Pain Management and the Opioid Epidemic Book

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Pain Management and the Opioid Epidemic

By National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse
  • ISBN Code: : 0309459575
  • Publisher : National Academies Press
  • Pages : 482
  • Category : Medical
  • Reads : 634
  • Book Compatibility : Pdf, ePub, Mobi, Kindle
  • Pdf : pain-management-and-the-opioid-epidemic.pdf

Book Excerpt :

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

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Read Also This Books

Treating Opioid Addiction

By John F. Kelly,Sarah E. Wakeman
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer
  • Book Code : 3030162575
  • Total of Pages : 264
  • Category : Medical
  • Members : 799
  • Pdf File: treating-opioid-addiction.pdf

Book Short Summary:

This book addresses opioids and opioid use disorders from epidemiological, clinical, and public health perspectives. It covers detailed information on the nature of opioids, their effects on the human body and brain, prevention, and treatment of opioid addiction. Unlike other texts, the first section of this volume builds a strong historical, neurobiological, and phenomenological foundation for a deep understanding of the topic and the patient. The second section addresses the most challenging issues clinicians face, including pharmacological and psychosocial treatments, harm reduction approaches, alternative approaches to pain management for the non-specialist, and prescribing guidelines. Treating Opioid Addiction is a valuable resource for psychiatrists, psychologists, addiction medicine physicians, primary care physicians, drug addiction counselors, students, trainees, scholars, and public health officials interested in the effects and impact of opioids in the clinical and epidemiological context.

Pain Care Essentials and Innovations E-Book

By Sanjog Pangarkar,Quynh G. Pham,Blessen C. Eapen
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323722172
  • Total of Pages : 294
  • Category : Medical
  • Members : 909
  • Pdf File: pain-care-essentials-and-innovations-e-book.pdf

Book Short Summary:

Covering the newest trends and treatments in pain care, as well as the pain treatment strategies that have been successfully employed in the past, Pain Care Essentials and Innovations brings you fully up to date with effective treatments for acute and chronic pain. It offers expert guidance on both interventional and non-interventional strategies, provided by respected academic physiatrists who practice evidence-based medicine at UCLA and an ACGME-accredited rehabilitation and pain program. Covers cannabinoids in pain care, novel therapeutics in pain medicine, and integrative care in pain management. Discusses relevant basic science, psychological aspects of pain care, opioids and practice guidelines, geriatric pain management, and future research in the field. Consolidates today’s available information and guidance into a single, convenient resource.

In Pain

By Travis Rieder
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : HarperCollins
  • Book Code : 0062854666
  • Total of Pages : 320
  • Category : Social Science
  • Members : 103
  • Pdf File: in-pain.pdf

Book Short Summary:

NPR Best Book of 2019 A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal—a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic. Travis Rieder’s terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician’s orders. Over the course of four excruciating weeks, Rieder learned what it means to be “dope sick”—the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis’s doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself. Rieder’s experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the twenty-first century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America’s opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain—and that anyone can fall victim to this epidemic.

Life in Pain

By John L. Fitzgerald
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer
  • Book Code : 9811056404
  • Total of Pages : 195
  • Category : Social Science
  • Members : 703
  • Pdf File: life-in-pain.pdf

Book Short Summary:

This book explores pain in a number of ways. At the heart of the book is an extension of Melzack’s neuromatrix theory of pain into the social, cultural, and economic fields. Specific assemblages involving varied institutions, flows of capital, encounters, and social and economic structures provide a framework for the formation of pain, its perception, experience, meaning, and cultural production. Complementing the extended neuromatrix is a second theory, focussed on the propensity of western market capitalism to seek out new areas of life to subsume to capital. Pain is one such life area that is now ripe for exploitation. Although the book has theory at its heart, it draws extensively on case studies to identify the contradictions and complexities. Case studies are drawn from accounts of drug use in varied contexts such as prescription drugs, methamphetamine use, oxycodone use in North America, and the global rise of the medicinal cannabis marketplace.

Pain Management in Primary Care

By Yvonne D'Arcy, MS, APN-C, CNS, FAANP,Deborah Kiley, DNP, ANP, NP-C, FNP-BC, FAANP
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer Publishing Company
  • Book Code : 0826147348
  • Total of Pages : 316
  • Category : Medical
  • Members : 650
  • Pdf File: pain-management-in-primary-care.pdf

Book Short Summary:

Covers the entire scope of pain management with evidence-based guidance Written specifically for APRNs and PAs, this evidence-based text delivers practical guidance on how to assess, treat, and manage patients with pain in the primary care and family practice setting. Written by pain management experts well versed in both pharmacologic and non-pharmacologic therapies, the text encompasses the entire scope of pain management. Following an overview of the sources and physiology of pain, Pain Management in Primary Care delineates a multidimensional assessment approach and guides readers in developing a patient care plan. With an emphasis on strategies for safe prescribing, an extensive portion of the book addresses regulatory considerations, special populations, and thorough coverage of how to safely prescribe opioids. This includes risk screening, proper management, and identification and treatment of withdrawal. Woven throughout is a focus on the importance of interprofessional communication and collaboration in effective pain management. The text also provides concise, easy-to-reference information about medications, supplements, and non-opioid therapeutics. Abundant case scenarios and clinical pearls help readers apply knowledge to their own practice. Key Features: Covers the entire scope of pain management with evidence-based guidance on assessment, treatment, and pain management Emphasizes strategies for safely prescribing medications Includes detailed information on non-opioid and over-the counter-medications, opioids, and interventional pain management options Provides risk-screening tools and tips for proper selection, titration, and tapering of medications Describes how to identify and treat opioid withdrawal Illustrates application of knowledge to practice with case scenarios and clinical pearls

Opioid-Free Pain Relief Kit

By Beth Darnall
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Bull Publishing
  • Book Code : 1936693992
  • Total of Pages : 144
  • Category : Health & Fitness
  • Members : 356
  • Pdf File: opioid-free-pain-relief-kit.pdf

Book Short Summary:

CONGRATULATIONS! Picking up this book shows you want to help yourself feel better. That's the first step toward having less pain and using less pain medication. You are not alone. About 100 million Americans—one in three people—have ongoing pain. It can be mild or very strong, come in waves or always be present, be simply annoying or make your normal life hard to live. Pain is the most common reason people visit their doctor. Many people mistakenly believe that chronic pain is best treated simply by taking powerful painkillers, also known as opioids. But people who think pills are the only answer are mistaken, because the best treatment for chronic pain includes much more than pills. In fact, the most important part of pain treatment isn't your medication or even your doctor: it's YOU. This book gives you the right road map and skills to help you reduce your own pain, so you need less medication. It is a formula for success—your own personal pain relief kit.

The Opioid Fix

By Barbara Andraka-Christou
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : JHU Press
  • Book Code : 142143766X
  • Total of Pages : 288
  • Category : Social Science
  • Members : 496
  • Pdf File: the-opioid-fix.pdf

Book Short Summary:

Validating the experience of hundreds of thousands of Americans, The Opioid Fix sounds a loud call for policy reforms that will help put lifesaving drugs into the hands of those who need them the most.

American Overdose

By Chris McGreal
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : PublicAffairs
  • Book Code : 1541773772
  • Total of Pages : 336
  • Category : Social Science
  • Members : 863
  • Pdf File: american-overdose.pdf

Book Short Summary:

A comprehensive portrait of a uniquely American epidemic--devastating in its findings and damning in its conclusions The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs, but the corrupting of medicine and public institutions that let the opioid makers get away with it. The starting point for McGreal's deeply reported investigation is the miners promised that opioid painkillers would restore their wrecked bodies, but who became targets of "drug dealers in white coats." A few heroic physicians warned of impending disaster. But American Overdose exposes the powerful forces they were up against, including the pharmaceutical industry's coopting of the Food and Drug Administration and Congress in the drive to push painkillers--resulting in the resurgence of heroin cartels in the American heartland. McGreal tells the story, in terms both broad and intimate, of people hit by a catastrophe they never saw coming. Years in the making, its ruinous consequences will stretch years into the future.

Deer's Treatment of Pain

By Timothy R. Deer,Jason E. Pope,Tim J. Lamer,David Provenzano
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer
  • Book Code : 3030122816
  • Total of Pages : 854
  • Category : Medical
  • Members : 874
  • Pdf File: deer-s-treatment-of-pain.pdf

Book Short Summary:

Designed and written by a team of clinically established academics, this is a unique book that is an excellent manual for physicians practicing pain medicine or treating pain in neurosurgery, orthopedic, neurology, or family practice clinics. As a practical resource, this book is written to be more accessible to the reader and is designed to be more clinically-focused and useful in day-to-day practice. This 102 chapter volume is divided into seven separate sections: Anatomy and Physiology of Pain, Psychology of Pain, Pharmacological Treatment of Pain, Interventional Treatment of Pain, Adjuvant Therapies for Pain and Suggested Reading. The calculated organization of this book is supplemented by key photos, drawings and a self-assessment of four key questions at the end of each chapter -- thus making it an indispensable, pragmatic resource that will benefit anyone working in the pain management field. Deer's Treatment of Pain: An Illustrated Guide for Practitioners contains pearls for improving knowledge and improving one’s practice as a physician.

American Pain

By John Temple
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Rowman & Littlefield
  • Book Code : 1493019597
  • Total of Pages : 304
  • Category : True Crime
  • Members : 642
  • Pdf File: american-pain.pdf

Book Short Summary:

* Finalist for the Edgar® Award in Best Fact Crime * New York Post, “The Post’s Favorite Books of 2015” * Suspense Magazine’s “Best True Crime Books of 2015” * Foreword Reviews’ INDIEFAB Book of the Year in True Crime * Publishers Weekly, Big Indie Book of Fall 2015 The king of the Florida pill mills was American Pain, a mega-clinic expressly created to serve addicts posing as patients. From a fortress-like former bank building, American Pain’s doctors distributed massive quantities of oxycodone to hundreds of customers a day, mostly traffickers and addicts who came by the vanload. Inked muscle-heads ran the clinic’s security. Former strippers operated the pharmacy, counting out pills and stashing cash in garbage bags. Under their lab coats, the doctors carried guns—and it was all legal… sort of. American Pain was the brainchild of Chris George, a 27-year-old convicted drug felon. The son of a South Florida home builder, Chris George grew up in ultra-rich Wellington, where Bill Gates, Springsteen, and Madonna kept houses. Thick-necked from weightlifting, he and his twin brother hung out with mobsters, invested in strip clubs, brawled with cops, and grinned for their mug shots. After the housing market stalled, a local doctor clued in the brothers to the burgeoning underground market for lightly regulated prescription painkillers. In Florida, pain clinics could dispense the meds, and no one tracked the patients. Seizing the opportunity, Chris George teamed up with the doctor, and word got out. Just two years later Chris had raked in $40 million, and 90 percent of the pills his doctors prescribed flowed north to feed the rest of the country’s insatiable narcotics addiction. Meanwhile, hundreds more pain clinics in the mold of American Pain had popped up in the Sunshine State, creating a gigantic new drug industry. American Pain chronicles the rise and fall of this game-changing pill mill, and how it helped tip the nation into its current opioid crisis, the deadliest drug epidemic in American history. The narrative swings back and forth between Florida and Kentucky, and is populated by a gaudy and diverse cast of characters. This includes the incongruous band of wealthy bad boys, thugs and esteemed physicians who built American Pain, as well as penniless Kentucky clans who transformed themselves into painkiller trafficking rings. It includes addicts whose lives were devastated by American Pain’s drugs, and the federal agents and grieving mothers who labored for years to bring the clinic’s crew to justice.

The Addiction Solution

By Lloyd Sederer
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Simon and Schuster
  • Book Code : 1501179462
  • Total of Pages : 224
  • Category : Psychology
  • Members : 976
  • Pdf File: the-addiction-solution.pdf

Book Short Summary:

A groundbreaking, “timely and well-written” (Booklist, starred review) guide to addiction from a psychiatrist and public health doctor, offering practical, proven solutions for individuals, families, and communities dealing with substance use and abuse. Written with warmth, accessibility, and vast authority, The Addiction Solution is a practical guide through the world of drug use and abuse and addiction treatment. Here, Lloyd I. Sederer, MD, brings together scientific and clinical knowledge, policy suggestions, and case studies to describe our current drug crisis and establish a clear path forward to recovery and health. In a time when so many people are affected by the addiction epidemic, when 142 people die of overdoses every day in the United States, principally from opioids, Sederer’s decades of wisdom and clinical experience are needed more than ever before. With a timely focus on opioids, Sederer takes us through the proven essentials of addiction treatment and explains why so many of our current policies, like the lingering remnants of the War on Drugs, fail to help drug users, their families, and their wider communities. He identifies a key insight, often overlooked in popular and professional writing about addiction and its treatment: namely, that people who use drugs do so to meet specific needs, and that drugs may be the best solution those people currently have. Writing with generosity and empathy about the many Americans who use illicit and prescribed substances, Sederer lays out specific, evidence-based, researched solutions to the prevention and problems of drug use, including exercise, medications, therapy, recovery programs, and community services. “Comprehensive…well-informed and accessible” (Kirkus Reviews), The Addiction Solution provides invaluable help, comfort, and hope.

Opioids in Cancer Pain

By Karen Forbes
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : OUP Oxford
  • Book Code : 0191575186
  • Total of Pages : 168
  • Category : Medical
  • Members : 548
  • Pdf File: opioids-in-cancer-pain.pdf

Book Short Summary:

The World Health Organisation 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 the 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 prescribing 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.

Bottleneckers

By William Mellor,Dick M. Carpenter II
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Encounter Books
  • Book Code : 1594039089
  • Total of Pages : 440
  • Category : Business & Economics
  • Members : 890
  • Pdf File: bottleneckers.pdf

Book Short Summary:

Bottlenecker (n): a person who advocates for the creation or perpetuation of government regulation, particularly an occupational license, to restrict entry into his or her occupation, thereby accruing an economic advantage without providing a benefit to consumers. The Left, Right, and Center all hate them: powerful special interests that use government power for their own private benefit. In an era when the Left hates “fat cats” and the Right despises “crony capitalists,” now there is an artful and memorable one-word pejorative they can both get behind: bottleneckers. A “bottlenecker” is anyone who uses government power to limit competition and thereby reap monopoly profits and other benefits. Bottleneckers work with politicians to constrict competition, entrepreneurial innovation, and opportunity. They thereby limit consumer choice; drive up consumer prices; and they support politicians who willingly overstep the constitutional limits of their powers to create, maintain, and expand these anticompetitive bottlenecks. The Institute for Justice’s new book Bottleneckers coins a new word in the American lexicon, and provides a rich history and well-researched examples of bottleneckers in one occupation after another—from alcohol distributors to taxicab cartels—pointing the way to positive reforms.

Opioid Use, Overuse, and Abuse in Otolaryngology - E-Book

By Ryan J. Li
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323790178
  • Total of Pages : 244
  • Category : Medical
  • Members : 355
  • Pdf File: opioid-use-overuse-and-abuse-in-otolaryngology-e-book.pdf

Book Short Summary:

Prescription opioid abuse has become a major issue around the world, especially within the United States and Canada. Surgeons’ high rate of opioid prescriptions places them in a critical position of working with patients to manage their pain. Opioid Use, Overuse, and Abuse in Otolaryngology, edited by Dr. Ryan J. Li of Oregon Health and Sciences University, takes a comprehensive, practical look at the national opioid epidemic and provides specific otolaryngology-specific data on chronic opioid usage. Discusses perioperative pain management in otolaryngology from an anesthesiology perspective, perioperative pain management in pediatric otolaryngology, rhinology and anterior skull base surgery, facial plastic and reconstructive surgery, neurotology, head and neck cancers, and more. Offers nonopioid analgesic options for otolaryngology-head and neck surgery patients and discusses a structured approach to perioperative pain management. Presents the knowledge and expertise of leading experts who have assembled the most up-to-date recommendations for opioid use, overuse, and abuse, including international pain management approaches. Covers the history of perioperative pain management in otolaryngology-head and neck surgery.

The Role of Nonpharmacological Approaches to Pain Management

By National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Global Health,Board on Health Sciences Policy,Global Forum on Innovation in Health Professional Education,Forum on Neuroscience and Nervous System Disorders
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : National Academies Press
  • Book Code : 0309490944
  • Total of Pages : 138
  • Category : Medical
  • Members : 760
  • Pdf File: the-role-of-nonpharmacological-approaches-to-pain-management.pdf

Book Short Summary:

Pain is a leading cause of disability globally. The dramatic increase in opioid prescriptions within the past decade in the United States has contributed to the opioid epidemic the country currently faces, magnifying the need for longer term solutions to treat pain. The substantial burden of pain and the ongoing opioid crisis have attracted increased attention in medical and public policy communities, resulting in a revolution in thinking about how pain is managed. This new thinking acknowledges the complexity and biopsychosocial nature of the pain experience and the need for multifaceted pain management approaches with both pharmacological and nonpharmacological therapies. The magnitude and urgency of the twin problems of chronic pain and opioid addiction, combined with the changing landscape of pain management, prompted the National Academies of Sciences, Engineering, and Medicine to convene a workshop on December 4â€"5, 2018, in Washington, DC. The workshop brought together a diverse group of stakeholders to discuss the current status of nonpharmacological approaches to pain management, gaps, and future directions. This publication summarizes the presentations and discussions from the workshop.

Pain Control in Ambulatory Surgery Centers

By Kanishka Rajput,Nalini Vadivelu,Alan David Kaye,Rinoo Vasant Shah
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer Nature
  • Book Code : 3030552624
  • Total of Pages : 430
  • Category : Medical
  • Members : 319
  • Pdf File: pain-control-in-ambulatory-surgery-centers.pdf

Book Short Summary:

This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.

Managing Chronic Pain in an Age of Addiction

By Akhtar Purvez, MD
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Rowman & Littlefield
  • Book Code : 1538109247
  • Total of Pages : 170
  • Category : Health & Fitness
  • Members : 842
  • Pdf File: managing-chronic-pain-in-an-age-of-addiction.pdf

Book Short Summary:

Chronic pain is challenging to treat in the face of an ongoing opioid crisis. Akhtar Purvez’s authoritative account of pain management explores the complex and competing factors involved. He discusses approaches including advanced interventional procedures, non-opioid medications, physical therapy, and behavioral and psychologic support.

Opioid Therapy in Infants, Children, and Adolescents

By Ravi D. Shah,Santhanam Suresh
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer Nature
  • Book Code : 3030362876
  • Total of Pages : 354
  • Category : Medical
  • Members : 639
  • Pdf File: opioid-therapy-in-infants-children-and-adolescents.pdf

Book Short Summary:

Opioid analgesics are among the most effective medications for pain management but are associated with serious and increasing public health problems, including abuse, addiction, and death from overdose. Currently, there is an opioid epidemic in the United States with the rate of prescription opioid-related overdose deaths quadrupling over the last 15 years. Pediatric patients are particularly vulnerable to the devastating consequences of opioid misuse. Adolescents who are prescribed opioids are at a higher risk for abusing illicit drugs later in life. Clinicians managing pediatric pain must account for such issues while still delivering effective analgesia to young patients who suffer from both acute and chronic pain. Opioid Therapy in Children and Adolescents is designed to explore the unique aspects of opioid therapy in pediatric patients. An introductory framework provides historical context and describes the epidemiology of the opioid crisis with focus on pediatric implications. Subsequent chapters focus on pediatric opioid pharmacology, safe opioid prescribing practices, and non-opioid alternatives to managing pediatric pain states, including multimodal analgesic strategies, interdisciplinary approaches, and complementary medicine. Mitigation strategies against pediatric opioid diversion and misuse are addressed to help clinicians develop practice changes that protect pediatric patients from opioid-related morbidity and mortality. Clinical case examples are also utilized throughout the text to provide grounding for each chapter and a context within which to examine pertinent issues. This first of its kind book provides a comprehensive approach that will guide clinicians to appropriately and safely prescribe opioid analgesics to pediatric patients suffering from pain. It is an invaluable resource for pediatricians, family practitioners, anesthesiologists, pediatric oncologists, and other clinicians who manage pediatric pain.

Perioperative Pain Control: Tools for Surgeons

By Peter F. Svider,Anna A. Pashkova,Andrew P. Johnson
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer Nature
  • Book Code : 3030560813
  • Total of Pages : 348
  • Category : Medical
  • Members : 882
  • Pdf File: perioperative-pain-control.pdf

Book Short Summary:

According to the Centers for Disease Control and Prevention (CDC), there were nearly 40,000 opioid-related deaths in the U.S in the last year alone. These numbers have increased considerably for a variety of reasons, and the growing role of prescription drug abuse has been widely recognized. There has also been increasing consciousness of the lack of dedicated and formalized training dedicated to prescription of analgesics, particularly among surgical trainees and practicing surgeons. Recent studies demonstrate that only a small minority of training programs mandates any opioid prescribing education, despite the fact that nearly all programs allow trainee prescription of opioids on an outpatient basis. Therefore, it is not surprising that despite a growing body of literature illustrating the value of opioid alternatives and adjuncts, practicing surgeons in all specialties largely ignore these evidence-based practices and continue to prescribe opioids in situations for which alternatives are proven, safe, and effective. There are many reasons for preparing a concise and practical resource describing evidence-based practices targeting surgeons and surgical subspecialists, including but not limited to: (1) The exponential increase in prescription drug abuse associated with the “opioid epidemic,” as surgeons play an important role in managing perioperative and chronic pain in a variety of practice setting; this issue bears importance from the patient, physician, and policymaker standpoint; (2) With increasing recognition of the role of quality improvement in patient safety initiatives, and literature demonstrating inadequate opioid prescribing education (OPE) in surgical training programs, it is only a matter of time before accreditation bodies including the ACGME incorporate strong recommendations and mandates for OPE; (3) Myriad literature demonstrating the existence of evidence-based alternatives to opioids – All surgeons and surgical subspecialists would benefit from a practical guide concisely laying this literature out. We feel that surgeons of all experience levels may benefit, ranging from the first year surgical intern to an experienced practitioner trying to remain compliant with the evolving opioid regulatory environment. Hence, the appropriate target audience for this text would be for the tens of thousands of current surgical trainees in many specialties, including general surgery, thoracic surgery, otolaryngology, plastic surgery, urology, gynecology, vascular surgery, neurosurgery, and orthopedic surgery. Furthermore, surgeons out of training would be another audience of interest, as there are increasing courses for continuing medical education based on perioperative and chronic pain management. Currently, there are no comparable and competitive guides with these target audiences; all of the existing literature about perioperative and chronic pain is targeted either specifically for patients, anesthesiologists, or pain medicine physicians. This will be the only up to date guide focusing on evidence-based practices for perioperative pain control, and each section will also include information on chronic pain sequelae relevant to each surgical specialty. The editors envision this text being an interdisciplinary endeavor, incorporating surgeons from multiple specialties, anesthesiologists, pain medicine physicians, and palliative physicians as appropriate.

Pain Management in Plastic Surgery An Issue of Clinics in Plastic Surgery

By Reuben A. Bueno, Jr,Michael W. Neumeister
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323732852
  • Total of Pages : 240
  • Category : Medical
  • Members : 725
  • Pdf File: pain-management-in-plastic-surgery-an-issue-of-clinics-in-plastic-surgery.pdf

Book Short Summary:

This issue of Clinics in Plastic Surgery, guest edited by Drs. Michael W. Neumeister and Reuben A. Bueno Jr., is devoted to Pain Management in Plastic Surgery. Articles in this important issue include: Pain Pathways and Management in Plastic Surgery; The Opioid Epidemic; Principles of Pain Management in Plastic Surgery; Epidemiology and Treatment of Chronic Generalized Musculoskeletal Pain; Pediatric Pain Management in Plastic Surgery; Enhanced Recovery After Surgery (ERAS); Imaging of Damaged Nerves; Ischemic Pain; Nerve Entrapments; Neuromas; Targeted Muscle Reinnervation; Migraine Surgery; Complex Regional Pain Syndrome; Regenerative Peripheral Nerve Interfaces; and Postoperative Pain Management in Hand and Upper Extremity Surgeries.

Medical-Surgical Nursing - E-Book

By Donna D. Ignatavicius,M. Linda Workman,Cherie Rebar,Nicole M. Heimgartner
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323654045
  • Total of Pages : 1632
  • Category : Medical
  • Members : 783
  • Pdf File: medical-surgical-nursing-e-book.pdf

Book Short Summary:

Master the essential medical-surgical nursing content you’ll need for success on the Next Generation NCLEX® Exam (NGN) and safe clinical practice! Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition uses a conceptual approach to provide adult health knowledge and help you develop the clinical nursing judgment skills that today’s medical-surgical nurses need to deliver safe, effective care. "Iggy" emphasizes three emerging trends in nursing — interprofessional collaborative care, concept-based learning, and clinical judgment and systems thinking — trends that will ground you in how to think like a nurse and how to apply your knowledge in the classroom, simulation laboratory, and clinical settings. A perennial bestseller, "Iggy" also features NCLEX Exam-style Challenge and Mastery questions to prepare you for success on the NGN! Consistent use of interprofessional terminology promotes interprofessional collaboration through the use of a common healthcare language, instead of using isolated nursing-specific diagnostic language. UNIQUE! Enhanced conceptual approach to learning integrates nursing concepts and exemplars, providing a foundation in professional nursing concepts and health and illness concepts, and showing their application in each chapter. Unparalleled emphasis on clinical reasoning and clinical judgment helps you develop these vital skills when applying concepts to clinical situations. Emphasis on QSEN and patient safety focuses on safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alert, Critical Rescue, and Action Alert boxes. Direct, easy-to-read writing style features concise sentences and straightforward vocabulary. Emphasis on health promotion and community-based care reflects the reality that most adult health care takes place in environments outside of high-acuity (hospital) settings.

Nursing Interventions & Clinical Skills E-Book

By Anne Griffin Perry,Patricia A. Potter,Wendy Ostendorf
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323571034
  • Total of Pages : 896
  • Category : Medical
  • Members : 533
  • Pdf File: nursing-interventions-clinical-skills-e-book.pdf

Book Short Summary:

Master nursing skills with this guide from the respected Perry, Potter & Ostendorf author team! The concise coverage in Nursing Interventions & Clinical Skills, 7th Edition makes it easy to learn the skills most commonly used in everyday nursing practice. Clear, step-by-step instructions cover more than 160 basic, intermediate, and advanced skills — from measuring body temperature to insertion of a peripheral intravenous device — using evidence-based concepts to improve patient safety and outcomes. A streamlined, visual approach makes the book easy to read, and an Evolve companion website enhances learning with review questions and handy checklists for each clinical skill. Coverage of more than 160 skills and interventions addresses the basic, intermediate, and advanced skills you'll use every day in practice. Safe Patient Care Alerts highlight risks or other key information to know in performing skills, so you can plan ahead at each step of nursing care. Unique! Using Evidence in Nursing Practice chapter provides the information needed to use evidence-based care to solve clinical problems. Coverage of evidence-based nursing techniques includes the concept of care bundles, structured practices that improve patient safety and outcomes, in addition to the coverage of teach-back. Delegation & Collaboration guidelines help you make decisions in whether to delegate a skill to unlicensed assistive personnel, and indicates what key information must be shared. Teach-Back step shows how to evaluate the success of patient teaching, so you can see whether the patient understands a task or topic or if additional teaching may be needed. Recording guidelines describe what should be reported and documented after performing skills, with Hand-off Reporting sections listing important patient care information to include in the handoff. Special Considerations indicate the additional risks or accommodations you may face when caring for pediatric or geriatric patients, as well as patients in home care settings. A consistent format for nursing skills makes it easier to perform skills, organized by Assessment, Planning, Implementation, and Evaluation. Media resources include skills performance checklists on the Evolve companion website and related lessons, videos, and interactive exercises on Nursing Skills Online. NEW! 2017 Infusion Nurses Society standards are included on administering IVs and on other changes in evidence-based practice. NEW Disaster Preparedness chapter focuses on caring for patients after biological, chemical, or radiation exposure. NEW! SBAR samples show how to quickly and effectively communicate a patient’s condition in terms of Situation, Background, Assessment, and Recommendation. NEW! Practice Reflections sections include a clinical scenario and questions, helping you reflect on clinical and simulation experiences. NEW! Three Master Debriefs help you develop a better understanding of the "big picture" by synthesizing skill performance with overall patient care.

Practical Management of Pain E-Book

By Honorio MD Benzon,James P. Rathmell,Christopher L. Wu,Dennis C. Turk,Charles E. Argoff,Robert W Hurley
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323711022
  • Total of Pages : 1200
  • Category : Medical
  • Members : 357
  • Pdf File: practical-management-of-pain-e-book.pdf

Book Short Summary:

For more than 30 years, Practical Management of Pain has offered expert guidance to both clinicians and trainees, covering every aspect of acute and chronic pain medicine for adult and pediatric patients. The fully revised 6th Edition brings you fully up to date with new developments in patient evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. Edited by a team of renowned pain clinicians led by Dr. Honorio Benzon, this authoritative reference is a comprehensive, practical resource for pain diagnosis and treatment using a variety of pharmacologic and physical modalities. Presents a wealth of information in a clearly written, easily accessible manner, enabling you to effectively assess and draw up an optimal treatment plan for patients with acute or chronic pain. Takes a practical, multidisciplinary approach, making key concepts and techniques easier to apply to everyday practice. Shares the knowledge and expertise of global contributors on all facets of pain management, from general principles to specific management techniques. Discusses the latest, best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents such as topical analgesics. Covers recent global developments regarding opioid induced hyperalgesia, neuromodulation and pain management, and identification of specific targets for molecular based pain. Includes current information on the use of cannabinoids in pain management and related regulatory, professional, and legal considerations. Includes the latest guidelines on facet injections and safety of contrast agents. Provides new, evidence-based critical analysis on treatment modality outcomes and the latest information on chronic pain as a result of surgical interventions.

Fighting the Opioid Epidemic

By Amitava Dasgupta
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier
  • Book Code : 0128223901
  • Total of Pages : 160
  • Category : Medical
  • Members : 388
  • Pdf File: fighting-the-opioid-epidemic.pdf

Book Short Summary:

Fighting the Opioid Epidemic: The Role of Providers and the Clinical Laboratory in Understanding Who Is Vulnerable covers the important aspects that are essential in fighting the opioid epidemic. This succinct reference highlights how the toxicology laboratory can play a vital role in fighting the opioid epidemic by implementing a robust system for drugs of abuse testing as well as drug testing in pain management patients. It targets health care professionals in a technical manner, discussing polymorphisms of important genes that may be associated with increased vulnerability of alcohol and drug addiction to an individual. Covers all important aspects of opioid abuse, including genetic and environmental factors Discusses pharmacology, toxicology and the pharmacogenomics related to opioid metabolism Presents genetic and environmental factors associated with those vulnerable to opioid addiction, as well as the pitfalls of drug testing in pain management

Managing Cancer Breakthrough Pain

By Donald R Taylor
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer Science & Business Media
  • Book Code : 1908517832
  • Total of Pages : 98
  • Category : Medical
  • Members : 953
  • Pdf File: managing-cancer-breakthrough-pain.pdf

Book Short Summary:

Managing Cancer Breakthrough Pain is a comprehensive review of cancer breakthrough pain (cBTP) and rapid-onset opioids (ROO), the only treatment approved for cBTP episodes. The book was originally commissioned due to the current rapid growth of the ROO market and the epidemic of ROO abuse. This book will review the historical background and definitions of cBTP and ROOs, assessment methods to determine types of cBTP, US- and EU-approved ROOs, case studies (which will provide practical applications of ROO treatment options), ROO abuse and screening methods, and the FDA-mandated TIRF REMS Access program (Transmucosal Immediate Release Fentanyl Risk Evaluation and Mitigation Strategies Access program). Busy healthcare professionals who have a basic understanding of cancer pain but want to learn more about cBTP and ROOs will benefit from this concise guide that will help them quickly understand the complexities of cBTP episodes and ROOs.

Acute Pain Management Essentials

By Alan David Kaye,Richard D. Urman
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Lippincott Williams & Wilkins
  • Book Code : 1975164865
  • Total of Pages : 568
  • Category : Medical
  • Members : 868
  • Pdf File: acute-pain-management-essentials.pdf

Book Short Summary:

Covering both surgical and non-surgical pain, Acute Pain Management Essentials is a comprehensive, clinically oriented reference for the entire acute pain management team. Edited by Drs. Alan David Kaye and Richard D. Urman, this new title brings together the expertise of contributing authors from anesthesiology, medicine, surgery, and allied health professions to offer an interdisciplinary approach to this complex and fast-changing field. Beginning with an overview of basic principles, it then approaches pain management by organ system, by patient population, and by treatment modality, ending with review of subspecialty considerations and related topics.

European Pain Management

By Christopher Eccleston,Christopher Wells,Bart Morlion
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Oxford University Press
  • Book Code : 0191088714
  • Total of Pages : 304
  • Category : Medical
  • Members : 967
  • Pdf File: european-pain-management.pdf

Book Short Summary:

The European Pain Federation EFIC is made up of Chapters of the International Association for the Study of Pain (IASP). Its Health Care Professionals look after a population of over 740 million people in its 37 member countries. European Pain Management provides a review of the organization and delivery of pain care in the 37 European countries. Leaders in the field of pain management from each country offer a chapter on how their health and pain care services are organized, the demands of their specific populations, the specific national challenges they face, and examples of innovations and advances. After this comprehensive summary, key experts in the field discuss issues that are pertinent to all the European nations; ranging from working with young people to managing opioids, and the rise of pain as a specialism. The final chapter pulls together themes from across the entire book, making a call to envision a new form of pain management for a new Europe. European Pain Management provides an authoritative summary, description, and discussion of the challenges and opportunities for improving the care of people living in pain.

Basics of Anesthesia E-Book

By Manuel Pardo,Ronald D. Miller
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323508901
  • Total of Pages : 856
  • Category : Medical
  • Members : 235
  • Pdf File: basics-of-anesthesia-e-book.pdf

Book Short Summary:

The undisputed leading text in its market, Basics of Anesthesia, 7th Edition, provides comprehensive coverage of both basic science and clinical topics in anesthesiology. Drs. Manuel C. Pardo, Jr. and Ronald D. Miller, in conjunction with many new contributors, have ensured that all chapters are thoroughly up to date and reflect the latest advances in today’s practice. Unparalleled authorship, concise text, easy-to-read chapters, and a user-friendly format make this text the #1 primer on the scope and practice of anesthesiology. Presents the combined expertise of two of the most prolific and renowned anesthesia experts worldwide, along with more than 80 expert contributing authors. Uses a concise, at-a-glance format to cover both the basic science and essential clinical aspects of the field, including pathophysiology, pharmacology, regional anesthesia, anesthetic management, and special problems and patient groups. Features high-quality images that offer a detailed visual understanding of regional anesthesiology and much more. Includes new topics and chapters on Neurotoxicity of Anesthesia, Palliative Care, Sleep Medicine, Perioperative Surgical Home, Trauma, and Natural/Human-Induced Disasters.

Chronic Pain Management in General and Hospital Practice

By Koki Shimoji,Antoun Nader,Wolfgang Hamann
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Springer Nature
  • Book Code : 9811529337
  • Total of Pages : 552
  • Category : Medical
  • Members : 723
  • Pdf File: chronic-pain-management-in-general-and-hospital-practice.pdf

Book Short Summary:

This book covers a range of topics, from the cause and identity of pain, to pain relief management. Starting from the mechanism of pain, it continues to pain management techniques such as nerve blocks, drugs (pain killers), noninvasive manipulations psychological techniques and electric management, before describing the management of various painful conditions such as headaches, back pain, extremities pain, post-herpetic pain or complex regional pain syndrome. It also provides the format of case reports which can be used to explain management options. A novel feature of the book is that it provides additional insights into how clinicians involve patients in treating their own pain through guided self-assessment and self-management. Recent studies have revealed that pain is not only a biological alarm that warns of disease, but can also be the disease itself, or the catalyst of a vicious circle of pain and disease. Providing rapid pain relief is often effective in sparking the rapid recovery from various diseases. This book offers the perfect guide for all clinicians, not only those working at pain clinics but all those who have to treat patients who are in pain.

Pain Management for the Otolaryngologist An Issue of Otolaryngologic Clinics of North America, E-Book

By Anna.A Pashkova,Peter.F Svider,Jean Anderson Eloy
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : Elsevier Health Sciences
  • Book Code : 0323733042
  • Total of Pages : 240
  • Category : Medical
  • Members : 488
  • Pdf File: pain-management-for-the-otolaryngologist-an-issue-of-otolaryngologic-clinics-of-north-america-e-book.pdf

Book Short Summary:

This issue of Otolaryngologic Clinics, Guest Edited by Drs. Anna A. Pashkova, Peter F. Svider, and Jean Anderson Eloy, is devoted to Pain Management for the Otolaryngologist. This issue is one of six selected each year by our series Consulting Editor, Sujana S. Chandrasekhar. Articles in this important issue include: Overview of Pain Management for the Otolaryngologist; Pre-Operative Optimization; Local Blocks and Regional Anesthesia in the Head and Neck; Acute Pain Management following Head and Neck Surgery; Acute Pain Management following Sleep Surgery; Perioperative Analgesia for Thyroid and Parathyroid Surgery; Perioperative Analgesia for Sinus Surgery; Perioperative Analgesia following Otologic Surgery; Acute Pain Management following Facial Plastic Surgery; Perioperative Analgesia for Pediatric Patients Undergoing Otolaryngologic Procedures; Non-Opioid Adjuncts and Alternatives; Postoperative Analgesia in the Chronic Pain Patient; Non-Enteral Pain Management; Chronic Pain Management in the Head and Neck Patient; Controlled Substance Agreements; Pain Psychology; Sinus Headache; and Quality Improvement in Pain Medicine.

The Pain Management Workbook

By Rachel Zoffness
  • File : Pdf, ePub, Mobi, Kindle
  • Publisher : New Harbinger Publications
  • Book Code : 1684036461
  • Total of Pages : 240
  • Category : Health & Fitness
  • Members : 797
  • Pdf File: the-pain-management-workbook.pdf

Book Short Summary:

Change your brain, change your pain with this powerful, evidence-based workbook. If you’re struggling with chronic pain, you’re not alone: more than one hundred million Americans currently live with chronic pain. Yet, despite its prevalence, chronic pain is not well understood. Fortunately, research has emerged showing the effectiveness of a treatment model for pain management grounded in biology, psychology, and social functioning. In this groundbreaking workbook, you’ll find a comprehensive outline of this effective biopsychosocial approach, as well as scientifically supported interventions rooted in cognitive- behavioral therapy (CBT), mindfulness, and neuroscience to help you take control of your pain—and your life! You’ll learn strategies for creating a pain plan for home and work, reducing reliance on medications, and breaking the pain cycle. Also included are tips for improving sleep, nutrition for pain, methods for resuming valued activities, and more. If you’re ready to take your life back from pain, this workbook has everything you need to get started.