Opioid Sensitivity Of Chronic Noncancer Pain

Author : Eija Kalso,Henry J. McQuay
Publisher : Progress in Pain Research and
Page : 424 pages
File Size : 52,5 Mb
Release : 1999
Category : Medical
ISBN : UOM:39015041889646

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Opioid Sensitivity of Chronic Noncancer Pain by Eija Kalso,Henry J. McQuay Pdf

Contains papers from the first international research symposium of the International Association for the Study of Pain, held in Helsinki, Finland, Fall 1998. Focus is on opioid responsiveness to neuropathic pain. Papers are arranged in sections on function and dysfunction of opioid receptors, clinical pharmacology of opioids, understanding and improving opioid sensitivity, and opioid sensitivity of different chronic pain states. Specific topics include targeting of opioid receptors to presynaptic sites, route of opioid administration, phenotypic changes induced in dorsal root ganglion neurons by nerve injury, and opioids in headache. Kalso is currently affiliated with the Karolinska Institute in Sweden. IASP member price, $44.85. Annotation copyrighted by Book News, Inc., Portland, OR.

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 : 52,6 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.

Author : Cathy Stannard,Michael Coupe,Tony Pickering
Publisher : OUP Oxford
Page : 122 pages
File Size : 53,5 Mb
Release : 2013-03-21
Category : Medical
ISBN : 9780191667213

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Opioids in Non-Cancer Pain by Cathy Stannard,Michael Coupe,Tony Pickering Pdf

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

Author : Jane Ballantyne,David J. Tauben
Publisher : Oxford University Press
Page : 156 pages
File Size : 40,6 Mb
Release : 2013-03-21
Category : Medical
ISBN : 9780199768882

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Expert Decision Making on Opioid Treatment by Jane Ballantyne,David J. Tauben Pdf

This book offers expert, balanced, concise guidance on how clinicians can navigate a number of complex considerations to formulate a treatment plan for chronic pain that either includes or advisedly excludes opioids.

Author : World Health Organization
Publisher : Unknown
Page : 0 pages
File Size : 52,8 Mb
Release : 1981
Category : Cancer pain
ISBN : OCLC:1392411454

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WHO Guidelines for the Pharmacological and Radiotherapeutic Management of Cancer Pain in Adults and Adolescents by World Health Organization Pdf

Author : Michael H. Ebert,Robert D. Kerns
Publisher : Cambridge University Press
Page : 507 pages
File Size : 55,8 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.

Author : Howard S. Smith
Publisher : Oxford University Press
Page : 306 pages
File Size : 44,9 Mb
Release : 2008-02-27
Category : Medical
ISBN : 0199713111

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Opioid Therapy in the 21st Century by Howard S. Smith Pdf

Over the last thirty years, the concern of Pain Medicine practitioners about the potential for their patients to develop a dependence on opioids has left opioid therapy as a largely underutilized treatment. While there is no simple answer to chronic pain, opioids remain the only class of drugs capable of providing relief to patients experiencing serious pain. Opioid Therapy in the 21st Century, Second Edition fills a dearth of clinical knowledge about analgesics to aid practitioners in weighing the risks versus the benefits of opioid therapy for their chronic pain patients. This second edition provides updated information on recently approved opioids as well as approved indications for older opioids and clinical trials. Part of the Oxford American Pain Library, this concise guide serves as a practical, accessible reference for physicians across the range of primary care and medical specialties. It includes an overview of appropriate clinical applications of opioids, covering such topics as opioid pharmacology, route selection, and individualization of therapy, as well as strategies for managing and mitigating the risk of abuse, addiction, and diversion. There are also special sections dedicated to the unique needs of pediatric, geriatric, and palliative care patient populations.

Author : Hermann O. Handwerker,Lars Arendt-Nielson
Publisher : Lippincott Williams & Wilkins
Page : 914 pages
File Size : 43,6 Mb
Release : 2015-06-01
Category : Medical
ISBN : 9781496331939

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Pain Models by Hermann O. Handwerker,Lars Arendt-Nielson Pdf

The neurobiology and mechanisms discovered in animals often do not translate to patients with a chronic pain condition. To help researchers and clinicians develop and use models that can help translate data from animals into humans, this book presents experimental animal models, with a focus on how they may translate into humans human experimental pain models, including details about pain induction and assessment human surrogate pain models clinical applications of pain models models that may link mechanisms of pain and pruritus Pain Models contains 29 chapters by internationally recognized experts. It is a comprehensive survey of pain models at different levels, and commentaries by clinicians directly address clinical perspectives. This unique book is unprecedented in its content. It's a quick reminder of the hard work needed to investigate the complex issue of pain perception. With the advent of increasingly sensitive noninvasive investigational tools, the authors want readers to know that basic research is still needed to help develop new drugs. This book will enrich anyone who wishes to know all that goes into conducting pain research with a lab-based pain model.

Author : Raymond S. Sinatra
Publisher : Cambridge University Press
Page : 729 pages
File Size : 55,5 Mb
Release : 2009-04-27
Category : Medical
ISBN : 9780521874915

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Acute Pain Management by Raymond S. Sinatra Pdf

This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Author : Michael R. Clark,Glenn J. Treisman
Publisher : Karger Medical and Scientific Publishers
Page : 171 pages
File Size : 50,7 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.

Author : Pamela E. Macintyre,Stephan A. Schug
Publisher : CRC Press
Page : 262 pages
File Size : 41,9 Mb
Release : 2021-06-20
Category : Medical
ISBN : 9781000379716

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Acute Pain Management by Pamela E. Macintyre,Stephan A. Schug Pdf

With a focus on practical acute pain management in adults in the hospital setting, this book provides health professionals with simple and practical information to help them manage patients with acute pain safely and effectively. • Combines evidence-based information with practical guidelines and protocols • Covers the pharmacology of opioids, local anesthetics, and nonopioid and adjuvant analgesic agents • Discusses management of acute pain in both surgical and nonsurgical acute pain settings including in patients with spinal cord or burns injuries and selected medical illnesses • Includes evidence-based information about management of acute pain in some specific patient groups , including the older patient, opioid-tolerant patients, and those with addiction disorders, pregnant or lactating patients and patients with obstructive sleep apnea or who have renal or hepatic impairment • Considers the role of acute pain management in the context of the current opioid epidemic and identifies possible strategies to minimise the risks. This resource will be helpful to a variety of professionals in assessing and managing acute pain.

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 : 45,5 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.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Evidence-Based Clinical Practice Guidelines for Prescribing Opioids for Acute Pain
Publisher : National Academies Press
Page : 223 pages
File Size : 51,6 Mb
Release : 2020-03-20
Category : Medical
ISBN : 9780309496872

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Framing Opioid Prescribing Guidelines for Acute Pain by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Evidence-Based Clinical Practice Guidelines for Prescribing Opioids for Acute Pain Pdf

The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.

Author : Eric L. Garland
Publisher : NASW Press
Page : 206 pages
File Size : 44,5 Mb
Release : 2013
Category : Mindfulness-based cognitive therapy
ISBN : 0871014459

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Mindfulness-oriented Recovery Enhancement for Addiction, Stress, and Pain by Eric L. Garland Pdf

"Human existence can be beset by a variety of negative mental states such that life seems devoid of meaning, but it can also be liberated--a meaningful life reclaimed and savored through cultivation of a higher kind of mind. This quality, mindfulness, refers to both a set of contemplative practices and certain distinct psychological states and traits, and it can be cultivated through intentional effort and training. In Mindfulness-Oriented Recovery Enhancement for Addiction, Stress, and Pain, Eric L. Garland presents an innovative program of intervention that can be put into practice by therapists working with people struggling with addiction and the conditions that underlie it. Unlike other substance abuse treatment modalities, which focus largely on relapse prevention, Mindfulness-Oriented Recovery Enhancement (MORE) concentrates on helping people to recover a sense of meaning and fulfillment in everyday life, embracing its pleasures and pain without avoiding challenges by turning to substance use. Along with chapters on the bipsychosocial model underlying MORE and the current state of research on mindfulness, this book includes a complete treatment manual laying out for clinicians, step by step, how to run MORE groups--including adaptations to address chronic pain and prescription opioid misuse-- and enhance the holistic recovery process for people striving to overcome addiction. With addiction a widespread and growing problem in our society, Mindfulness-Oriented Recovery Enhancement could not be more timely or needed. It integrates the latest research on addiction, cognitive neuroscience, positive psychology, and mindfulness into a practice that has garnered empirical support and holds the promise of release and fulfillment for those who suffer from addiction."--Publisher's website.

Author : Pamela E. Macintyre,S. Schug,D. Scott,E. Visser,S. Walker
Publisher : Unknown
Page : 491 pages
File Size : 46,8 Mb
Release : 2010-01-01
Category : Analgesia
ISBN : 0977517446

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Acute Pain Management by Pamela E. Macintyre,S. Schug,D. Scott,E. Visser,S. Walker Pdf