Prescription Drug Diversion and Pain provides an interdisciplinary overview of medications used to treat chronic pain, specifically the benefits and risks that are posed by long-term opioids use. These essential pain-relieving medications must be carefully managed to prevent serious side effects that may include physical dependence, addiction, and even death, which has led in recent years to increased attention on the development of alternative treatments for chronic pain. This book not only offers a single, comprehensive source for understanding the specialized field of the opioid crisis, but also addresses provocative topics including how pain drugs came to be regulated by the U.S. Government and the rarely-discussed aggressive marketing behind the spread of these drugs. Chapters are written by expert contributors from diverse backgrounds in medicine, psychiatry, pharmacy, nursing, health law, and ethics. Prescription Drug Diversion and Pain is a must-read for healthcare professionals, caregivers, policy makers, regulatory officials, law enforcement, and those in the pharmaceutical industry seeking to address the current and future opioid crisis.

Acute pain is experienced primarily in relation to surgery and trauma, but is also present in patients with burns, cancer, and other medical conditions. This compact volume of the Oxford Pain Management Library serves as a concise guide to treating acute pain in its many manifestations. Providing a background of basic science, this book covers the fundamentals of pain, the pharmacology of drugs used, and summarises the current evidence base for the management of acute pain. It provides practical direct clinical applications for busy healthcare professionals to follow and strategies for the management of specific medical conditions and specific patient groups such as the elderly. This pocketbook, written by highly respected multidisciplinary European experts within the field, will appeal to trainee clinicians and above in both primary and secondary care, and all related healthcare professionals.

Spinal disorders, especially neck and back pain, are frequent yet challenging for physicians to manage. While most texts are highly subspecialized or focus on only a specific area of management, The Spine Handbook provides a thorough overview of the entire spine and interdisciplinary treatment of common spinal conditions. Sections build from the foundations of history and examination, radiological imaging, and behavioral assessment through the core topics of both interventional and surgical options, as well as exploring emerging and special conditions, and neuromodulation. Chapters are written by experts from a wide array of fields, including physical therapists, radiologists, psychologists, physiatrists, anesthesiologists, orthopedic spine surgeons, and neurosurgeons. Each chapter contains key points to summarize content and discussions of anatomy, pathophysiology, presentation, imaging, and treatment options. This comprehensive handbook provides the fundamental diagnostic and therapeutic information needed to effectively deliver 'best practice' care for spinal disorders, making it a must-read for physicians of any training level that may encounter or treat spinal disorders.

This comprehensive source on the pathogenic origins of neuropathic pain covers the detailed molecular bases of the currently known neuropathies as classified by their pathogenic origins. Filling a critical need, this book fills the need for a resource on a syndrome that demands improved understanding by clinicians and researchers alike so that treatment options for patients are not categorically limited to a pill or a needle. If the clinician understands the origins of a patients' neuropathic pain, they can work cooperatively toward improving it with tailored therapies that don't create societal diseconomies and that ultimately are effective in helping patients. The book presents in detail the molecular bases of some currently known neuropathies by their pathogenetic origins, allowing clinicians to tailor more specific and more effective treatment regimens for their patients. For basic researchers, this book is a general resource to better direct research on neuropathy-specific molecular mechanisms. The improved understanding of the pathogenesis of neuropathic pain can then be used to develop more specific and more effective manipulations of these pathways.

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

Veronika Schneider gibt in diesem essential in Kurzform AErzten aller Fachgebiete einen UEberblick uber Ursachen, Symptomatik, Diagnostik, Differenzialdiagnosen und Therapie des Restless-Legs-Syndroms - auch bekannt als Willis-Ekbom-Disease oder Wittmaack-Ekbom-Syndrom. Damit bietet die Autorin eine Hilfestellung bei der Diagnosestellung und gibt eine UEbersicht uber die Therapiemoeglichkeiten und ihre Nebenwirkungen.

The World Health Organization published Cancer Pain Relief in 1990, advocating simplicity in the choice of analgesic and of route of administration. Since that time an increasing number of opioids for moderate to severe pain in an increasing number of formulations have become available, making professionals' choices about cancer pain management more complex.
Part of the Oxford Pain Management Library, this book compares and reviews the current opioids for moderate to severe pain and considers their place in the management of cancer pain, using morphine as the accepted 'gold standard' worldwide. The first sections of the book deal with teh principles of pain management in cancer pain and the range of treatments available for pain due to cancer. Chapters on opioid pharmacology, starting and titrating opioids and managing their adverse effects are followed by discussion about talking to the patient commencing opioids for moderate to severe pain.
Sections also include current evidence around opioid perscribing in patients with liver and renal impairment, respiratory disease or a history of substance misuse. This book presents current evidence in a clinically-based, practical and applicable way, so that the book is useful for all healthcare professionals caring for patients with pain due to cancer.

Pain in later life is both quite common and disabling, and it differs significantly in terms of its aetiology, diagnosis and treatment from pain in the general adult population. Older people often have complicated co-morbidities, have a high prevalence of mental health problems (e.g. anxiety, cognitive impairment, and depression) and respond to treatment in different ways compared to younger people. Their specific needs are rarely discussed specifically in more general texts.
Part of the "Oxford Pain Management Library," this pocketbook will serve as a concise companion for healthcare professionals who manage older patients suffering with pain. Concise chapters will summarize up-to-date reserach literature in a practical style that will have direct relevance to busy clinicians. Introductory chapters will include the epidemiology of pain in older people as well as the proper assessment of older patients with pain conditions. Later chapters will focus on specific painful conditions common in the elderly, including arthritis and rheumatism, osteoporosis, abdominal pain, and cancer.
The book will appeal to a wide variety of health care professionals in both primary care and secondary care services such as geriatric medicine, rheumatology, orthopedics, surgery, pain management and palliative medicine. The book will also be of relevance to nurses, physiotherapists, occupational therapists, clinical psychologists, pharmacists and other health care providers.

Cancer-related bone pain is experienced by patients with primary bone tumours such as myeloma and osteosarcoma, but is more commonly seen in patients with malignant tumours that have metastasised to bone. Bone pain is one of the most common and severe forms of pain associated with breast, prostate and lung cancer, yet little is known about the underlying mechanisms responsible for the pain. Cancer patients identify bone pain as the most disruptive cancer-related event in terms of their quality of life and daily functioning, and it is also associated with increased incidence of morbidity, depression, and anxiety. Part of the Oxford Pain Management Library, this volume summarises the latest evidence-based and practical information on the management of cancer-related bone pain. Chapters cover the pathophysiology and clinical features of bone pain, general principles of management and the use of opioids and other agents. It will be an invaluable reference for all health care professionals involved in the management of patients with bone pain from various disciplines including palliative care, anaesthetics, oncology and general practice.

Due to a wide-spread developing interest in ultrasound-guided pain intervention by clinicians, the demand for a practical reference material on this topic has grown simultaneously. This book thoroughly satisfies the need for such a reference, as it contains text written by experts in the field and a multitude of unique, educational illustrations. Spinal pain, the musculoskeletal system, and peripheral structures function as the fundamental items of discussion across three divided sections. In order to augment the reader's learning experience, the high-quality images found within each chapter provide step-by-step guidance on the various ultrasound scanning procedural processes. Additionally, tips and pearls for scan and injection supplement each chapter conclusion. Ultrasound for Interventional Pain Management: An Illustrated Procedural Guide is a pragmatic, indispensable resource that helps interested clinical practitioners enhance their visual memory and overall understanding of this method.

Designed for primary care clinicians, this book is about patients who suffer with long term pain. Written in a distinct, friendly style, it analyses ideas about pain from the simple to the complex and provides up-to-date and relevant information written by doctors whose practice is either wholly or substantially related to people with pain. It provides examples of everyday patients to provide clinicians with the confidence to prescribe and treat patients with more difficult pain. In an attempt to 'demystify' some areas of pain medicine it also includes details of the science behind common conditions and their remedies in order to emphasise the psychological and social impacts of pain.

Though the topics of 'pain' and 'headache' are obviously linked, these two research fields have in recent years developed at their own pace, often with scant attention paid to the other. By forging closer links between these fields, it should be possible to develop a deeper understanding of both the pain mechanisms associated with headache and a deeper understanding of pain itself. This book brings together researchers and clinicians from the forefront of these two disciplines to explore how the basic pain mechanisms relate to migraine and other forms of headache. With cutting-edge research from the frontiers of headache and pain research, the book will be essential for clinicians treating headache sufferers, providing answers to many of the commonly asked questions about the mechanisms of their headache. It will also be of interest to those pain researchers dealing with mechanisms related to headache and migraine.

Das Buch bietet eine aktuelle Darstellung der in der stationaren und in der speziellen ambulanten palliativmedizinischen Versorgung (SAPV) der Bevoelkerung in Deutschland bestehenden Rechtsfragen und deren Loesung. Das Werk bezieht Stellung zu den Bedingungen der medikamentoesen Versorgung, zum Leistungsanspruch Privatversicherter, der noch nicht durchgangig besteht und auch zur UEbertragung arztlicher Tatigkeiten an Nichtarzte, die rechtlich in einer Grauzone stattfindet. Untersucht werden der Einsatz der Palliativversorgung als intermittierende Behandlung nicht nur am Lebensende, sondern fruhzeitig und parallel zur kurativen Therapie und als sektorenubergreifende Versorgung fur alle Versicherten. Ein weiterer Schwerpunkt liegt in der Forderung, die Aufklarung und Information uber die Moeglichkeiten hospiz-palliativer Versorgung bei gleichzeitigem Auf- und Ausbau der notwendigen Strukturen in den Vordergrund der derzeitigen Bemuhungen zu stellen. Erst nach ausreichender Umsetzung dieser Voraussetzungen sollte eine Neuregelung zum Themenkreis arztlich assistierter Suizid erfolgen. Die ausfuhrlichen Empfehlungen der Deutschen Gesellschaft fur Medizinrecht (DGMR) e.V. zu aktuellen Rechtsfragen der Palliativversorgung sind im Wortlaut im Anhang abgedruckt.

This is the fourth volume in a new international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In this volume the Editors bring together first-rate palliative care with oncological treatment for patients with advanced breast cancer. The book is presented in a user-friendly handbook format, with use of tables and algorithms to ensure that it is portable, accessible and can be read and referred to on, or before going to, the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find the book invaluable. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists and nurse practitioners in palliative care and oncology. The Palliative Care Consultations series is primarily aimed at those individuals working in an acute hospital cancer centre and/or tertiary referral centre. Books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common, but difficult. The volumes are site specific and each volume encompasses a review of the current oncological or haemato-oncological management of advanced disease with symptom control advice. These volumes will give clinicians excellent advice on symptom control in the context of palliative care. The books will also be of use and interest to other professions working in acute hospitals.

Dieses Buch gibt Psychologen und AErzten ein diagnostisches Instrument an die Hand, Schmerzen im Sinne einer multimodalen Schmerzdiagnostik und -therapie systematisch zu dokumentieren. MASK-P ermoeglicht einen einfachen Einstieg in die bio-psychosoziale Krankheitsperspektive bei chronischen Schmerzstoerungen: systematisch, umfassend und klinisch-anwendungsbezogen. Mit MASK-P koennen sowohl co-morbide Stoerungen (wie Depressionen oder Angsstoerungen) als auch Schmerzen verhaltensnah und mit konkreten Ansatzpunkten fur die schmerzpsychologische und schmerzmedizinische Behandlung erfasst werden. MASK-P wurde von der Deutschen Schmerzgesellschaft e.V. und der Deutschen Gesellschaft fur psychologische Schmerztherapie und -forschung (DGPSF) entwickelt und ist Bestandteil des Lernzielkatalogs in der Weiterbildung zum Schmerztherapeuten. Damit stellt es fur Psychologen und AErzte ein gut strukturiertes Nachschlagewerk fur den klinischen Alltag dar und ist in der Weiterbildung zum Schmerztherapeuten unerlasslich.

The development of pain as a common experience and its treatment is very important, not only where it is caused by injury or inflammation, but also in chronic states where the nerves themselves are damaged. Even though we already know from physiological studies that special pain receptors or nociceptors are responsible for conducting pain sensations to the brain, the phenomenon of pain remains a medical and social problem. Pain relief or analgesia can be achieved using several different approaches and strategies. Non-steroidal anti-inflammatory drugs are the most widely used analgesics. They have analgesic, antipyretic, and, at higher doses, anti-inflammatory actions. However, a few recent studies have demonstrated that in the case of their prolonged use, these non-opioid drugs elicit the opioid-like effect of tolerance, which alongside drug withdrawal syndrome may entail serious adverse effects. This book provides up-to-date review information and experimental findings concerning antinociceptive tolerance to NSAIDs. The first three chapters after the introduction are devoted to literature reviews on brain limbic areas, opioid and cannabinoid systems, and non-opioid antinociceptive tolerance. Chapters Five, Six and Seven describe research data on antinociceptive tolerance to NSAIDs and opioid and cannabinoid mechanisms of attenuation of nociceptive hyperalgesia in the cingulate cortex, insular cortex, and central amygdala. Chapters Eight, Nine and Ten include discussion, summary and conclusions, as well as a detailed description of experimental materials and methods.

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

Fibromyalgia is a painful, chronic condition which can result in symptoms such as fatigue, pain, insomnia, IBS or depression.

However debilitating your symptoms, eating the right foods can stimulate healing at a fundamental level. The Fibromyalgia Healing Diet gives nutritional advice based on sound research on how to address dietary imbalances, including information about osteoporosis, the importance of vitamin D, and the correct balance of carbohydrates, protein and fat for people with fibromyalgia.

The author writes as someone with fibromyalgia, and this book explains exactly what it means to have the condition, as well as why diet is such an important aspect of treatment. There is advice on essential nutrients and on substances to avoid as well as supplements to help. There is a simple, achievable detox programme and a wealth of delicious, easy to cook recipes to help you treat the cause of the condition, not just the symptoms, and to reclaim your life.

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.

L'abuso di sostanze puo essere alla base di un gran numero di patologie e disturbi psichiatrici, e viene classificato tra i primi quattro fattori di rischio che contribuiscono al carico di malattia globale. Una situazione di dipendenza puo infatti complicare un quadro psichiatrico gia difficile, poiche si sovrappone ad altri disturbi e talvolta ne prende le forme, rendendo ancora piu ardua la valutazione del paziente. Individuare con precisione un disturbo da abuso di sostanze puo facilitare la diagnosi clinica, evitare test non necessari e abbreviare la durata del ricovero. Questo volume costituisce una guida pratica e concisa rivolta agli studenti, ai medici e ad altre figure professionali che si confrontano con la moderna medicina della dipendenza. Illustrando una vasta gamma di evidenze, metodi e soluzioni per la gestione del paziente con dipendenza, questa guida fornisce gli strumenti e le conoscenze di base utili a una pratica clinica rapida ed efficace in questo campo.

Anspruch auf Lebensqualitat.... ...hat jeder Tumorpatient. Dabei ist er auf eine gezielte und effektive Schmerztherapie angewiesen, die ihm jeder Arzt zukommen lassen muss. Die 3. Auflage des bewahrten Lehrbuches Tumorschmerztherapie bietet dem Leser alle notwendigen Grundlagen dafur: - Entstehung, Lokalisation und Projektion des Schmerzes - Pharmakologische, radiologische, anasthesiologische und psychologische Therapieverfahren sowie operative Moeglichkeiten - Rechtliche, ethische, soziale und seelsorgerische Aspekte Neu in der 3. Auflage: - Kapitel zur Schmerztherapie in der gynakologischen und urologischen Onkologie - Leitlinien der Tumorschmerztherapie - Rechtliche Fragen zur arztlichen Behandlung