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.

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.

Anliegen des Buches ist es, einer Psychotherapie mit Schmerzpatienten den Nimbus des Schwierigen und Belastenden zu nehmen. Anhand zahlreicher Beispiele werden Aspekte therapeutischen Handelns diskutiert, die Betroffenen dabei helfen, sich selbst zu bejahen als Mensch, der wertvoll ist und bleibt, unabhangig davon, ob seine Schmerzen weniger, starker oder gleich bleiben werden. Im Hinblick auf dieses Ziel werden therapeutische Grundhaltungen sowie konkrete Interventionen beschrieben, abgeleitet aus den Wunschen und Bedurfnissen schmerzkranker Menschen zum einen, aus Untersuchungsbefunden von Neurowissenschaften und Psychotherapieforschung zum anderen.

Exploring the Buddhist/Taoist concept of non-doing and intention in relation to bodywork, this book focuses on how the therapist should approach their client without agenda and meet them where they are at. This requires the therapist to pay attention to their own surfacing intentions and leave assumptions behind so they may focus on simply 'being', which is a profoundly active, non-reactive expression of presence, rather than a passive state of resignation. The ramifications of sub-conscious doing and wilful intention can negatively impact expressions of health and so the author explains how therapists may skilfully navigate between intention, attention and embodied non-doing whilst treating clients, and how this creates the foundations for safe relational touch.

From childhood to millennials and beyond, it is essential we take a life-course approach to occupation and work when in pain. Written by experts in the field, Work and pain: A lifespan development approach provides an authoritative summary and analysis of the relationship between all forms of occupation and pain. Divided into three sections, 'Foundations', provides a critical account of the nature of work and of pain. The next section, 'Investigations', analyses the bi-directional relationships between children living with chronic pain and parents; between being a child in pain and schooling; what it is to be a millennial in pain; the implications of pain which is determined to be occupational in origin; and enabling a life lived well with pain as one ages. The final section, 'Interventions', critically reviews what individuals can change, what workplaces can do, and how governments can innovate to try to maximise workability for people living with pain in the context of current working practices. Work and pain: A lifespan development approach investigates and guides the reader on understanding how and why people seek to be occupied, and how we can maximise their social and personal involvement when living with ongoing pain, suggesting ways forward in research, practice, and policy.

Back pain is very hard (often impossible) to diagnose and to specify, hence heavy painkillers are thrown at people. But the only way to beat the pain is to understand it. Based on cutting-edge research into back pain and the psychology of pain itself, David Rogers and Grahame Brown have set up the Functional Restoration Service at the Royal Orthopaedic Hospital in Birmingham - the UK's leading centre for back pain. Here they have developed the pioneering BIOPSYCHOSOCIAL approach: BIO - How your body processes pain; what physical triggers you have and why; where your body holds pain PSYCHO - where your pain is coming from; what exactly your pain is; the power of your mind to deal with and stop pain SOCIAL - all the environmental factors that will contribute to your back pain, and how, why and when to change them Based on this revolutionary and already hugely successful approach, Back to Life offers a whole new way of dealing with back pain: - Understand the psychology of pain - Debunk the myths - Find the source of your pain - Manage your pain - including all the emotions and anxiety that go with it - Master exercises and stretches - Identify and solve the social factors - Get lasting relief

Global ageing, in both developed and undeveloped countries, has made the need for high-quality knowledge and research on anaesthesia for the elderly increasingly important. The second edition of Anaesthesia for the Elderly Patient offers the anaesthetist guidance on the evaluation and management of elderly patients that present at hospital for surgery and anaesthesia. Containing 15 chapters on key topics such as emergency anaesthesia, orthopaedic surgery, and neurosurgery, as well as a new chapter on 'Anaesthesia for Non-Theatre Environments', this book ensures the reader is fully prepared for the clinical challenges they may face when working with this ever-growing vulnerable group. Part of the Oxford Anaesthesia Library series, this second edition of Anaesthesia for the Elderly Patient offers a fully up-to-date comprehensive introduction to the major clinical issues facing anaesthetists working with elderly patients. All chapters are fully updated and content is presented in a concise and easy to read format, with helpful key points listed at the start of each chapter.

Das Buch beinhaltet ubersichtlich und pragnant eine Zusammenstellung aller in der Schmerztherapie wichtigen Arzneimittel, deren Wirkungen, Nebenwirkungen und Kombinationsmoeglichkeiten. Somit leistet es einen wertvollen Beitrag zur Umsetzung einer adaquaten, an die individuelle Situation des Patienten angepassten Schmerztherapie. In der 7. Auflage wurden die Inhalte komplett uberarbeitet und auf den aktuellen Wissensstand gebracht. Des Weiteren wird der Einsatz von Cannabinoiden diskutiert und die Therapie von Migrane mit CGEP Antikoerper sowie CGRP Antigonisten neu behandelt. Ferner wird das Nebenwirkungsspektrum gut bekannter Schmerzmittel neu diskutiert.

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.

Transcutaneous electrical nerve stimulation (TENS) is a technique that delivers mild electrical currents across the intact surface of the skin to reduce pain. TENS is used by practitioners throughout the world to manage painful conditions and TENS equipment can be purchased by the general public so that they can self-administer treatment. There are thousands of experimental and clinical research studies published on TENS and related techniques yet there is uncertainty about the best way to administer TENS in clinical practice. This is because currents used during TENS can be administered in a variety of ways and the findings of research studies have been inconclusive.
This book provides guidance on how best to use TENS based on an evaluation of current research evidence. The book covers what TENS is, how it works, and safe and appropriate clinical techniques for many conditions including chronic low back pain, osteoarthritis and cancer pain. It also offers solutions to the problems faced by researchers when trying to design clinical trials on TENS.
Accessibility written, Transcutaneous Electrical Nerve Stimulation (TENS) provides a comprehensive coverage of research issues and findings about TENS and will essential readings for healthcare professionals, practitioners and students.

Chronischer Beckenbodenschmerz (CPPS) ist ein vorwiegend in der Urologie beheimatetes Krankheitsbild, das aber haufig auch interdisziplinar auftreten kann und dann fachubergreifend diagnostiziert und behandelt werden muss. Walter Merkle betrachtet in diesem UEberblick vor allem die urologischen Erscheinungsformen, arbeitet jedoch die interdisziplinaren Zusammenhange ein. Er pladiert an die AErzteschaft, das Krankheitsbild des CPPS verstarkt zu beachten, da dieses oft unzureichend diagnostiziert und behandelt wird. Essentiell ist dabei, sich von der alleinigen Sichtweise aus dem Fachgebiet der Urologie zu loesen und sich unbedingt interdisziplinar auf Empathie, Psychosomatik und Osteopathie sowie Biofeedbacktherapie einzulassen, um erfolgreich diagnostizieren und behandeln zu koennen. Der Autor: Dr. Walter Merkle war im Fachbereich Urologie der Deutschen Klinik fur Diagnostik GmbH in Wiesbaden tatig.

The literature increasingly supports the position that elective surgery on poorly prepared chronic pain patients is not smart and ultimately in no-one's best interest. Just as patients with ischemic heart disease, obstructive lung disease, or diabetes can and need to be optimized prior to surgery, so too should chronic pain patients. The complex dynamics of chronic pain require a priori intervention - targeting enhanced recovery before surgery. Preoperative Optimization of the Chronic Pain Patient is a groundbreaking collaborative effort written by medical and psychological experts in the field of pain management with a specific interest in the perioperative arena. The modern emphasis on biopsychosocial-spiritual care is as important here as anywhere in medicine as comprehensive mind-body preparation is essential to optimize outcomes. That preparation entails replacing toxic thoughts (e.g., anxiety and pain catastrophizing) and behaviors (e.g., tobacco and opioid dependence; poor sleep, nutrition and exercise patterns) with beneficial ones. Such replacement of maladaptive cognitive-behavioral patterns requires the enhancement of patients' motivation and the cultivation of healthy habits. This book provides the framework for an evidence-based synthesis of counseling and intervention for preoperative optimization of chronic pain patients. Clinicians will learn to improve health and economic outcomes affecting their patient, health care team, and institution; to identify and target relevant issues, utilizing a holistic yet focused approach to optimization; and to collaborate with the patient and requisite multidisciplinary care team in a streamlined, efficient, and effective manner.

Opioids have been used as analgesics for many years, and their use in the management of acute pain related to trauma and surgery is well established. However, patients with persisting pain need a pain management plan that brings relief of symptoms without adverse effects in both the short and longer terms. The prescribing of opioids for chronic non-cancer pain has increased substantially since the first edition of this pocketbook was published, prompting considerable debate regarding the appropriateness of prescribing for this indication and the potential harms to individuals and to society that may result from this trend. This second edition of Opioids in Non-Cancer Pain brings clinicians up to date on the current use of opioid drugs in patients with non-cancer pain, and highlights the potential benefits of therapy as well as the problems that can occur. The edition includes new chapters on the history of opioids to help contextualize the following discussions, and a new chapter covering the emerging field of pharmacogenomics which provides explanations for differing responsiveness to opioids and propensity to adverse effects. An international perspective on opioid prescribing trends is also a valuable new addition.

Most people have back surgery to relieve pain, but all too often it doesn't help. For the half million people who undergo back surgery each year, and the additional million who are seriously contemplating it, Do You Really Need Back Surgery?, Second Edition, is a godsend-an informed, reliable guide to when you should consider surgery and when you should not. Written by an internationally recognized expert in nerve and spinal surgery, this highly readable guide covers everything back patients need to know to make informed decisions about their treatment. The book discusses the details of spinal anatomy; explains the difference between acute, chronic, and recurring pain; shows how to keep the spine healthy; and defines such terms as spurs, stenosis, and slippage. It also reveals what clues your physician uses to predict whether a given type of pain is likely to go away with rest and exercise, and which types may become emergencies. Dr. Filler discusses the risks of surgery, the decisions you may be faced with and what options you have, and your expectations for recovery. He provides detailed explanations of the wide array of spinal injections and surgeries, including discectomies and fusions, as well as innovative procedures such as electrothermic and laser techniques and artificial disks. He explains the various medical imaging and diagnostic tests available and even covers the complexities of health insurance. The new and extensively revised edition of this book is expanded to cover the impact of dozens of new advanced technologies in spinal diagnostics and treatment that have emerged in the eight years since the original very successful edition. Advances in new types of pain medications and new types of surgeries that minimize recovery time and achieve better outcomes are explained. In addition, this book examines the problems in the case of a few new devices in spinal surgery where money from medical device manufacturers has led to distorted research that had to be withdrawn. A major change from the previous edition is the inclusion of two chapters that describe a series of different nerve entrapment syndromes that can cause headache, neck, shoulder and arm pain as well as causing buttock and leg pain - but are not caused by spine problems. This includes information about piriformis syndrome causing sciatic, thoracic outlet syndrome causing shoulder and neck pain and about pudendal nerve entrapments causing groin and pelvis pains. From Pilates to pedicle screws, and from osteoporosis to spina bifida, Do You Really Need Back Surgery?, Second Edition, covers all the questions your doctor usually doesn't have the time to answer. Featuring almost 100 illustrations, it is an essential manual for every neck or back pain sufferer.

Pain Medicine, a relatively new specialty, has proven increasingly relevant to medical practitioners in every field. The specialism of pain has emerged over the past 50 years, largely due to the persistence of experts and new medical evidence that points to its necessity. Today, it is a distinct and integral part of global medical practice. Landmark Papers in Pain offers a comprehensive inventory of over 80 key studies in pain medicine from the last 100 years. Each paper is accompanied by a concise commentary on the significance of the original findings written by an expert in pain. The reviews discuss how the paper influenced the development of the speciality, and how the findings have advanced our global comprehension of pain. Together, the selected papers and reviews chart the growth of an embryonic field into the modern speciality of pain medicine. Complied by leading specialists in the field, the papers included in this book are significant for any student, researcher, clinical practitioner, or medical historian interested in pain medicine. Organised into eight distinct topics and cross-referenced by topics and author of original paper, the book is comprehensive in its coverage and easy to use. A review of the contemporary and historical research that shaped the speciality of pain, Landmark Papers in Pain is essential reading for all medical practitioners with an interest in pain medicine.

The effective management of pain from cancer is a top priority for patients, carers and healthcare professionals, and has been the subject of extensive research. Approximately two-thirds of cancer patients will experience severe pain, and many of them will have more than one pain. However, because of the increasing number of available treatments for cancer, patients are surviving for longer periods, and are developing complex consequences of their cancer and its treatment, such as central and peripheral neuropathic pain syndromes. Approximately 8 - 10% of cancer pain remains unrelieved by conventional means.
Interventional cancer pain management implies the use of invasive techniques, such as neuraxial (epidural, intrathecal and intracerebroventricular) drug administration, brachial and lumbar plexus blocks, autonomic blockade, neurolytic blocks and cordotomy. It can also include TENS, acupuncture and complementary therapies. This book describes specifically the difficult pain problems that are now faced in palliative care and highlights the need for greater collaboration between the disciplines of pain medicine and palliative care. It refers to the psychological and spiritual needs of patients, and provides patient experience data on specialist techniques. The book is an invaluable resource for all healthcare professionals working in palliative care, pain management, and primary care to inform them about the range of interventional techniques available, with evidence of efficacy, side effects and management advice.

This book offers a comprehensive solution to any person wishing to sit, and ultimately pass, the SAQ paper for the Final FRCA exam. It is designed specifically to fit the examination format, with each double page spread containing a sample question and detailed model answer, acting both as a revision guide and as a template for answering similar questions in the exam. It includes the most recent guidelines and evidence base, whilst also covering in detail areas not included in other revision books. Written by two recent and successful exam candidates, and a highly respected senior anaesthetist, this book holds the key to passing the final FRCA examination.

Rainer Thiele beschaftigt sich in diesem Buch mit der Chiropraktik und untersucht dabei zwei Fragestellungen: Ist chiropraktische Behandlung bei unteren Ruckenschmerzen ein erfolgreicher Therapieansatz? Ist chiropraktische Behandlung bei Kopfschmerzen eine Standardtherapie? Zur Thematik Chiropraktik bei unteren Ruckenschmerzen wurde mittels neuester randomisierten klinischen Studien ein Kongress-Abstract veroeffentlicht, welches als Posterbeitrag zum 16. Kongress fur Versorgungsforschung in Berlin diskutiert wurde. Eine systematische UEbersichtsarbeit beantwortet die Frage zum Thema chiropraktische Behandlung bei Kopfschmerzen. Der Autor Rainer Thiele verfasste diese Arbeit im Rahmen seines Doktoratsstudiums im Fach Medizinwissenschaften an der UFL (Private Universitat Liechtenstein) als kumulative Dissertation. Er ist Geschaftsfuhrer der Gemeinschaftspraxis fur amerik. Chiropraktik/Osteopathie und Sportheilkunde in Munchen.

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.