Conventional pharmaceutical approaches to pain management are not always successful. Using only those medications that have an official indication for a certain condition reduces substantially the chance of the patient gaining pain relief and may expose them to intolerable side effects. However evidence now exists on the use of other drugs, produced for non-pain conditions, and how they can substantially increase the chances of pain relief.
Covering the most recent developments in this field, McCleane offers an alternative solution to pain treatment when conventional treatments fail. This pioneering book proposes evidence-based alternatives to current options in pain management, using well-grounded rationales for each given treatment.
This book is an ideal reference for the specialist and non-specialist prescriber alike and for practitioners from a wide variety of disciplines. It provides the evidence required and treatment algorithms for readers to use the drugs appropriately and to explore the field if they wish.

Anesthesia for the New Millenium: Modern Anesthetic Clinical Pharmacology contains the refresher course lectures of the 1999 meeting and is a review of the current state of the art in anesthesia clinical pharmacology. The authors of the individual chapters are among the world's most widely recognized experts in the pharmacology of perioperative medicine. The book features sections on new pharmacology concepts, new drug delivery techniques, recently released drugs and novel thinking about older drugs. It also addresses several areas that have recently emerged as very hot clinical and research topics, including depth of anesthesia monitoring technology and anesthesia drug interactions. The textbook is the seventeenth in a continuing series documenting the proceedings of the postgraduate course.

What's in the Syringe? offers a succinct overview of the psychological skills of outpatient palliative care, teaching clinicians how to help patients live well and acknowledge end of life as patients meet five challenges of serious illness. It explores how to help patients develop prognostic awareness, through which they pair hopes and worries and see themselves with clarity and empathy. The book also teaches clinicians how to support patients' coping skills. As patients use these skills, they improve their quality of life and deepen their prognostic awareness, helping them make informed medical and personal decisions as they approach end of life. Illustrated, case-based chapters are organized from diagnosis to end of life and draw on two decades of research and clinical experience. Each chapter describes how palliative care and oncology clinicians can collaborate and explains the interpretive role of the palliative care clinician in helping the patient and oncologist understand each other. What's in the Syringe? is an essential resource for palliative care fellows, trainees, and clinicians, for oncologists, primary care clinicians, and medical students, and for all care providers working with patients facing serious illness.

Theodore H. Stanley, M.D. Anesthesiology and Pain Management contains the Refresher Course manuscripts of the presentations of the 36th Annual Postgraduate Course in Anesthesiology which took place at The Cliff Conference Center in Snowbird, Utah, February 22-26, 1991. The chapters reflect new data and concepts within the general framework of "pain research and basic science," "clinical topics in pain management." The purposes of the textbook are to 1) act as a reference for the anesthesiologists attending the meeting, and 2) serve as a vehicle to bring many of the latest concepts in anesthesiology to others within a short time of the formal presentation. Each chapter is a brief but sharply focused glimpse of the interests in anesthesia expressed at the conference. This book and its chapters should not be considered complete treatises on the subjects addressed but rather attempts to summarize the most salient points. This textbook is the ninth in a continuing series documenting the proceedings of the Postgraduate Course in Salt Lake City. We hope that this and the past and future volumes reflect the rapid and continuing evolution of anesthesiology in the late twentieth century. ix list of Contributors Ashburn, Michael A. Department of Anesthesiology, University of Utah, Salt Lake City, Utah Basbaum, Allan Department of Anatomy & Physiology, University of California - San Francisco, San Francisco, California Bonica, John J. Department of Anesthesiology, The University of Washington, Seattle, Washington Cousins, Michael J.

Essential Pain Pharmacology: The Prescriber's Guide expertly reviews the most important medications used to relieve pain, now considered by many physicians as the fifth vital sign. The catalogue of analgesics has expanded rapidly, and this text presents the most up-to-date, comprehensive array of agents available for prescribing. Each clear and concise drug entry covers the range of indications, advantages and disadvantages, and tips for appropriate dosing and avoiding adverse effects. A separate section covers nutraceuticals, a class of drug increasingly used to manage chronic pain, yet little discussed in medical literature. The detailed description of each medication enables the user to make quick and informed decisions, confident that they are best serving the needs of their patients. Practical 'pearls' for each entry provide a quick go-to reference for the key information to consider before prescribing. This concise user-friendly reference is a must-have on the shelf of every physician.

This book serves as a tool for general psychiatrists, medical students, residents, and fellows looking for a clinically relevant and high-yield overview of addiction psychiatry in preparation for their board exams - or for everyday clinical practice. Written by expert educators in addiction psychiatry, the text is organized by substances misused and populations affected. This book serves as both a primary learning tool for those new to the field, as well as a reference for those working in addiction treatment. Each chapter begins with summaries of high yield clinical pearls, followed by general information including treatment, and then ends with accompanying board-style review questions. The scope includes understanding substances of misuse and substance use disorders (SUDs), how to evaluate, diagnose, and monitor SUDs, how to treat SUDs both pharmacologically and behaviorally, and critical information for specific populations of patients. Absolute Addiction Psychiatry for Clinical Practice and Review is an excellent resource for all medical students, residents, fellows, and professionals taking certification exams in addiction, including those in psychiatry, addiction medicine, emergency medicine, internal medicine, pain medicine, and others. The chapter "Laboratory Testing for Substance Use Disorders" is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

This book offers guidance from the field's most respected experts on the psychological assessment and treatment of pain, particularly with hypnosis. It covers both syndromes of special interest (cancer pain, recurrent pain syndromes, headache, burn patients, etc.) and special populations (children and the elderly).

Dieses Buch fasst den aktuellen Forschungsstand zum Thema Cannabis zusammen. Hierfur wurden alle bedeutsamen, in den letzten 10 Jahren in deutscher und englischer Sprache publizierten Forschungsarbeiten systematisch recherchiert und ausgewertet. Dargestellt werden: - psychische, organische und soziale Risiken des Konsums pflanzlicher und synthetischer Cannabisprodukte zu Rauschzwecken, - Wirksamkeit, Vertraglichkeit und Sicherheit von Cannabisarznei bei organischen und psychischen Erkrankungen, - Motive und Erwartungen eines nichtarztlich verordneten Gebrauchs von Cannabis im Sinne einer Selbstmedikation. Die Expertise liefert einen umfassenden UEberblick uber die aktuelle Literatur. Sie bewertet das therapeutische Potenzial und die Risiken von Cannabis entsprechend internationaler methodischer Vorgaben der evidenzbasierten Medizin. Die Expertise dient somit als solides Nachschlagewerk. Ihr Auftraggeber war das Bundesministerium fur Gesundheit.

In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.

Our understanding of how pain in early life differs to that in maturity is continuing to increase and develop, using a combination of approaches from basic science, clinical science, and implementation science. The new edition of the Oxford Textbook of Pediatric Pain brings together an international team of experts to provide an authoritative and comprehensive textbook on all aspects of pain in infants, children, and youth. Divided into nine sections, the textbook analyses pain as a multifactorial problem to give the reader a comprehensive understanding of this challenging subject. Evidence-based chapters look in depth at topics ranging from the long-term effects of pain in children, to complementary therapy in paediatric pain. The text addresses the knowledge-to-practice gap through individual and organizational implementation, and facilitation strategies. Case examples and perspective boxes are provided to aid learning and illustrate the application of knowledge. Written by clinicians, educators, trainees, and researchers, hand selected by the Editors for their practical approach and expertise in specific subject areas, the new edition of the Oxford Textbook of Pediatric Pain is an essential reference text in the assessment and treatment of patients and families in the field of paediatric pain. Purchasers of the print version of the second edition will have free access on Oxford Medicine Online to all the content for the life of the edition.

Traveling in Haiti and other 3rd world countries Dr Dabbs has come across by mistake a secret that the western world has forgotten about. He found out after treating hundreds of Haitians and other underdeveloped patients in hospitals and mountain towns that even if they were 80, or 90 years old they had very little back pain and arthritis, and great movements in there joints. Combine this secret with tenty-three years in practice of treating back pain he and his staff of Physical therapists, MD's, Trainers and Chiropractors have come up with some amazing facts that most Doctors get wrong about back pain. Back pain is an epidemic in this country affecting 80% of the population and costing billions of dollars. It's the #2 reason people miss work right behind colds and flues. The western world tends to treat the symptoms of back pain and not the cause. Why is it underdeveloped countries that don't have this problem when clearly they have poorer health facilities? Even the simplest and most common treatment being medications for back pain kills over 20,000 people a year. "This is Why Your Back Hurts" is an easy to read and understand book that tells the secret Dr Dabbs has found that will astound you and give you hope that you too can live without back pain.

You may be able to rid yourself of migraines or seizures completely! The debilitating pain of a migraine...the disability of poorly controlled seizures. If this describes you or someone you care about, you are not alone. A staggering 3 million people in the United States alone have been diagnosed with epilepsy. When you consider that migraines share very similar characteristics to seizures, you can add another 35 million to the pool. Then consider the fact that neurodegenerative disorders such as Parkinson's and Alzheimer's may be the long-term result of uncontrolled damage to the brain from epilepsy and migraines. This means a very large number of people alive today are affected by this process that produces a progressive degeneration of the brain. Migraines and Epilepsy: How to find relief, live well and protect your brain , unlike other books on this topic, brings together many of the concepts that help to heal your brain, improve brain function, and eliminate debilitating conditions that negatively affect your brain. It is designed as a guide to protect the most important thing you own-your brain. While nothing in the physiology of the brain is guaranteed, the majority of those who follow the recommendations in this book will find relief

The book takes an integrated approach to pain rehabilitation and combines pain science, rehabilitation and yoga with evidence-based approaches from respected contributors. They demonstrate how to integrate the concepts, philosophies and practices of yoga and pain science in working with people in pain. An essential and often overlooked part of pain rehabilitation is listening to, working with, learning from, and validating the person in pain's lived experience. The book expounds on the movement to a more patient-valued, partnership-based biopsychosocial-spiritual model of healthcare where the patient is an active and empowered participant, as opposed to a model where the healthcare provider is 'fixing' the passive patient. It also explains how practitioners can address the entire human being in pain, and how to include the person as an expert for more effective and self-empowered care.

Taking Back Your Health and Happiness helps those who suffer from chronic pain discover the source of their pain to achieve self-healing and happiness within. As a nurse for over ten years, an energy healer, and spiritual intuitive healer, Marie Anne June L. Tagorda has seen the effects illness has on people and their loved ones. She herself has had her share of chronic pain and invisible illness. In Taking Back My Health and Happiness, she shares her process for achieving self-healing and happiness. Within Taking Back My Health and Happiness, those who suffer from chronic pain learn: The source and meaning of their chronic pain and illness How to deal with their condition in order to live happy and be free to enjoy life How to effectively communicate with loved ones to include them in their care and not be burdened by it The obstacles blocking their healing (and how to overcome them) Tips for healing their body while healing their relationships One's illness does not define them, and they can begin the process to becoming happy, healthy, and free to enjoy life today with Taking Back Your Health and Happiness.

Accurately details the history of laughing gas through to modern times (including historical ramblings & jest), and delves into the medical side of things -- in a light-hearted manner. Finally, while it never promotes nor condones the use of this fascinating substance and clearly highlights the serious dangers of its consumption, Laughing Gas suggests scientifically based means of ameliorating -- preventing -- the known negative possible effects of its consumption. -- Shedlin & Wallechinsky

In dem etablierten Standardwerk zur Schmerzpsychologie und -psychotherapie geben die renommierten Herausgeber und Autoren sowohl eine Einfuhrung in die wissenschaftlichen Grundlagen und Konzepte als auch einen UEberblick uber bereits etablierte und in der Entwicklung befindlichen Behandlungskonzepte. Damit foerdert das Werk das Verstandnis fur die schmerztherapeutische Praxis und ist hervorragend geeignet fur die schmerzpsychotherapeutische Fort- und Weiterbildung.Die 8. Auflage wurde grundlegend uberarbeitet und wird von den Ausbildungskommissionen der Deutschen Gesellschaft fur Schmerztherapie e.V. und der Deutschen Gesellschaft fur psychologische Schmerztherapie und -forschung empfohlen.

Rate your pain on a scale of one to ten. What about on a scale of spicy to citrus? Is it more like a lava lamp or a mosaic? Pain, though a universal element of human experience, is dimly understood and sometimes barely managed. Pain Woman Takes Your Keys, and Other Essays from a Nervous System is a collection of literary and experimental essays about living with chronic pain. Sonya Huber moves away from a linear narrative to step through the doorway into pain itself, into that strange, unbounded reality. Although the essays are personal in nature, this collection is not a record of the author's specific condition but an exploration that transcends pain's airless and constraining world and focuses on its edges from wild and widely ranging angles. Huber addresses the nature and experience of invisible disability, including the challenges of gender bias in our health care system, the search for effective treatment options, and the difficulty of articulating chronic pain. She makes pain a lens of inquiry and lyricism, finds its humor and complexity, describes its irascible character, and explores its temperature, taste, and even its beauty.

There is a decreased tolerance for error when pediatric patients undergo medical procedures. It is, therefore, important to accomplish procedures as quickly and accurately as possible. Pediatric Anesthesia Procedures is designed to provide rapid access to information in order to solve a clinical problem as it is occurring. Its pictorial, highly visual format will allow anesthesiologists and other clinicians to review and 'see' the procedures during planning stages, making it a practical resource to keep in the operating room for quick and easy reference during time-pressured situations. This will make it especially useful for practitioners doing procedures that they perform infrequently-or must perform for the first time during an emergent or urgent situation. The chapters within cover a wide variety of basic and advanced pediatric anesthesia procedures and provide generously illustrated step-by-step guidelines for performing them. Each is introduced with an accessible description, followed by a variety of high-quality graphic images-including detailed photographs, magnetic resonance images, computed tomography images, and ultrasound images-and detailed instructions.

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.

Eine adaquate Therapie von Schmerzen bei Kindern, egal welchen Alters, stellt die beste Pravention von chronischen Schmerzen dar. Lesen Sie in dem Standardwerk zum Thema nach, wie Sie gezielt die Therapie gestalten koennen: - Aktuelle Erkenntnisse zum Schmerzgeschehen bei Kindern, deren Schmerzwahrnehmung und -verarbeitung, - Moeglichkeiten zur Schmerzanamnese, medikamentoesen Therapie und psychologischen Intervention, - Hinweise zur speziellen Pflege inkl. alternativer Pflegemethoden, - Ambulante und stationare multimodale Schmerztherapie. Die 5. Auflage erscheint komplett aktualisiert und fachlich erweitert. Neu sind die Themen Gesprachsfuhrung bei chronisch schmerzkranken Kindern und Jugendlichen, Qualitatssicherung in der postoperativen Schmerztherapie, Therapie chronischer Schmerzen bei jungen Erwachsenen und mehr. Plus: Online-Zusatzmaterial u.a. mit zusatzlichen Informationen zur Fort- und Weiterbildung. Wissenschaftlich fundiert und praktisch anwendbar: Zahlreiche Tabellen, Fragebogen und Dokumentationshilfen zu Medikamentendosierungen, UEberwachungsbogen, Adressen von Websites und Selbsthilfegruppen. Ein idealer Begleiter fur alle Mitglieder im therapeutischen Team: Padiater, Anasthesisten, Schmerztherapeuten, Physiologen, Psychologen und Kinderkrankenschwestern.

Als Schmerzpatient mussen Sie ggf. regelmassig Schmerzmedikamente einnehmen, um den Alltag bewaltigen zu koennen. Dieser Ratgeber erklart verstandlich die Wirkungsweise und die moeglichen Risiken der verschiedenen Substanzen, wie sie richtig eingesetzt werden und welche Nebenwirkungen auftreten koennen. Der Leser erhalt auf praktische Fragen klare Antworten, z.B.: Welche Tatigkeiten darf ich unter Schmerzmitteln ausuben, darf ich Maschinen bedienen oder Auto fahren? Sind Schmerzmittel in der Schwangerschaft und Stillzeit erlaubt? Wie lange durfen Schmerzmittel eingenommen werden? Die Autoren sind AErzte und Experten auf dem Gebiet der Schmerzmedizin und kennen die Sorgen und Fragen von Patienten. Sie wenden sich an alle, die Schmerzmedikamente verschrieben bekommen haben oder rezeptfrei verkaufliche Schmerzmedikamente einnehmen.

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.

Whether someone was injured at work, struck in a motor vehicle accident, or threw their back out while at home, once pain strikes, people need to get back to feeling their best-and back to work-as quickly as possible. Pain after an injury can be limiting and make a person feel helpless, uncertain, and fearful about the future. It is difficult to achieve one's dreams when pain is preventing doing anything but moving from the bed to the couch. The quickest way to get over the pain to achieve those dreams is to get back to feeling great and back to work. In Move Freely, Helen M. Blake, MD helps readers rise above the pain of an injury by sharing her process for physical renewal. Dr. Blake's process is the guide to anti-inflammatory nutrition, mindfulness and yoga practices, aerobic conditioning, and vitamin supplements. Move Freely teaches readers how to rise above the pain that continues for months or years, nourish one's well-being, work toward professional goals and aspirations, and so much more. It enlists the most comprehensive set of tools and practices to get readers back to work and ready to pursue their passions-beyond the limits of chronic pain.

Many spiritual caregivers, including chaplains, spiritual directors and clergy, are unaware of how they can support people with chronic health conditions. This book combines insights on chronic illness with spiritual care skills and suggestions to enhance well-being for people living with long-term illness. Using a narrative approach, the author reflects on the stories of two women - Dorothy from The Wizard of Oz, who travels from Kansas (a state of health) to Oz (an illness experience), alongside the author's personal experiences of managing an incurable autoimmune disease. Chapters will include guidelines and exercises that help equip caregivers to facilitate healing with people who live with long-term health conditions.

Dedicated to Camillo Golgi, a neuroscience pioneer, the volume deals with the process of diagnosis and the strategies of treatment of pain. The most recent data on the biochemical basis of neurotransmission are reported, and the results of updated researches in pain processing, either concerning the brainstem, the thalamus and the limbic system are analysed. The importance of the ethical aspect in decision-making during the treatment of terminally ill patients is underlined.