to determine types of cBTP, US- and EU-approved ROOs, case studies (which will provide practical applications of ROO treatment options), ROO abuse and screening methods, and the FDA-mandated TIRF REMS Access program (Transmucosal Immediate Release Fentanyl Risk Evaluation and Mitigation Strategies Access program). Busy healthcare professionals who have a basic understanding of cancer pain but want to learn more about cBTP and ROOs will benefit from this concise guide that will help them quickly understand the complexities of cBTP episodes and ROOs.
Sodium channels confer excitability on neurons in nociceptive pathways and exhibit neuronal tissue specific and injury regulated expression. This volume provides recent insights into the control of expression, functioning and membrane trafficking of nervous system sodium channels and reviews why sodium channel sub-types are potentially important drug targets in the treatment of pain. The roles of sodium channels in dental and visceral pain are also addressed. The emerging role of sodium channel Nav1.3 in neuropathic states is another important theme.
Authors from the pharmaceutical industry discuss pharmacological approaches to the drug targeting of sodium channels, and in particular Nav1.8, exclusively expressed in nociceptive neurons. The final chapter highlights the functional diversity of sodium channels in part provided by post-transcriptional processing and the insights into sodium channel function that are being provided by tissue specific and inducible gene knock-out technology.
As interventionalists become more involved with patients as care providers rather than solely as proceduralists, understanding and treating pain is a vital part of daily practice. This book provides an overview of the multiple techniques used in the management of pain in interventional radiology suites. Topics include techniques for the treatment and prevention of pain caused by interventional procedures, as well as minimally invasive techniques used to treat patients with chronic pain symptoms. Approximately half of the book is dedicated to the diagnosis and treatment of spinal pain; other chapters focus on intraprocedural and post-procedural pain management, embolization and ablation techniques used to treat patients with uncontrollable pain, and alternative treatments for pain relief. This book is a practical resource for anyone looking to acquire skills in locoregional or systemic pain control and wishing to improve the quality of life for patients undergoing procedures or suffering from disease-related pain.
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.
"Buy this book and make sure that your doctor reads it too!" - Dr Steve Gilbert, Staff Specialist in Anaesthesia and Pain Management, former Lead Clinician for Chronic Pain in Scotland "Phil's book has everything necessary to help people with chronic pain change their life. To live, thrive and not just survive. A must-read for people in pain: learn to live again." - Linz Stevens, living well despite chronic pain. Chronic pain is much more common than you might think - it affects nearly one-fifth of the population. Chronic pain is defined as any pain that continues for longer than three months. It has a variety of causes including arthritis, back pain, fibromyalgia, accidents or operations, although sometimes there is no apparent cause. Many people suffering from chronic pain have been told by medical professionals that 'I'm sorry, there's nothing more we can do for you', leaving them feeling abandoned and isolated. If you have been told this, or you think this news may be in your future, then this book is for you. Self-management is an important approach to coping better and managing this long term condition. Written with humour, and making use of cartoons and line drawings, this book encapsulates 20 years of pain management courses given by Phil Sizer at Pain Association Scotland to patients, GPs, and other health professionals. Divided into three sections (Understanding, Managing, Coping) Its approach is based on a holistic, bio-psycho-social model of health including CBT (cognitive behavioural therapy), ACT (Acceptance and Commitment Therapy), positive psychology, relaxation, hypnotherapy, motivational interviewing and coaching. Topics include: introduction by Pain Association Scotland understanding chronic pain - definitions, acute vs chronic pacing - how to avoid over-doing realistic goal-setting stress management relaxation and sleep dealing with flare-ups diet and foods to avoid coping with unhelpful thinking (racing mind, anxiety and negative thoughts) challenging limiting beliefs relationships with others accepting help importance of humour - attitude and values being a person not a condition If you can learn how to make changes and live better with your pain, things will improve, be different, and most importantly, so much better.
Pain is a challenging area to understand for any healthcare professional, and quality training on the subject is required if nurses are to provide effective pain management and person-centred care. Based on the curriculum developed by the International Association for the Study of Pain, this book offers an essential guide to managing pain. Beginning with an examination of the biology of pain, it then goes on to consider pain management across the life course, looking at key topics including acute pain, cancer pain and pharmacology. Case scenarios are included throughout the book to help readers apply the knowledge they have learned to their own practice. This book is aimed primarily at meeting the learning needs of undergraduate nurses, and is essential reading for all healthcare professionals studying pain. The text will be helpful as a basic foundation for more advanced postgraduate courses in pain management in nursing practice.
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