Managing Chronic Pain In An Age Of Addiction

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Managing Chronic Pain in an Age of Addiction

Author : Akhtar Purvez
Publisher : Rowman & Littlefield
Page : 216 pages
File Size : 55,6 Mb
Release : 2018-10-15
Category : Health & Fitness
ISBN : 9781538109243

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Managing Chronic Pain in an Age of Addiction by Akhtar Purvez Pdf

As a nation, we are facing an unprecedented opioid crisis that is killing more than 65,000 people a year. It is destroying our families and decimating our neighborhoods. And it is costing us billions. As more and more people are dealing with chronic pain, and as the opioid crisis reaches epic proportions, alternative approaches to understanding pain and its management are necessary. Here, Dr. Akhtar Purvez, a seasoned researcher, pain specialist, and pain advocate, offers basic information about pain and pain conditions and considers how we approach pain from cultural, biological, and medical perspectives. He discusses the latest minimally invasive, interventional approaches like nerve blocks and ablation procedures, and neuromodulation techniques like peripheral nerve, spinal cord, and brain stimulation. The uses of marijuana and associated interventions is reviewed, and Purvez walks readers through the process of assessing pain, finding a doctor who can treat it, and methods for coping with pain through non-medical approaches like meditation. Anyone coping with pain or helping someone who is will find here a ready resource that offers hope and understanding.

Pain Management and the Opioid Epidemic

Author : 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
Publisher : National Academies Press
Page : 483 pages
File Size : 54,6 Mb
Release : 2017-09-28
Category : Medical
ISBN : 9780309459570

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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 Pdf

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.

Chronic Pain and Addiction

Author : Michael R. Clark,Glenn J. Treisman
Publisher : Karger Medical and Scientific Publishers
Page : 171 pages
File Size : 53,8 Mb
Release : 2011-01-01
Category : Medical
ISBN : 9783805597258

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Chronic Pain and Addiction by Michael R. Clark,Glenn J. Treisman Pdf

The relationship between chronic pain and addiction Patients with chronic pain understandably seek relief from their distress and discomfort, but many medications that alleviate pain are potentially addictive, and most chronic pain conditions only have a temporary response to opiate analgesic drugs. This volume reviews the fundamental topics that underlie the complex relationships of this controversial domain. The authors review behavioral models and practical methods for understanding and treating chronic pain and addiction including methods to formulate patients with complex comorbidity and screen patients with chronic pain for addictive liability. Finally, the authors describe the current findings from clinical and basic science that illuminate the role of opiates, cannabinoids and ketamine in the treatment of chronic pain. Up to date and comprehensive, this book is relevant to all professionals engaged in the care of patients with chronic pain or addiction and all others interested in these contemporary issues, particularly non-clinicians seeking clarity in the controversy over the best approach to patients with chronic pain.

Avoiding Opioid Abuse While Managing Pain

Author : Lynn R. Webster,Beth Dove
Publisher : Sunrise River Press
Page : 250 pages
File Size : 52,8 Mb
Release : 2007-06
Category : Medical
ISBN : 9781934716281

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Avoiding Opioid Abuse While Managing Pain by Lynn R. Webster,Beth Dove Pdf

A guide for clinicians who prescribe opioids. Sorts out the clinical, regulatory, and ethical issues associated with prescribing opioid analgesics.

The American Society of Addiction Medicine Handbook on Pain and Addiction

Author : Ilene Robeck,Melvin Pohl,Michael Weaver
Publisher : Oxford University Press
Page : 449 pages
File Size : 44,7 Mb
Release : 2018
Category : Medical
ISBN : 9780190265366

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The American Society of Addiction Medicine Handbook on Pain and Addiction by Ilene Robeck,Melvin Pohl,Michael Weaver Pdf

This title provides clinical considerations and guidelines for the clinician treating patients with pain and addiction. The text is structured in five sections that cover the core concepts of addressing pain and addiction; diagnosis and treatment; treating pain in patients with, or at risk for, co-occuring addiction; treating substance use disorders (SUD) and addiction in patients with co-occuring pain; and adapting treatment to the needs of specific populations. Each chapter ends with suggestions for further reading on the topics discussed

Managing Patients with Chronic Pain and Opioid Addiction

Author : Donald R. Taylor
Publisher : Unknown
Page : 128 pages
File Size : 49,5 Mb
Release : 2015
Category : Electronic
ISBN : 3319081128

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Managing Patients with Chronic Pain and Opioid Addiction by Donald R. Taylor Pdf

This text will provide readers with a thorough review of the complex condition of chronic pain and addictions. The book was originally commissioned due to the need in the field for more literature on the topic. This concise pocket book will review epidemiology, clinical features, diagnosis, and medical management of both chronic pain and addiction. Busy healthcare professionals will benefit from this text, which will not only cover the foundation of the management of both conditions and together, but discuss up-to-date national and international treatment guidelines, upcoming therapies and REMS.

Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Board on Health Care Services,Roundtable on Quality Care for People with Serious Illness
Publisher : National Academies Press
Page : 105 pages
File Size : 55,8 Mb
Release : 2019-08-01
Category : Medical
ISBN : 9780309492232

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Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Board on Health Care Services,Roundtable on Quality Care for People with Serious Illness Pdf

The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their pain, coupled with a widespread misunderstanding of the addictive properties of opioids. This increase in prescribing of opioids also saw a parallel increase in addiction and overdose. In an effort to address this ongoing epidemic of opioid misuse, policy and regulatory changes have been enacted that have served to limit the availability of prescription opioids for pain management. Overlooked amid the intense focus on efforts to end the opioid use disorder epidemic is the perspective of clinicians who are experiencing a significant amount of daily tension as opioid regulations and restrictions have limited their ability to treat the pain of their patients facing serious illness. Increased public and clinician scrutiny of opioid use has resulted in patients with serious illness facing stigma and other challenges when filling prescriptions for their pain medications or obtaining the prescription in the first place. Thus clinicians, patients, and their families are caught between the responses to the opioid use disorder epidemic and the need to manage pain related to serious illness. The National Academies of Sciences, Engineering, and Medicine sponsored a workshop on November 29, 2018, to examine these unintended consequences of the responses to the opioid use disorder epidemic for patients, families, communities, and clinicians, and to consider potential policy opportunities to address them. This publication summarizes the presentations and discussions from the workshop.

Chronic Pain Management for the Hospitalized Patient

Author : Richard W. Rosenquist,Dmitri Souzdalnitski,Richard D. Urman
Publisher : Oxford University Press
Page : 441 pages
File Size : 44,6 Mb
Release : 2016
Category : Medical
ISBN : 9780199349302

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Chronic Pain Management for the Hospitalized Patient by Richard W. Rosenquist,Dmitri Souzdalnitski,Richard D. Urman Pdf

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.

Behavioral and Psychopharmacologic Pain Management

Author : Michael H. Ebert,Robert D. Kerns
Publisher : Cambridge University Press
Page : 507 pages
File Size : 54,6 Mb
Release : 2010-11-25
Category : Medical
ISBN : 9781139493543

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Behavioral and Psychopharmacologic Pain Management by Michael H. Ebert,Robert D. Kerns Pdf

Pain is the most common symptom bringing a patient to a physician's attention. Physicians training in pain medicine may originate from different disciplines and approach the field with varying backgrounds and experience. This book captures the theory and evidence-based practice of behavioral, psychotherapeutic and psychopharmacological treatments in modern pain medicine. The book's contributors span the fields of psychiatry, psychology, anesthesia, neurology, physical medicine and rehabilitation, and nursing. Thus the structure and content of the book convey the interdisciplinary approach that is the current standard for the successful practice of pain management. The book is designed to be used as a text for training fellowships in pain medicine, as well as graduate courses in psychology, nursing, and other health professions.

Pain Care Essentials and Innovations

Author : Sanjog Pangarkar,Quynh G. Pham,Blessen C. Eapen
Publisher : Elsevier Health Sciences
Page : 296 pages
File Size : 46,8 Mb
Release : 2020-06-30
Category : Medical
ISBN : 9780323722179

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Pain Care Essentials and Innovations by Sanjog Pangarkar,Quynh G. Pham,Blessen C. Eapen Pdf

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.

Practical Pain Management

Author : C. David Tollison,John R. Satterthwaite,Joseph W. Tollison
Publisher : Lippincott Williams & Wilkins
Page : 860 pages
File Size : 51,5 Mb
Release : 2002
Category : Medical
ISBN : 0781731607

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Practical Pain Management by C. David Tollison,John R. Satterthwaite,Joseph W. Tollison Pdf

Thoroughly revised to reflect contemporary diagnostics and treatment, this Third Edition is a comprehensive and practical reference on the assessment and management of acute and chronic pain. This edition features 14 new chapters and is filled with new information on invasive procedures...pharmacologic interventions...neuraxial pharmacotherapy...physical and occupational therapies...diagnostic techniques...pain in terminally ill patients...cancer pain...visceral pain...rheumatologic disorders...managed care...and medicolegal issues. Reorganized with two new sections focusing on diagnostics and cancer pain. A Brandon-Hill recommended title.

Relieving Pain in America

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Advancing Pain Research, Care, and Education
Publisher : National Academies Press
Page : 383 pages
File Size : 50,9 Mb
Release : 2011-10-26
Category : Medical
ISBN : 9780309214841

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Relieving Pain in America by Institute of Medicine,Board on Health Sciences Policy,Committee on Advancing Pain Research, Care, and Education Pdf

Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

You Are Not Your Pain

Author : Vidyamala Burch,Danny Penman
Publisher : Flatiron Books
Page : 256 pages
File Size : 41,5 Mb
Release : 2015-01-06
Category : Health & Fitness
ISBN : 9781250053817

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You Are Not Your Pain by Vidyamala Burch,Danny Penman Pdf

Developed by two authors, Vidyamala Burch and Danny Penman who themselves have struggled with severe pain after sustaining serious injuries, You Are Not Your Pain reveals a simple eight-week program of mindfulness-based practices that will melt away your suffering. Accompanied by audio to guide you, the eight meditations in this book take just ten to twenty minutes per day and have been shown to be as effective as prescription painkillers to soothe some of the most common causes of pain. These mindfulness-based practices soothe the brain's pain networks, while also significantly reducing the anxiety, stress, exhaustion, irritability, and depression that often accompanies chronic pain and illness. Whether you experience back pain, arthritis, or migraines, are suffering from fibromyalgia, celiac disease, or undergoing chemotherapy, you will quickly learn to manage your pain and live life fully once again. Note: Audio meditations are embedded within the ebook. If your device cannot play the audio, you will be redirected to the same content online

Addiction in the Older Patient

Author : Maria Sullivan,Frances R. Levin
Publisher : Oxford University Press
Page : 329 pages
File Size : 55,6 Mb
Release : 2016
Category : Medical
ISBN : 9780199392063

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Addiction in the Older Patient by Maria Sullivan,Frances R. Levin Pdf

This text focuses on the under-recognized and undertreated problem of addiction in later life. The widespread lack of clinical knowledge about this patient population can be traced to several sources: the systematic exclusion of older individuals from clinical trials; their reluctance to seek medical help owing to stigma and shame; the fact that additive disorders may be disguised by concurrent medical conditions; a lack of screening instruments tailored to an older population; and the low sensitivity of standard diagnostic criteria for detecting addiction in middle-aged and elderly adults who do not display the occupational and legal "red flags" seen in younger individuals. This volume provides the reader with a clear sense of the surprisingly high prevalence of alcohol and substance use disorders in older adults. For each of the major classes of addictive substances, both prescribed and illicit, this book highlights the key clinical issues that can complicate successful diagnosis. The authors describe strategies for initial engagement with the patient, including screening instruments, brief interventions which can be adapted to a primary care setting, emerging web-based and mobile technologies, and treatment strategies which are tailored to the age-appropriate needs of older adults, including older women - who have been found to be especially vulnerable to prescription drug misuse. With the aging of the baby boomers, a generation arriving in middle-age with greater exposure to alcohol and drugs than any previous cohort, the need for successful identification and effective treatment of alcohol and substance use disorders in later life has become a clinical imperative. Addiction in the Older Patient, whose editors bring more than 40 years of combined research and clinical experience in the field of addiction treatment, offers a comprehensive introduction to this underexplored and timely topic. This text synthesizes current clinical evidence to support the most effective strategies for discovering and treating addictive disorders in our older patients.

Case Studies in Pain Management

Author : Alan David Kaye,Rinoo V. Shah
Publisher : Cambridge University Press
Page : 547 pages
File Size : 54,6 Mb
Release : 2014-10-16
Category : Medical
ISBN : 9781107682894

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Case Studies in Pain Management by Alan David Kaye,Rinoo V. Shah Pdf

Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.