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The world's foremost expert draws on the latest research to present an accessible look at the causes and consequences of pain, both mental and physical. Patrick Wall shows that pain is a matter of behavioral manifestation and differs among individuals, situations, and cultures. Wall provides a wealth of fascinating and sometimes disturbing historical detail, such as famous characters who derived pleasure from pain, the unexpected reactions of injured people, the role of endorphins, and the power of placebo. He covers cures of pain, ranging from drugs and surgery, through relaxation techniques and exercise, to acupuncture, electrical nerve stimulation, and herbalism.
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.
"In Living Through Pain, Kristin Swenson charts the multifaceted personal and social problems caused by chronic pain. This book also surveys professional efforts to mitigate and manage pain. Because the experience of pain involves all aspects of a person - body, mind, spirit, and community - Swenson consults an ancient resource for wisdom, perspective, and insight. Her close reading of selected psalms from the Hebrew Bible demonstrates that the challenge of living through pain is timeless. Living Through Pain chronicles how these ancient texts offer a vocabulary and grammar for understanding and expressing the contemporary experience of pain. Pain is a universal experience, and this book invites readers to consider more fully what is involved in the process of healing."--BOOK JACKET.
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.
Accessible to all health care professionals, this text provides a guide to understanding and managing back pain and is one of the premier examples of a biopsychosocial approach to medicine. The content challenges unsubstantiated beliefs regarding the best way to treat and manage back pain and presents an interdisciplinary debate on the subject. In a society where patients are demanding more effective approaches to their problems, this resource offers a radical rethink, a necessary step to achieving a more effective method of treatment. The unorthodox spirit of this material places this book at the center of the revolution taking place in the back pain area. - Gordon Waddell is the world authority on the topic of the back pain revolution. - The content addresses huge problems of concern to many disciplines and governments. - The unbiased, open-minded view looks at the issues and the evidence and invites the readers to consider, debate, and agree on the best course of action. - Comprehensive coverage of all aspects of the problem offers both interventionist and conservative approaches to treatment, psychosocial issues, economic factors, patient education, and prevention. - New chapter on Occupational Health Guidelines involving new co-author - Chapters on Social Interactions and A New Clinical Model both completely rewritten - Chapters on Clinical Guidelines and Information and Advice for Patients both completely rewritten with new co-authors - Major new research findings incorporated throughout - The 'message', the size of the book, the overall style, and the target audience are be unchanged from the successful first edition. - The simple style and readability of the first edition has been carefully maintained.
The most common medical problem in America today, chronic pain is more prevalent than cancer, heart disease, and diabetes combined. Yet tens of millions of people struggle with pain because they can't find someone who understands how much pain affects their lives--and because they live in a culture where pain is dismissed. Internationally recognized pain specialist Dr. Lynn Webster validates the debilitating nature of pain, offers practical answers, and helps you become a catalyst for changing the way pain is viewed in society. Drawing on his years of experience and the inspirational stories of others, he explores: - What a difference it makes to be heard - Why pain is much more than a symptom of disease - The benefits and risks of opioid prescriptions - How cultural attitudes toward pain affect us - The role of a caregiver in the journey of pain and recovery - How, even in the worst pain situations, you can have a fulfilling life The Painful Truth offers a path toward awareness, hope, and healing.
Needless Suffering offers a sociological examination of a complex medical problem: chronic pain and the inability of doctors and other health professionals to understand and manage it in their patients. People in pain, writes Dr. David Nagel, are the poor of the medical world. Like the poor, they are stigmatized and left at the mercy of powerful social actors who tend to work in their own self-interest, frequently at the expense of those they propose to serve. This leaves those who suffer with little control over their own destinies and creates a dysfunctional status quo that harms instead of helps. Drawing on his own experience witnessing his mother's chronic pain and numerous clinical stories from over thirty years' expertise as a pain management specialist, Nagel looks first at patients, their families, and their doctors (usually not trained in pain management), and then broadens his canvas to elaborate a pain power structure that includes the entire healthcare community, insurers, lawyers, government regulators, employers, politicians, law enforcement agencies, and painkilling drugs. Concluding with concrete reforms to create more effective and compassionate pain care, this book is designed for pain patients and their families, healthcare providers, legislators and other public policymakers, judges, personal injury and other attorneys, insurers, government regulators, law enforcement personnel, and health care businesspeople.
To move beyond pain and suffering does not necessarily mean to live without pain and suffering. It means learning to adapt to adversity so the most difficult parts of our lives are no longer the most significant parts of our lives. Life comes at us quickly and is like a series of doors. Sometimes we don't like the doors we have to go through, but we still have to walk through them. We all experience hardships in our lives so it is of great help to have tools in place for challenges we are experiencing in the moment to minimize despair, as well as unpredictable stressors such as pain, trauma, diseases and other illnesses, financial trouble, relationship issues, loss, fear, anxiety, and depression, to name just a few. This book provides practical concepts and strategies for how to cope and manage these and other situations to reduce the burden they bring, be it physical, emotional, or both. When we learn to live beyond our pain and suffering, our physical and/or emotional challenges do not become the dominant force in our lives.