Dieses Buch setzt sich in einer erweiterten und aktualisierten Neuauflage mit dem Thema des AElterwerdens und den daraus resultierenden AEnderungen der Befindlichkeit auseinander. Nach einleitenden Kapiteln uber grundlegende Aspekte der Lebensqualitat, Lebensstil und Bedurfnisse, demographische Prognosen, biologische Grundlagen des Alterns und uber verschiedene im Alter oft auftretende Krankheitssymptome werden moderne Therapieformen haufiger Alterskrankheiten dargestellt. Weitere Kapitel sind der Behandlung der krankheits- und therapiebedingten Beschwerden und Nebenwirkungen und der Vorbeugung altersbedingter Leiden gewidmet. Ausfuhrlich wird eine umfassende Studie zu Schmerz im Alter dargestellt. Erganzt wurden in der Neuauflage Kapitel zur Verhaltenstherapie, Spiritualitat, Gedachtnistraining, Harninkontinenz und Chemotherapie im Alter. Das Buch wendet sich an AErzte, die altere Menschen behandeln, Pflegekrafte in der Langzeitbetreuung als auch Betroffene und Angehoerige.

This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.

There is an unmet need in both acute and chronic care settings for a comprehensive, clinically focused, fast reference on pain management. Written by high-profile, internationally recognized experts in field, Pain Treatment for Acute and Chronic Conditions: A Comprehensive Handbook is one of the first manuals of its kind to provide balanced and comprehensive coverage of pain medicine modalities. The book is structured into sixteen sections with each chapter providing key points for quick reference, followed by a more detailed overview of the topic at hand with extensive tables and figures to illustrate. Beautifully laid out and extensively furnished with both research and experience, this book is a necessary resource in the field of pain medicine.

Chronic Abdominal Pain is a comprehensive resource focused on the management of chronic abdominal pain. Chapters begin with an overview of pain generation, adaptive mechanisms and various diagnostic approaches. A complete range of novel, conservative, minimally invasive and surgical therapeutic options and their proper selection are then discussed along with evidence-based and practical clinical aspects of patient care. Authored by a team of world-renowned physicians and researchers, this definitive guide provides novel algorithms for contemporary treatment of chronic abdominal pain, giving pain medicine clinicians and practitioners the knowledge needed to assess and treat patients with abdominal pain.

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.

A rigorous and groundbreaking study. Martine Derzelle is the first researcher to approach hypochondria as a relational pathology. Martine Derzelle is the first researcher to approach hypochondria as a relational pathology. The author tackles a subject that has puzzled care professionals for decades: hypochondria. Martine Derzelle confronts all specialists (psychotherapists, psychiatrists, doctors, psychosomaticians) with the paradox of this pathology and the theoretical void on which the approach to those patients who express a suffering of various kinds has stood for more than a century. In the first part, the author highlights the lack of theoretical elaboration on hypochondria in the existent literature; in the second part, on the basis of clinical examples, she analyzes the nature of the disease, and then offers a completely innovative theoretical elaboration. Finally, in the third part, she proposes a new and specific approach to treating this pathology at both the theoretical and clinical levels within the framework of psychoanalysis and implementing key concepts from relational psychosomatics.

Chronic vulvar pain, or 'vulvodynia', is a common problem that can have a considerable impact on the wellbeing of patients. Despite being seen routinely in everyday clinical practice, it remains a neglected disorder that may take many years to diagnose. This book eases the way for physicians, including General Practitioners and Gynecologists, who are motivated to improve the lives of women suffering from vulvodynia. By offering a concise overview of the latest information on the diagnosis and management of vulvodynia, and its numerous comorbidities, in an easy to read, 'tips and tricks' format, the book empowers physicians to rapidly and effectively address the complex and sensitive issues surrounding the disorder.

Until recently, it was thought that the adult brain is modifiable only during early stages of ontogenesis. However, neurophysiological and neuroimaging studies now indicate that the mature human brain is, under certain conditions, capable of substantial neuroplastic changes. Neuroplasticity reflects the ability of the human brain to alter the pattern of neural activation in response to previous experience, and recent findings indicate that the effects of experience can lead to both structural as well as functional reorganization. It has been shown that pathological neuroplastic changes can be reverted/normalized and that the modulation of the neuroplastic changes can be paralleled by improvement of the patient's status. However, there is a gap between the potential of neuromodulation, technical progress and actual preparedness of medical personnel to provide this type of treatment. A prevalent opinion among medical professionals indicates that training programs and educational materials in neuromodulatory techniques are well needed and appreciated. Neuromodulation will focus on the description and discussion of methods currently available for invasive and non-invasive neuromodulation, their clinical potential, significance and practical applications. In order to facilitate understanding of the topic, the initial part of the textbook will review neurophysiological systems involved in neuromodulation and will provide readers with basic principles of neuroplasticity that constitutes the rationale for neuromodulation in human medicine. Additionally, the clinical use of these techniques will be described with special regard to safety and avoidance of complications.

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.

Multimodality Imaging Guidance for Interventional Pain Management is a comprehensive resource that covers fluoroscopy-guided procedures, ultrasound interventions, and computed tomography (CT)-guided procedures used in interventional pain management. Fluoroscopy-guided procedures have been the standard of care for many years and are widely available and affordable. Due to the lack of radiation exposure and the ability to see various soft tissue structures, ultrasound-guided interventions are more precise and safer. Primarily performed by radiologists, the benefits, disadvantages, and basic techniques of CT-guided procedures are also included in the volume. By covering all imaging modalities, Multimodality Imaging Guidance for Interventional Pain Management allows for an efficient comparison of the capabilities of each modality.

Assessing and managing pain - the primary symptom for those seeking health care - is imperative in every RN’s daily practice. Pain management nursing takes this further with its specific focus to alleviate pain, improve pain relief, optimize function, and maintain quality of life of patients across the life span and in every practice setting. The premier resource for today’s pain management nurse, this second edition is informed by ongoing advances in nursing, patient care, and the understanding of pain in its many dimensions. It addresses what every RN in this evidence-based practice specialty needs to know, including practice roles, tenets and principles, essential knowledge and skills, ethical considerations, and trends in care, education, public policy, and technology. This second edition’s 17 competency-based standards provide a framework for evaluating practice outcomes and goals and for delineating what is expected of all pain management nurses. Its scope of practice—which establishes the who, what, where, when, why, and how of their practice—is the context for applying these standards. Among the pain management and pain care topics covered are: Pathophysiology of pain in the context of each patient’s safety, pain perception and response, and biopsychosocial–spiritual needs. How each of the nine provisions of the Code of Ethics for Nurses with Interpretive Statements can be applied in practice. Multimodal pain management options to achieve best treatment outcomes. Emerging insights from genetics and genomics into such areas as opioid metabolism and pain perception, and response to opioid analgesics. Networking, partnering and collaborating. Patient care and guidance using data from digital prescription monitoring programs and patient apps. This book is a must-have for practicing or aspiring pain management nurse, and a useful resource for interprofessional practitioners and stakeholders involved in pain care.

This is the first comprehensive text-atlas that shows how to use ultrasound technology and nerve stimulation techniques to guide regional blockade in children. Clinical chapters follow a sequential, highly illustrated format that provides step-by-step guidance and include cases, clinical pearls, and troubleshooting tips. Nearly 400 figures, consisting of ultrasound images, MRI images, and schematics, have been assembled to maximize understanding of pediatric neuroanatomy and its relationship to surrounding anatomical structures. To help the novice user, the book features side-by-side presentation of unlabeled and labeled ultrasound images. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia focuses on common approaches, supplemented in clinical pearls and notes by alternative approaches, and emphasizes dynamic and systematic scanning techniques. It is intended for pediatric anesthesiologists who wish to incorporate regional blockade into their repertoire and designed as a refresher and resource for all regional anesthesiologists seeking to refine their skills. Unique Selling Points: Internationally renowned experts Presents two technologies proven to improve block success when used together Superb coverage of pediatric anatomy in relation to regional anesthesia Equipment, set-up, pain assessment, local anesthetic pharmacology, and patient safety considerations f or child patients

Invasive electromyography is a well-established diagnostic tool that has been used for decades by neurologists. Recently, new and alternative devices have increasingly become available that permit diagnosis without the use of needles. This developing area of science and the new tools have not, however, been sufficiently investigated in academic training. Consequently a gap exists between what science is making possible and the competence acquired during graduate studies. This handy volume has the aim of filling this gap by providing the information required by medical practitioners in rehabilitation, sports, and occupational health as well as by rehabilitation therapists, ergonomists, and sport coaches. The techniques that are presented and explained will help in monitoring and recording changes, evaluating the effectiveness of treatments and training, evaluating work stations, and preventing and documenting the evolution of occupational disorders of the neuromuscular system.

Pelvic Pain Management is an evidence-based guide to understanding the basics of pain mechanisms, pharmacology, invasive and noninvasive treatment modalities, and pain management protocols related to the complex problem of pelvic pain. The book addresses all aspects of pain management essentials, new technologies and devices, chronic pain issues, opioid and non-opioid pharmacology, including newly approved drugs, and special populations including pediatrics, the elderly, and patients with co-existing disease. It provides information on performing a proper physical exam, diagnosing the origins of the pain, and developing a treatment plan with emphasis on multidisciplinary management. This is an ideal resource for physicians, trainees, and nurses looking to recognize, diagnose and manage all major issues related to pelvic pain.

This accessible, easy-to-read book provides readers with different perspectives on the subject of painkillers, examining their history, production, uses, and dangers. Many different drugs are effectively used as painkillers-substances that greatly improve the quality of life for those who suffer from temporary or recurring pain. This book presents an in-depth overview of opiates, opioids, and other painkilling substances such as non-steroidal anti-inflammatory drugs (NSAIDs) that have been in use from ancient times up to the contemporary era. It also addresses the risks of painkiller use, their misuse, and potential overdose concerns. The latest in the Story of a Drug series and written by a subject expert who has published widely on drug use and pharmacology, this book presents a brief review of the science of how different painkiller drugs work before covering these substances' respective effects and applications; the issues regarding the production, distribution, and regulation of painkiller drugs; and research findings on painkiller use, abuse patterns, addiction, and policy issues. The easy-to-understand text presents scientifically accurate information that enables readers to better understand the key role of painkillers in our 21st-century world. Documents the risks of painkiller use and explores the various issues centered around the production, distribution, and regulation of painkiller medications Examines painkillers from a variety of perspectives, including medical, historical, economic, and social Includes primary source documents such as guidelines, policy documents, and study findings on the topics covered that provide readers with more in-depth information and help students hone their critical thinking and analytical skills Examines the social dimensions of the use and abuse of painkiller drugs and considers the future of this particular type of drugs

From reviews of the First Edition: "For the practitioner new to the field of implantable therapies, this book shows the scope of this particular branch of pain medicine. It is full of good advice on techniques and how to avoid complications." British Journal of Clinical Pharmacology "All practicing pain physicians, whether their background is in anesthesia or neurosurgery, will find [this atlas] very useful...beautifully written and well-illustrated with x-ray images and pictures...a must-read for every pain fellow and a very useful one for every pain physician." Doody's Review Service Now in its Second Edition, this atlas remains an essential guide to the treatment of pain using neuromodulation and is written for all implanters, from beginners to the most advanced practitioners. It has been significantly expanded with many brand new chapters and figures and thoroughly updated to address new techniques, targets, waveforms, and concepts that have emerged since publication of the last edition and now provides even more detailed coverage of patient safety, including infection control and reduction of bleeding risks. The new and returning physicians who have collaborated on the Second Edition are world-class in their research, clinical expertise, and ethics of practice. They have endeavored to make each segment of the atlas a great learning event through careful integration of extensive photographs, illustrations, and detailed instructions and to create a resource that helps to improve practice and enhance outcomes while complementing fellowship training, peer-to-peer experiences, and hands-on continuing medical education.

"This book is a 'must have' resource in every physician/clinician practice setting."--Martin Grabois, M.D., Professor of PM&R, Baylor College of Medicine, Houston,TX. Dr. Vasudevan draws upon an accumulated reservoir of clinical expertise to provide readers with an up-to-date and highly readable guide to multidisciplinary pain management. . . . If only this book was available years ago"--Francis J. Keefe, PhD. Professor of Psychology, Psychiatry and Anesthesiology, Duke University, Durham, NC. This practical volume brings multidisciplinary innovations to the treatment of chronic pain. It argues expertly for the benefits of a biopsychosocial approach over current pain treatments more suited to acute care. The author's insights into the complexity of chronic pain and critiques of common but inconsistent unimodality pain management methods underscore the need for targeted multi-disciplinary pain programs. Among a wealth of useful clinical nuggets, readers will find guidance on adding "virtual" support to a pain management team, details on ways patients can take an active role in dealing with their chronic pain, and the original concept of the "back attack." Included in the coverage: Pain theories and factors behind chronic pain-its application in treatment. Cognitive behavioral coping strategies. Treatments that have questionable or controversial evidence. Evaluation of disability in patients with chronic pain. Creating a virtual multidisciplinary team. Common pain problems: low back pain, complex regional pain syndrome, myofascial pain syndrome, fibromyalgia. Multidisciplinary Pain Management will enhance the work of diverse practitioners, including health and clinical psychologists, family and other primary care physicians, psychiatrists, occupational and physical therapists, and rehabilitation specialists.

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.

Surgical Pain Management is an essential, step-by-step guide to surgical techniques and the perioperative management of chronic pain patients whose treatment includes implantable therapies. Chapters review the steps necessary for defining a potential candidate for implant and the infrastructure to support the perioperative period and beyond, controversies in approaches for both intrathecal and spinal cord stimulation implants, healthcare education for patients with these devices, neuroaxial drug delivery, electrical stimulation of the peripheral and central nervous system, and a variety of invasive procedures for chronic and cancer pain. Appendices provide supplemental information regarding guidelines, physiology, technologies available, troubleshooting, and documentation required to organize an interventional service. This book details a range of approaches from basic implant therapies to more advanced therapies, making it an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients.

Written by a professional musician who is also a certified occupational therapist, Teaching Healthy Musicianship both helps music educators avoid common injuries that they themselves encounter and equips them with the tools they need to instill healthy musicianship practices in their students. Author Nancy Taylor combines her two unique skill sets to provide a model for injury prevention that is equally cognizant of the needs of music educators and their students. Through practical explanation of body mechanics, ergonomics, and the performance-related health problems and risk factors unique to musicianship, Taylor gives music educators the tools they need to first practice healthy posture, body mechanics, environmental safety, and ergonomics, and then to introduce these same practices to their students. Taylor also provides practical guidance for healthy musicianship practices in the wrists and shoulders, the most common site of music-related injuries. The final sections address issues of vocal and hearing health, both of which are at high risk in music classroom environments. Working from the dual observations that busy music teachers sometimes overlook taking care of themselves, and that music teachers are not always able to guide students through instrument-related stresses, Taylor provides here a book that addresses injury prevention for the music student and the music educator alike. Thoroughly illustrated with 125 photographs, Teaching Healthy Musicianship is a key resource for preservice and inservice teachers of middle school and high school band, orchestra, choir and general music.