Many effective analgesic drugs are available for the relief of acute pain, but their clinical use is widely regarded as being inadequate. The reasons cited for this include concern about the adverse effects of opioids and also insufficient adjustment of therapy to the patient's needs. Non-opioid anal- gesics are the staple drugs for mild to moderate pain and are generally better tolerated than opioid drugs. Differences exist, however, among the non-opioid analgesics which affect the choice of drug for individual pa- tients and specific acutely painful conditions. In an associated symposium of the 7th International Symposium: The Pain Clinic, held in Istanbul, Turkey, the ways were discussed in which treatment with non-opioid analgesics can be tailored to meet the needs of individual patients with acute pain. The highlights of this Hoechst sympo- sium, emphasize the distinctions between the non-steroidal anti-inflamma- tory drugs, and the non-acidic antipyretic analgesics, particularly dipyrone. 9 Mechanisms of action of non-opioid analgesics Professor F. C. Tulunay, M.D. Ankara, Turkey The non-opioid analgesics are among the oldest class of synthetic drugs still in widespread clinical use. They can be divided into the non-steroidal anti-inflammatory drugs (NSAIDs), such as acetylsalicylic acid, and the non-acidic, antipyretic analgesics, paracetamol and dipyrone. The pharma- cology of these various agents will be reviewed briefly.

Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control. Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult. The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.

This comprehensive text describes the origins, mechanisms, beneficial applications and practical details of frequency specific therapy - a treatment technique that uses frequencies, micro amperage current and the principles of biological resonance to treat pain and a wide range of medical conditions. It includes condition specific frequency protocols for the treatment of various pain complaints, and multi-center clinical case reports documenting successful application of the technique. Each section includes a review of condition pathophysiology and differential diagnosis, plus current research. A website http://booksite.elsevier.com/9780443069765 features a lecture from the author, practical demonstrations of techniques, fully searchable text and downloadable images from the book!

On December 2, 2004, Gwen Olsen's niece Megan committed suicide by setting herself on fire-and ended her tortured life as a victim of the adverse effects of prescription drugs.

Olsen's poignant autobiographical journey through the darkness of mental illness and the catastrophic consequences that lurk in medicine cabinets around the country offers an honest glimpse into alarming statistics and a health care system ranked last among nineteen industrialized nations worldwide. As a former sales representative in the pharmaceutical industry for several years, Olsen learned firsthand how an unprecedented number of lethal drugs are unleashed in the United States market, but her most heartrending education into the dangers of antidepressants would come as a victim and ultimately, as a survivor.

Rigorously researched and documented, Confessions of an Rx Drug Pusher is a moving human drama that shares one woman's unforgettable journey of faith, forgiveness, and healing.

AUTHOR BIO
Gwendolyn Leslie Olsen spent more than a decade as a sales rep in the pharmaceutical industry working for health care giants such as Johnson & Johnson, Bristol-Myers Squibb and Abbott Laboratories. She is a writer, speaker, and mental health activist who lives outside Austin, Texas.

Now on Netflix as a 4-part documentary series! "Pollan keeps you turning the pages . . . cleareyed and assured." -New York Times A #1 New York Times Bestseller, New York Times Book Review 10 Best Books of 2018, and New York Times Notable Book A brilliant and brave investigation into the medical and scientific revolution taking place around psychedelic drugs--and the spellbinding story of his own life-changing psychedelic experiences When Michael Pollan set out to research how LSD and psilocybin (the active ingredient in magic mushrooms) are being used to provide relief to people suffering from difficult-to-treat conditions such as depression, addiction and anxiety, he did not intend to write what is undoubtedly his most personal book. But upon discovering how these remarkable substances are improving the lives not only of the mentally ill but also of healthy people coming to grips with the challenges of everyday life, he decided to explore the landscape of the mind in the first person as well as the third. Thus began a singular adventure into various altered states of consciousness, along with a dive deep into both the latest brain science and the thriving underground community of psychedelic therapists. Pollan sifts the historical record to separate the truth about these mysterious drugs from the myths that have surrounded them since the 1960s, when a handful of psychedelic evangelists inadvertently catalyzed a powerful backlash against what was then a promising field of research. A unique and elegant blend of science, memoir, travel writing, history, and medicine, How to Change Your Mind is a triumph of participatory journalism. By turns dazzling and edifying, it is the gripping account of a journey to an exciting and unexpected new frontier in our understanding of the mind, the self, and our place in the world. The true subject of Pollan's "mental travelogue" is not just psychedelic drugs but also the eternal puzzle of human consciousness and how, in a world that offers us both suffering and joy, we can do our best to be fully present and find meaning in our lives.

It may come as something of a surprise that pain, the most prevalent symptom in clinical practice, is not always addressed specifically in health professions training. Approximately one in six Americans lives with chronic pain in addition to the millions that experience acute pain each day. Half of older adults live with chronic pain-associated conditions, and about half of all healthcare visits are initiated because of pain. Despite this, reports indicate that the vast majority of health professions schools in the United States do not teach required courses on pain, and the total amount of content pertaining to pain is a fraction of a percent of the total. Almost certainly, the lack of education in coordinated, comprehensive, compassionate care for pain-associated conditions contributed to pervasive opioid over-prescribing and the ensuing wave of addiction and deaths that swept the country in the first part of this century. This book is our response to the pain care crisis - it is designed to prepare young clinicians to assess and treat a wide variety of pain conditions in a manner that balances competence and compassion, incorporating coordinated elements of pharmacological and non-pharmacological therapies. Designed to be read during or after pre-licensure training, e.g. medical, nursing, pharmacy school, and to inspire students to learn more about painful conditions, this book is unique in its clinical focus and the level of detail that is included. This book aims to improve pain care, most especially if used alongside a formal pain care course as part of pre-licensure training, whether spread over four years or condensed into a shorter period. Through engagement in the interprofessional curriculum planning process, the content of the book has been shaped to align with the International Association for the Study of Pain (IASP) interprofessional pain curriculum vision and to focus on the primary questions of: What is pain? How is pain assessed? How is pain managed? How does clinical context influence pain?

Prescription opioids are dangerous in the hands of drug abusers, but they are also beneficial or even lifesaving for millions of people who otherwise would live with chronic pain. Clinicians who prescribe opioids are often caught between their professional obligation to relieve suffering and their desire to avoid contributing to the nonmedical consumption of controlled substances.

In this new edition of Headache and Facial Pain in the "What Do I Do Now?" series, the authors have added cases dealing with issues that were not included in the first edition, eliminated several chapters that were no longer topical or in which recommendations were not current, and updated the rest. The book continues to simulate the "curbside consultation" in our selection of 37 cases about headache and facial pain. Each "case" poses an important question to be discussed and each are addressed, much as a consultant would do over the phone or in the hallway, using current evidence and experienced-based information. We have divided this volume into four sections that cover the typical ground for head/face pain consultation: Section 1, Diagnostic Questions; Section 2, Treatment Questions; Section 3, Questions Related to Special Populations; and Section 4 Prognostic, Social, and Legal Issues. Diagnostic reasoning is presented along the lines of the International Classification of Headache Disorders, third edition (ICHD-III). Additionally, recommendations for adding or modifying new treatment modalities (pharmacologic and devices) that have been approved since publication of the first edition have been incorporated based on updates from the AHS consensus statement. A list of key clinical points again appears at the end of each case discussion, followed by a list of suggested articles or chapters for those interested in doing further reading on the subject.

Written by a leading neuroscientist, Splitting tells the fascinating true story about headaches, and the secrets they reveal about your brain and overall health. Did you know... - chocolate doesn't give you a headache - and may in fact prevent one happening? - 30% of us sneeze at sunlight? - you can see off a headache with an orgasm? - that you shouldn't wear a striped top if your spouse gets migraines? From migraines to sinus pain to tension headaches - and everything in between - Splitting separates fact from fiction, putting you in control and helping you practise habits that will protect you from headache.

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.

The acclaimed author of Carved in Sand-a veteran investigative journalist who endured persistent back pain for decades-delivers the definitive book on the subject: an essential examination of all facets of the back pain industry, exploring what works, what doesn't, what may cause harm, and how to get on the road to recovery. In her effort to manage her chronic back pain, investigative reporter Cathryn Jakobson Ramin spent years and a small fortune on a panoply of treatments. But her discomfort only intensified, leaving her feeling frustrated and perplexed. As she searched for better solutions, she exposed a much bigger problem. Costing roughly $100 billion a year, spine medicine-often ineffective and sometimes harmful -exemplified the worst aspects of the U.S. health care system. The result of six years of intensive investigation, Crooked offers a startling look at the poorly identified risks of spine medicine, and provides practical advice and solutions. Ramin interviewed scores of spine surgeons, pain management doctors, physical medicine and rehabilitation physicians, exercise physiologists, physical therapists, chiropractors, specialized bodywork practitioners. She met with many patients whose pain and desperation led them to make life-altering decisions, and with others who triumphed over their limitations. The result is a brilliant and comprehensive book that is not only important but essential to millions of back pain sufferers, and all types of health care professionals. Ramin shatters assumptions about surgery, chiropractic methods, physical therapy, spinal injections and painkillers, and addresses evidence-based rehabilitation options-showing, in detail, how to avoid therapeutic dead ends, while saving money, time, and considerable anguish. With Crooked, she reveals what it takes to outwit the back pain industry and get on the road to recovery.

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.

Integrative Pain Management provides an overview of pain physiology, current conventional care options, an understanding of integrative medicine as it applies to pain management, the role of pain practitioners when working collaboratively, and the utilization of an expansive and patient-centered treatment model. This comprehensive guide written by experts in the field provides case examples of pain conditions, reviews common integrative treatments including physical therapy, behavioral strategies, and advanced procedures to maximize function and reduce pain, and extensive further reading resources. Part of the Weil Integrative Medicine Library, this volume offers clinicians treating pain innovative and patient-centered tools for approaching their most difficult cases to improve their approach and outcomes. The book provides access to additional online content that supplements some of the integrative interventions discussed including videos of tai chi in pain management, a demonstration of motivational interviewing as practitioner empowerment, and figures including the STarT Back Screening Tool (SBST) for spine care. Integrative medicine is defined as healing-oriented medicine that takes account of the whole person (body, mind, and spirit) as well as all aspects of lifestyle; it emphasizes the therapeutic relationship and makes use of appropriate therapies, both conventional and alternative. Series editor Andrew Weil, MD, is Professor and Director of the Arizona Center for Integrative Medicine at the University of Arizona. Dr. Weil's program was the first such academic program in the U.S., and its stated goal is "to combine the best ideas and practices of conventional and alternative medicine into cost effective treatments without embracing alternative practices uncritically."

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.

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.

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.

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.

Given the heightened focus on the opioid crisis and its intersection with adequate chronic pain management, there is an impetus to shift patient care toward self-management and comprehensive interdisciplinary modalities. However, despite the evidence base for efficacy, pain psychology remains largely relegated to the complementary and alternative medicine designations and medical providers struggle to search for trained pain psychologists in their community. This unique book makes core psychological techniques accessible to medical providers and allied health professionals who are on the front lines of routine communication with patients living with chronic pain. Practical suggestions and vignettes demonstrate how to briefly and effectively incorporate key concepts from Cognitive-Behavioral Therapy, Acceptance and Commitment Therapy, Motivational Interviewing and other orientations into any health care setting.

Pain has many valuable functions. It can be a warning or force us to rest our bodies. Yet most ongoing chronic pain, such as unrelenting backache or headache, has no discernable cause and diminishes countless lives. Over the years a scientific revolution has taken place in chronic pain research and therapy. A major catalyst for this was the introduction of the 'gate theory' by Professor Ronald Melzack and Professor Patrick D. Wall, which argued that pain is a unified stream of experience generated by the brain, incorporating a whole host of psychological functions. Their now-classic book, with a new introduction taking in all the latest medical developments, examines every facet of pain: the psychological and clinical aspects, the physiological evidence, the major theories of pain and the developments in its control. The challenge in the twenty-first century is to look at how memories, personal and social expectations, genetics, gender, aging and stress patterns all play a role in pain, and how understanding this could lead to the relief of the suffering endured by millions.

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.

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.

Dieses Praxisbuch zeigt Physiotherapeuten, wie sie gezielt umfassende und wirkungsvolle Behandlungskonzepte fur ihre Patienten erstellen. Die Autoren beschreiben einen klar strukturierten Therapieleitfaden mit Befund- und Behandlungsmoeglichkeiten fur jede Koerperregion. Lernen Sie, wie Sie klassische und neue Techniken aus der Manuellen Therapie mit physikalischen und trainingstherapeutischen Massnahmen sinnvoll kombinieren.Dieses Buch bietet wesentliche Hintergrundinformationen zu jeder Koerperregion und erklart die Anatomie, die Biomechanik, die Pathologie und klinische Besonderheiten. Erfahren Sie alles zur genauen Befunderhebung mithilfe der Anamnese, der Inspektion, der Palpation, Funktionstests und Tests zur Differenzialdiagnostik. Ein umfangreiches Spektrum an Behandlungsmoeglichkeiten, wie Mobilisations- und Manipulationstechniken, Nervenmobilisation, Aufbautraining, sportartspezifische Rehabilitationsprogramme und Eigenubungen fur Patienten bietet viele Ansatze fur eine erfolgreiche Behandlung.Neu in der 2. aktualisierten Auflage sind zusatzliche Behandlungsmoeglichkeiten bei HWS- und Schulterbeschwerden, ein Rehabilitationsprinzip fur Bandscheibenvorfalle und neue Testverfahren.

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.

A longtime standard for military healthcare personnel, the second edition of Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA) has been thoroughly revised and updated. Although the MARAA handbook initially gained its reputation as a useful resource for managing pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance provides pertinent and practical guidance for managing vital acute pain services in all civilian and military clinical settings. Opening chapters review equipment, local anesthesia and additives, and physics of ultrasound and nerve stimulation. Much of the book is devoted to step-by-step guidance on performing various regional anesthesia nerve blocks organized by pertinent neuroanatomy, use of nerve stimulation, and use of ultrasound. The concluding group of chapters discusses organization of the acute pain service and staff, a review of multidisciplinary care, basics of pediatric regional anesthesia, first-aid acupuncture, and more.