The perception of pain in the mind of dental patients is a significant deterrant to regular dental attendence by manycontrol of this pain and anxiety is therefore a treatment issue which is central to the clinical practice of dentistry. This textbook covers both local anaesthesia and sedation comprehensively, and provides practical instructions for the dental student. It provides a theoretical framework based on the anatomy, physiology and pharmacology of pain and anxiety control Pain and anxiety control for the concious dental patient provides: comprehensive coverage of pain and anxiety management for concious dental patients; covers the control of operative, perioperative and post-operative pain in dentistry; describes all aspects of local anaesthesia and sedation in dentistry; provides a rational approach to the prescription of drugs; practical guidance and instruction on techniques; over 150 photographs and 50 line diagrams This book covers local anaesthesia including inhalational, intravenous sedation, control of post- operative pain, management of non-dental oro-facial pain and management of medical emergencies related to pain control. It is timely - for example, the teaching of sedation in dental schools is an issue currently being pushed by GDC (1996) Chaps 6 & 9 are unique (Basic principles of dental local anaesthetic injections and Intraligamentary, intra-osseous and intrapulpalanaesthesia)

The past thirty years has seen a huge expansion in the provision of palliative care services. Because Palliative Medicine is a multidisciplinary specialty - combining the expertise of oncologists, anaesthetists, nurses, and many other therapeutic groups, the effectiveness of such treatment can be very difficult to measure. Additionally, research involving terminally ill patients and their carers can also present a number of practical and ethical problems. In spite of this, current health policy demands evidence of effectiveness and value for money of health service interventions at all levels of complexity, including the service level. Evaluating Palliative Care: Establishing the Evidence Base provides an introduction to the theory and practice of the evaluation of palliative care services. It examines the methodological issues involved in the evaluation of palliative care, and outlines a practical approach that is readily applicable to many other health care interventions. In particular, research issues involving terminally ill patients and their carers are analysed and discussed, and approaches suggested for future work.

This book critiques the current approach to the self-management of persistent pain. The drive towards self-management of chronic pain is flourishing as healthcare systems struggle to facilitate the care of those with long term health conditions. In this book Karen Rodham argues that albeit an empowering idea, self-management has not yet been fully translated from idea to practice and as such, runs the risk of blaming and shaming the person living with a chronic condition for failing to manage their condition effectively. She contends that the additional stress of this tension may in fact worsen their condition. Drawing from the research evidence as well as her practice experience, she advocates a move away from the terms 'self' and 'management' towards a more collaborative approach. One which takes account of the life-context of the person who is living with persistent pain. This book explores the shortcomings of the tendency to focus on self-management without taking into account life context and considers how we got here and what can be done. It will be a valuable resource to researchers and practitioners, especially in the field of health psychology.

Pain is an inevitable part of existence, but severe debilitating or chronic pain is a pathological condition that diminishes the quality of life. The Brain and Pain explores the present and future of pain management, providing a comprehensive understanding based on the latest discoveries from many branches of neuroscience. Richard Ambron-the former director of a neuroscience lab that conducted leading research in this field-explains the science of how and why we feel pain. He describes how the nervous system and brain process information that leads to the experience of pain, detailing the cellular and molecular functions that are responsible for the initial perceptions of an injury. He discusses how pharmacological agents such as opiates affect the duration and intensity of pain. Ambron examines new evidence showing that discrete circuits in the brain modulate the experience of pain in response to a placebo, fear, anxiety, belief, or other circumstances, as well as how pain can be relieved by activating these circuits using mindfulness training and other nonpharmacological treatments. The book also evaluates the prospects of procedures such as deep brain stimulation and optogenetics. Current and thorough, The Brain and Pain will be invaluable for a range of people seeking to understand their options for treatment as well as students in neuroscience and medicine.

This is the first comprehensive review of all aspects of nociceptor function, including the structure of nociceptor endings, their neurochemistry, and evolutionary considerations. It deals with the functional properties of nociceptors innervating different organs and the biophysical mechanisms underlaying the transduction process in nociceptors. There are sections on how nociceptor function is modified by nerve injury and regeneration and on its physiopathology. This is an essential reference for researchers in neuroscience and pharmacology, and clinicians working in pain management.

Selected as a Doody's Core Title for 2022! Authored by experts in pain medicine and internal medicine at the University of California, Davis, Primary Care Pain Management delivers just the right amount of clinically relevant information for primary care physicians, nurse practitioners, and physician assistants. Addressing safe and effective pain management in the primary care setting, it follows a user-friendly, high-yield format for quick reference at the point of care, helping you understand the full range of options for treating patients with chronic and acute pain. Presents information in a highly templated, full-color format, with an abundance of tables and algorithms throughout. Covers opioid consent, agreement, and prescribing; nonsteroidal anti-inflammatory drugs; neuropathic pain medications; interventional pain management; physical therapy; complementary modalities; integrative medicine, and more. Includes a "When to Refer" section in every chapter, providing you with a list of questions and key points that could indicate a need for referral to a specialist or surgeon. Emphasizes compassionate care and continuity of care - both key issues in an area that is often emotionally difficult for patients and caregivers. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

This new edition of the Practical Management of Complex Cancer Pain has been fully updated and expanded, with five new chapters on novel interventional techniques in cancer pain amelioration. The book provides advice on advanced pain management, emphasising the suitability and selection of patients for different invasive and complex procedures based on patient history. Case histories are included throughout the text to give the reader insight into the complexities of holistic management, with pain being only one component in the distress that cancer causes for both patients and families. The book also covers cancer pain management for patients in a community setting, and the collaboration between pain and palliative medicine. Concise, practical, and evidence-based, this guide is essential reading for all pain and palliative care specialists in the community, hospital, and hospice settings.

This concise, accessible book covers anesthesia for hepatico-pancreatic-biliary (HPB) surgery and transplantation, based on randomized clinical trials, meta-analyses, case series, reports, and hands-on experience. The anatomy, physiology, pathophysiology and clinical consequences are discussed, and the close ties between HPB resection and transplant anesthesia are explored. The content reflects current real-world practice, as liver and pancreatic transplant surgeries have substantially improved in terms of blood-loss reduction, fast tracking and reduced risk. The book also addresses anesthetic aspects in connection with the recently introduced and rapidly expanding practice of laparoscopic surgery; with enhanced recovery; and with pancreatic surgery. Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation is intended for aspiring HPB and transplant anesthetists, anesthesia trainees, and consultants with experience in HPB anesthesia who want to see whether or not they're up to date on the current standards.

Assessement and management of pain is an integral aspect of patient care for nurses working in all health care settings. Pain management is a practical guide to current best practice, providing students and newly qualified nurses with the knowledge and skills required to care for a person experiencing or at risk of experiencing pain.
Pain Management explores pain assessment, evaluation and therapeutic management and challenges nurses to reflect upon their practice in order to update and improve their clinical practice. It adopts a chronological approach, exploring the essential clinical skills required to effectively manage pain in all ages from the neonate to the older person. Case studies, algorithms and evidence encourage implementation of best practice throughout the book.

Patients suffering from HIV/AIDS often experience chronic pain due to the many diseases and infections they pick up as a result of a weakened immune system. It interferes with their quality of life and physical functioning, impacts adherence to antiretroviral therapy and HIV primary care, and is associated with significant psychological/social distress and substance use disorders. Chronic Pain and HIV addresses all these complex issues that can influence pain care that can influence pain care for the patient with HIV and acts both as a primer and a comprehensive review to define the field of chronic pain management. Using a clear, clinical approach, key topics include the following: * Musculoskeletal pain in individuals in HIV * Headache in individuals with HIV * Psychiatric comorbidities among individuals with HIV and chronic pain * Potential benefit and harm of prescription opioids in HIV * Pain at the end of life in individuals with AIDS * Treatment of chronic pain syndromes in the HIV-infected person. Edited by an outstanding team with extensive experience in HIV/AIDS and pain/palliative care, every chapter is written by a world-famous expert in their field who provides a thorough review of the relevant literature, including the very latest in management guidelines from the leading international societies. Perfect for all those in primary care, as well as infectious disease specialists managing patients with HIV/AIDS, Chronic Pain and HIV provides sensible, straightforward clinical advice to ensure the best possible patient management.

A genuine evidence-based text for optimum pain relief in various chronic conditions * Contributes an important advance in the practice of pain management providing the information on which to build more coherent and standardised strategies for relief of patient suffering * Answers questions about which are the most effective methods, AND those which are not effective yet continue to be used * Includes discussion of the positive and the negative evidence, and addresses the grey areas where evidence is ambivalent * Written by the world's leading experts in evidence-based pain management this is a seminal text in the field of 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.

This book is designed to focus on the role of Calcitonin Gene-Related Peptide (CGRP) in health and disease. This peptide, originally discovered in the 1980s as a sensory neuropeptide with cardiovascular effects, is now known to play a distinct role in the pain processing of migraine. The various chapters address the origin, localization and function of CGRP and its receptor in the peripheral nervous system, in the cardiovascular system, and in other tissues and organs. Further attention is paid to the drug discovery pathway where recent findings show the beneficial effect of small molecule antagonists of the CGRP receptors for the relief of the migraine attack and of monoclonal antibodies against CGRP or the CGRP receptor for migraine prevention.

The aim of this book is not only to introduce readers with a broad spectrum of biological actions of the NOP receptor, but also to feature a detailed look at the N/OFQ-NOP receptor system, medicinal chemistry, pharmacology, and clinical data of NOP-targeted ligands. This special volume book - for the first time focusing on the NOP receptor - is designed to serve as a useful reference, stimulate more research on the N/OFQ-NOP receptor system, and lead to more development of NOP-related ligands for several therapeutic applications.

Nurses are playing an increasingly important part in the multidisciplinary team caring for those with chronic pain and this book will raise awareness among nurses of the contribution that they make to those in their care. It provides a resource that explains the mechanisms that cause chronic pain, the impact this pain has on the patient and their family, and the approaches that can be used effectively to help patients come to terms with ongoing pain.

The contributors are all leading nurse specialists in the field, and topics covered include the effects of nutrition on pain, massage, acupuncture, pain in older people and a discussion of the developing role of nurses in this important clinical area.

This text provides a comprehensive review and expertise on various interventional cancer pain procedures. The first part of the text addresses the lack of consistency seen in the literature regarding interventional treatment options for specific cancer pain syndromes. Initially, it discusses primary cancer and treatment-related cancer pain syndromes that physicians may encounter when managing cancer patients. The implementation of paradigms that can be used in treating specific groups of cancer such as breast cancer, follows. The remainder of the text delves into a more common approach to addressing interventional cancer pain medicine. After discussing interventional options that are commonly employed by physicians, the text investigates how surgeons may address some of the more severe pain syndromes, and covers the most important interventional available for our patients, intrathecal drug delivery. Chapters also cover radiologic options in targeted neurolysis and ablative techniques, specifically for bone metastasis, rehabilitation to address patients' quality of life and function, and integrative and psychological therapies. Essentials of Interventional Cancer Pain Management globally assesses and addresses patients' needs throughout the cancer journey. Written by experts in the field, and packed with copious tables, figures, and flow charts, this book is a must-have for pain physicians, residents, and fellows.

This book provides an overview of the field of pain genomics and the genomics of related, or co-occuring, symptoms, the current state-of-the-science, and challenges that remain. It brings differing views in the field together and provides examples of translational science from using cellular and rodent models to human clinical trials. This book's structure leads the reader through the physiology of pain and genomics into how pain is studied, mechanisms of acute and chronic pain, various protocols that are used throughout the field along with the pros/cons of the current methods used, and project into the future of pain genomics. This work is intended for classroom teaching, for nurses, for novice researchers in symptom science and pain research as well as students and postdoctoral fellows.

Experiential evidence shows that pain is associated with common meanings. These include a meaning of threat or danger, which is experienced as immediately distressing or unpleasant; cognitive meanings, which are focused on the long-term consequences of having chronic pain; and existential meanings such as hopelessness, which are more about the person with chronic pain than the pain itself. This interdisciplinary book - the second in the three-volume Meanings of Pain series edited by Dr Simon van Rysewyk - aims to better understand pain by describing experiences of pain and the meanings these experiences hold for the people living through them. The lived experiences of pain described here involve various types of chronic pain, including spinal pain, labour pain, rheumatic pain, diabetic peripheral neuropathic pain, fibromyalgia, complex regional pain syndrome, endometriosis-associated pain, and cancer-related pain. Two chapters provide narrative descriptions of pain, recounted and interpreted by people with pain. Language is important to understanding the meaning of pain since it is the primary tool human beings use to manipulate meaning. As discussed in the book, linguistic meaning may hold clues to understanding some pain-related experiences, including the stigmatisation of people with pain, the dynamics of patient-clinician communication, and other issues, such as relationships between pain, public policy and the law, and attempts to develop a taxonomy of pain that is meaningful for patients. Clinical implications are described in each chapter. This book is intended for people with pain, their family members or caregivers, clinicians, researchers, advocates, and policy makers.

This book traces the global chemical history of cannabidiol (CBD), which is a compound that originates partially from hemp (the fiber), marijuana (the popularized term for medicinal/recreational use), and cannabis (the species sativa). It also argues about the position that CBD is in today and the heritage established by chemists over the course of its development. Each term associated with the plant spans centuries of development and cross-culturally became an object of cultivation and commerce. Humans have explored cannabis' complex chemical possibilities with the hope that it would offer pain relief or some type of mind-numbing portal to other existences. As such the trio and their many incarnations have been and will continue to be an integral part of the past, the present, and the future. Known as cannabis compound cannabidiol (CBD), a non-psychoactive component of the drug, it is one of some 100-plus known cannabinoids; offshoots of the original plant that are isolated and, in some cases, chemically altered. Just as with any supposed pharmaceutical marvel, chemists are at the center of this narrative. In order to understand its historical roots, central to CBD's discovery was the efforts of scientists who worked in separate eras and regions. These included, Americans Roger Adams and Allyn Howlett, and the Bulgarian-born Israeli chemist Raphael Mechoulam, along with a throng of others. They influenced a generation of students and changed the face of cannabis research into the 21st century. What does its history tell us about the future of chemical products like CBD? This brief will explore the chemical heritage that formed across a complicated nexus of global events. These are the bonds that tie.

This edited collection is the first complete guide for rehabilitation professionals seeking to engage a whole-person, biopsychosocial, and mind-body medicine integrated approach to care. Drawing on the foundations of integrative medicine, Integrative Rehabilitation Practice (IRP) goes beyond the treatment of symptoms to explore multiple levels, roots, and possible contributing factors to individual's health experience. IRP acknowledges the complex inseparability of biological, behavioral, psychosocial, spiritual, and environmental influences. The book covers both the theoretical foundations of IRP and applications to practice in the fields of physical therapy, occupational therapy, yoga therapy, speech and language therapy, and many other professions. Featuring contributions from Matthew J. Taylor, Marlysa Sullivan, Andra DeVoght and other professionals, case studies, storytelling, and reflective exercises, this cross-disciplinary clinical training guide is essential reading for all rehabilitation professionals, as well as others interested in advancing whole-person care.

This brief uses California's CURES (Controlled Substance Utilization Review and Evaluation System) 2.0 data to analyze county-level opioid prescribing rates in California from 2012 to 2017 from multiple perspectives. The book summarizes California's county-level opioid prescribing trends, examines potential correlates of opioid prescribing rates, and assesses the association of opioid prescribing on both criminal justice and public health outcomes. Finally, the authors discuss their principal findings and the implications for policy and practice, including the significant and lasting consequences of the opioid crisis on the criminal justice system and the importance of a multi-disciplinary approach to effectively address the crisis.

Selected as a Doody's Core Title for 2022 and 2023! This exhaustively comprehensive edition of the classic Bonica’s Management of Pain , first published 65 years ago, expertly combines the scientific underpinnings of pain with clinical management. Completely revised, it discusses a wide variety of pain conditions—including neuropathic pain, pain due to cancer, and acute pain situations—for adults as well as children. An international group of the foremost experts provides comprehensive, current, clinically oriented coverage of the entire field. The contributors describe contemporary clinical practice and summarize the evidence that guides clinical practice. Substantially updated with theoretical advancements and contemporary therapies that have emerged since the previous edition published over a decade ago. Broad authorship by researchers and practitioners from the many disciplines that participate in pain medicine, including anesthesiology, neurology, physical medicine and rehabilitation, palliative care, psychology, social sciences, and more. Addresses the economic, political, legal, ethical, and sociological considerations of pain; evaluation of the pain patient; pain conditions; methods for symptomatic control; and provision of pain treatment. Packed with hundreds of full-color illustrations and tables. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Authored by an acknowledged expert on muscle and movement imbalances, this well illustrated book presents a classification system of mechanical pain syndromes that is designed to direct the exercise prescription and the correction of faulty movement patterns. The diagnostic categories, associated muscle and movement imbalances, recommendations for treatment, examination, exercise principles, specific corrective exercises, and modification of functionalactivities for case management are described in detail. This book is designed to give practitioners an organized and structured method of analyzing the mechanical cause of movement impairment syndrome, the contributing factors and a strategy for management. * Provides the tools for the physical therapist to identify movement imbalances, establish the relevant diagnosis, develop the corrective exercise prescription and carefully instruct the patient about how to carry out the exercise program. * Authored by the acknowledged expert on movement system imbalances. * Covers both the evaluation process and therapeutic treatment. * Detailed descriptions of exercises for the student or practitioner. * Includes handouts to be photocopied and given to the patient for future reference.

It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

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.