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Books > Medicine > Other branches of medicine > Anaesthetics > Pain & pain management
In this yearbook for 2015 we present you with the latest research on pain management. We start out with chapters on cancer, intellectual disability and pain. Then we move into the field of palliative care, quality of life and cancer. Post-traumatic stress disorder in cancer patients is discussed from experiences in Canada and you will also find a chapter on burnout for professionals working with cancer patients. Social work related to end of life is also presented and it is our hope that you as the reader will find the information of interest and useful.
This book provides an insight into the emerging trends in pathogenesis, diagnosis and management of many diseases associated with visceral pain. Key features of the book include overviews of nociceptive pathways and hormonal modulation related to the pathogenesis of functional and other disorders. The text gives a lucid view of novel aspects of pain generation and perception. This book aims to provide a framework for understanding the most significant signaling processing in order to unravel the enigma of visceral pain. This book is expected to be a valuable resource for clinicians and scientists who are interested in recent research trends associated with nociceptive diseases. It is also recommended to students, health care providers and patients who seek a fundamental understanding of neuronal modulatory systems.
Over 100,000 people have died from provider opioid prescriptions in the last 10 years. The rate is increasing and probably will be 250,000 in another 10 years. We need to separate truth from chronic long- term pain and change the definition of pain so we can reduce the supposed indications for opioid prescriptions.
There is nothing charismatic about chronic pain regardless of its source. Pain is greedy and demanding. It consumes our time, our relationships, and our function, and it threatens everything that is important in our lives, our character and our dignity. The winter season is often compared to death. In this case, it is the dying off of old thoughts and behaviors. It is a season that offers the experience of many feelings and the opportunity to be born into a new way of thinking. Winter Devotions provides the necessary tools to fight the grotesque monster that plays on fear, agony, loneliness, and resentment. As patient and professional, the authors use their practical advice for coping. Their readers start with a blank canvas as white as the pure driven snow, full of possibilities. Offering a blend of integrative therapies and day by day tidbits of wisdom and famous quotes, the authors help their readers finalize a picture worth a thousand words, encouraging them to explore their unique, and sometimes, universal experience. Readers have the opportunity to devise their own plan bringing hope to the challenges of living with chronic pain. Come with us as we walk the barren winter land appreciating that it is necessary to rid ourselves of previous conceptions in preparation for the spring season of rebirth.
Complex Regional Pain Syndrome (CRPS) is a chronic neuropathic pain disorder that involves one or more extremities with dystrophic changes of the skin, muscle, or bone. CRPS is characterised by constant regional neuropathic pain that does not follow the usual dermatomal distribution or nerve territory. In addition to neuropathic pain, patients suffer from sensory loss, autonomic dysfunction, vasculature changes and motor dysfunction in the region affected. As a debilitating disease with an unclear pathophysiology, patients suffering from this disorder often do not get the adequate level of care or treatment. Until recently, many clinicians believed CRPS was a purely psychiatric ailment and was lumped together with conditions such as conversion disorder. Recent strides in the understanding of responses in both the nervous system and body to trauma has allowed researchers and clinicians to elucidate possible pathophysiology components for this disorder, as well as to better understand the CRPS patient. Currently, CRPS is viewed to be a multiple component disorder activated by the dysfunction of multiple systems. This includes local injury response, inflammatory response, central and peripheral nervous sensitisation, abnormal vasculature changes and psychiatric components. Herein, not only are the pathophysiological mechanisms synthesised from current and past research discussed, but also the available pharmaceutical, interventional, and rehabilitative treatment modalities are reviewed in detail. From the neurophysiology of physical therapy and psychiatric interventions, to concepts in acupuncture, to evidence regarding peripheral and central nerve blocks and implantable devices, and to mechanisms involving supraspinal interventions used to directly manipulate brain circuitry, CPRS treatment options are examined in detail. Furthermore, as evidenced by the diverse and multimodal array of available and emerging treatment modalities, it is clear that CRPS management requires a truly interdisciplinary approach, highlighting this book as a central reference for multiple often-disconnected specialties. Furthermore, the mechanisms of action in each intervention strategy, current evidence base, and gaps in knowledge for management of CRPS are explored with special emphasis on avenues for future research. CRPS is a pain syndrome that has seen an explosion of research in recent decades, due in part to the fairly recent development of internationally formalised diagnostic criteria. However, many questions remain; while some continue to build an evidence base for efficacy and safety of current therapies, others are delving into new pharmaceutical options, experimental therapies, and molecular-level strategies focused on epigenetic manipulation. Moreover, this plethora of emerging CRPS research will surely maintain this syndrome in the forefront of medical research and scientific discovery for the next several decades.
The National Institutes of Health Publication 10-6287, Pain Control: Support for People With Cancer, discusses pain control medicines and other methods to help manage pain, and addresses the physical and emotional effects of pain. Having cancer doesn't mean that you will have pain. But if you do, you can manage most of your pain with medicine and other treatments. This book discusses how to work with your health care team and others to find the best way to control your pain.
In this yearbook for 2014 we present you with the latest research on pain management. We start out with the ethical mind of "Dr Feelgood", discuss social isolation among adults with chronic pain and you will also find several chapters related to mindfulness and pain. Oncologic pain is discussed and dated in many chapters and it is our hope that you as the reader will find the information of interest and useful.
Pain is universal. This can be traced from the first toothache evidence in fossil remains of a human jawbone to today's pharmacies packed with a huge spectrum of over-the-counter medications. Millions of people seek treatment for pain every year. In "Pain Management Solutions," author Debra S. Cole explores issues related to different types of pain and offers a visionary five-stage approach to pain management." Cole provides a holistic process to help patients address pain issues due to injury or medical conditions. A comprehensive tool, Pain Management Solutions addresses current pain treatments and considers the various stages of the process of dealing with pain: The crisis stage of pain The fix-it stage The management stage The rebuilding stage The resolution stage Presented in a complete and easy-to-understand manner, Cole offers strategies for coping with pain to help patients rebuild their lives. This guide provides hope and inspiration for anyone who struggles with both physical and emotional pain.
Chronic pain is often a complex condition that fails to respond adequately to medical treatments alone. Successful management requires integrated treatment approaches such as those offered by nationally recognized comprehensive pain programs. For those who do not have access to these programs, this book offers steps to help create an alternative treatment path that includes evidence-based medical treatments, physical modalities, counseling, self-care education and alternative approaches. This book is a resource for not only for those who suffer with chronic pain but for their families and healthcare providers. It includes information about interventional pain management procedures, medications, psychological treatments, physical therapies, alternative and complementary approaches. The book also address the risk of addiction to opioid medications. Each chapter includes specific action steps to help individuals determine the types of treatments that might best meet their needs. This book also includes an updated version of the author's previously published 12-Step Chronic Pain recovery guide. The 12-Steps are intended to help individuals recover from the emotional suffering that so often accompanies chronic pain. The 12-Step approach presented in this book draws upon the rich tradition of other 12-Step programs and of cognitive behavioral therapy. For those who have failed traditional medical treatments, such as medications, surgery, and spinal injections, these Steps offer hope for a better future with little, if any, risk. They offer a solution to problems that contribute to pain suffering-lack of trust, fear, worry, blame, isolation, and resentment. They provide a path for recovery from suffering-a path that leads to trust, honesty, reconciliation, peace and joy. What do experts have to say about Chronic Pain: A Way Out? "A holistic approach based on solid clinical evidence. Patients and medical care professionals alike can read and learn. Highly recommended" -Fernando S. Branco, M.D., FAAPMR. Certified in Physical Medicine and Rehabilitation, Pain Management and Addiction Medicine. Medical Director, Rosomoff Comprehensive Rehabilitation Center and Brucker Biofeedback Center, Miami, FL "No one can be excluded from the risk of chronic pain. Dr. Colameco's book is an educational tool that needs to be read by everyone regardless of his or her current experience of pain; an important addition to the pain literature."-J. David Sinclair, MD, FRCP (C), DABPM. Anesthesiologist, Fellow of the Royal College of Physicians (Canada), Diplomate of the American Board of Pain Medicine, Independent Consultant for the Management of Chronic Pain, Seattle, WA "In Chronic Pain: A Way Out, Dr. Colameco combines current, evidence-based medical information with proven spiritual principles that have saved the lives of millions of suffering addicts. The practical exercises provide a road map to improve lives--not just for patients, but for all of those affected by chronic pain." --Christopher Johnston, MD, ABFM, ABAM. Addiction Medicine Specialist, New Jersey Medical Director, Pinnacle Treatment Centers
Papers and presentations from conferences held by the International Network on Personal Meaning. Articles are included from luminaries such as Howard Gardner, Harold Koenig, Sal Maddi, Jordan Peterson, Donald Meichenbaum, Crystal Park, Paul Wong, Kirk Schneider, and Bernard Weiner. Freshly edited and typeset, this book contains a broad range of essays on meaning and spirituality. The Positive Psychology of Meaning and Spirituality contains a number of must-have essays on topics from suffering, death, and grieving to meaning, spirituality, and virtues.
Yes, today she feeds the goose that lays the golden eggs But her life once read like a mystery, because for forty-five years she had spasms of the face and neck, her head would ring and, most baffling of all, she had an ache deep in her chest like she was having a heart attack. Unbeknownst to her family, she lived with depression from the age of ten, until finally ending up in a psychiatrist's little crash pad shortly after having a beautiful little girl. From here she began a quest to try to do herself in-she tried six times Then it finally became apparent she was living with chronic pain, and a sublime head injury that kept her from accomplishing her quest of a nursing career. Then, in 2002, at the age of fifty-four, she finally threw up her arms and became willing to do whatever it took to get her life back. She began the twelve-step process of recovery that would open her life to healing. She soon found herself, strangely, thanking God for her affliction. Then, one day in June of 2002, she decided to live. Today she still has the pain but no longer suffers. Now it is a blessing to have lived, because her life has become part of one very big, ongoing miracle, a miracle of which you, the reader, are a part.
Over the last ten years, and after treating nearly 6,000 patients, physiotherapist Peter Dornan has found that many conditions that may have -resisted -traditional medical intervention such as:pain in the scrotum, labia, perineum or anorectal region, penis;dysuria (painful urination);urinary and faecal urge incontinence;pain during or after ejaculation;sexual and erectile dysfunction;are often associated with pelvic girdle dysfunction -involving the -sacroiliac joint.In this book he outlines methods and -evidence-based treatment for the dysfunction and management of symptoms, using helpful -illustrations and photos to highlight the concepts and techniques that are covered.Pelvic Pain: a Musculosketal Approach for Treatment will prove useful to patients as well as health professionals who have an -interest in pelvic pain, particularly musculoskeletal therapists.
Curing Meralgia Paresthetica is for people in pain who want immediate relief, long-term cure, and something to discuss with their physician. Written by a Meralgia sufferer, it helps you find your way out of pain quickly and safely. It covers every aspect of finding a cure for Meralgia Paresthetica: Diagnosing Meralgia Symptoms Laura's Story Understanding where it comes from and who gets it. Emergency treatments for Meralgia Night-time strategies for dealing with Meralgia pain Walking and sitting with Meralgai Long-term Meralgia treatments. Natural remedies for Meralgia. Pharmaceutical drugs theat ease Meralgia symptoms. Exercises to relieve and prevent Meralgia symptoms. How doctors look at Meralgia (and what they tell each other) Meralgia and Pregnancy Professional treatments for Meralgia Claiming Disability for Meralgia Sufferers (how insurers see you) Long-term recovery from Meralgia: the author's personal story Curing Meralgia Paresthetica is for sufferers and caregivers alike. Meralgia afflicts millions of people world wide every year and is greatly under-diagnosed. Now, every shred of information about this painful affliction has been gathered under one roof. There are strategies and treatments here that will improve anyone's symptoms.
For over twenty year I began a battle with an evil force that at first I new nothing about what it was or how it had began to control every fiber of my being. I was so young and so nieve when I first began being prescibed prescription opiates by my physician I had no idea what the long term effects of the drugs could, or would end up doing to my body, my mind, my soul, my family and ultimately my life. The journey I call now The Serpents Sting was a very slow road to hell I would eventually have to face. It began at the age of fifteen with my first trip to the ear, nose and throat specialist, who began prescribing me opiate drugs for severe allergies, headaches, chronic cough, ear aches etc. Every prescription he would write out I would later discover had the drug that has became since those early days a pandemic among drug addicts, Hydrocodone a morphine derivative that back in the 1980's it was known in the streets as the new miracle drug made to cure any pain and all that ailed you. For so many years I tried not to blame the doctors for the hell I had suffered, for all those years making constant excuses for them such as, they didn't really know the true damage that could be caused from continually prescribing those drugs to their patients, but after about twenty years later when I found out that these same docotors were actually paid a percentage for prescribing these deadly medications to patients I began to have my doubts. The one episode that really made me see the light was the pain specialist I was seeing for severe back pain and a pinched nerve who recieved a phone call telling him a patient had died due to an overdose of the drugs he had prescribed. I listened to this phone call as the doctor showed no signs of remorse, sympathy for the family or not even a tinge of sadness, and his only reply was, I didn't tell him to eat them like M&M's. It's not my fault he couldn't follow the directions and he hung up the phone and his last words as he screamed about was, Damn stupid people, can't they read the directions. I'll never forget that day for it was the day I decided to quit, at least I thought it could be that easy. I could make it through the with draws but I couldn't cure the addiction that had ravaged not only my body but my also my mind. For the next 20 years I would fight my cravings, entered into hospitals and rehabs and wondered through inpatient and out-patient treatments if I would eer be able to break free from the disease of Prescription Opiate Addiction. AS desperately as I wanted to stop the cycle that had spiralled so out of control, there was still that inocent part of me that I call my Spirituality to my Lord and Savior that continued to carry me through everyday that I messed up for he knew me and he knew how desperately I wanted to stop hurting those whom I loved so passionately. My children, whom were my little miracles that I was so blessed to have after a childhood disease that gave me a rare 20% chance of not only conceiving but actually carrying to full term which I didn't but God let me carry them lonh enough so that they would be perfect little angel and I truly beliee that they were, for they would tell me stories of how they lied in Heaven and how Jesus had shown them me and told them they would be coming here to live with me in this world. I remember how adamant my daughter would get when se would tell me of how they flew high above the clouds when she was an angel but that she couldn't do it when she came here to live. My son had told me such a similar story when he was about the same age that there was not question that if we as parents listen to our children when they speak to us about before they were actually born they truly have such magnificant, glorifying stories to tell. The Bible tells of te children of God and how if only we could have the mind of a child and the loe of a child how different it could all be.
In anesthesiology, pain medicine, and critical care, practitioners at all levels need help to stay current with the continually evolving drug knowledge-base, and trainees need tools to prepare for in-training and board exams that increasingly test their knowledge of pharmacology. This practical book is aimed at both readerships. It features a unique and practical chapter on the United States Food and Drug Administration (FDA) "black box" warnings that describe what safety precautions should be taken with commonly used drugs. The editors and contributors are pharmacology experts representing a cross-section of clinical specialties and institutions in the United States and include pharmacologists, pharmacists, as well as physicians.
Handbook of Pain and Palliative Care: Biobehavioral Approaches for the Life Course Rhonda J. Moore, editor This book takes both a biobehavioral and a lifespan approach to understanding long-term and chronic pain, and intervening to optimize patients functioning. Rich in clinical diversity, chapters explore emerging areas of interest (computer-based interventions, fibromyalgia, stress), ongoing concerns (cancer pain, low back pain), and special populations (pediatric, elderly, military). This coverage provides readers with a knowledge base in assessment, treatment, and management that is up to date, practice strengthening, and forward looking. Subject areas featured in the Handbook include: Patient-practitioner communication Assessment tools and strategies Common pain conditions across the lifespan Biobehavioral mechanisms of chronic pain Pharmaceutical, neurological, and rehabilitative interventions Psychosocial, complementary/alternative, narrative, and spiritual approaches Ethical issue and future directions With the rise of integrative perspective and the emphasis on overall quality of life rather than discrete symptoms, pain management is gaining importance across medical disciplines. "Handbook of Pain and Palliative Care" stands out as a one-stop reference for a range of professionals, including health practitioners specializing in pain management or palliative care, clinical and health psychologists, public health professionals, and clinicians and administrators in long-term care and hospice. "
The Great Pain Jack is an easily accessible self-help diagnostic guidebook to help acute and chronic pain sufferers assist their physicians in making the correct diagnosis and to help them undertake the right treatment plan in an effort to avoid "the great pain jack."
The development of generalized sensitization during acute pain conditions plays an important potential role for the transition to and development of chronic pain. Such a phenomenon complicates adequate pain management and challenges current therapeutic modalities. This doctoral thesis aims to investigate the application of quantitative sensory testing in a clinical setting, mainly postoperative pain and chronic pain states. The pathophysiology, extent, and intensity of generalized sensitization, and in particular its relation to clinically relevant patient experiences, i.e. spontaneous pain and pain evoked by daily activities, are still a matter of debate and intensive research. The current thesis has taken on the difficult task of applying standardized quantitative sensory testing to clinical medicine to explore the extent and magnitude of sensory perturbation in a number of important conditions. The thesis is a very impressive and pioneering collection of important pieces of research providing a strong assertion on how pain can be diagnosed and profiled. It comprises an important contribution to the progress of the field and the impact of the studies will pave the way for new explorative studies for the benefit of patients suffering from chronic pain. Going from a purely descriptive way of thinking, the thesis has developed, in an ambience of changing concepts in pain medicine at large, a shift towards a mechanism-based way of thinking. This is the only way to make a step forward in pain medicine both when it comes to understanding the complex pictures presented by pain patients, and to provide clever answers to the complex therapeutic needs of these patients. The scientific work described in this thesis is original, and the findings contribute to new and better understanding of the pain syndromes investigated. This work also provides important information for planning future research. I have known and collaborated with Oliver since the early 1990s, and he is a true pioneer within the research to apply QST in the clinical setting. Therefore, I was extremely honoured when he chose to submit and defend his doctor of science thesis at the Center for Sensory- Motor Interaction, Aalborg University, and I am very much looking forward to our future collaboration and interaction in many years to come.
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