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This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.
Awarded second place in the 2013 AJN Book of the Year Awards in the Palliative Care and Hospice category "This book provides many options for pain management in cancer patients, including pharmacological and nonpharmacological options,...[and] is well organized and easy to navigate." Score: 92, 4 Stars.--Doody's Medical Reviews "Overall, [this book] is a comprehensive and wide-ranging text that, as proclaimed on the cover, is evidence-based and fully referenced. Practitioners and students alike will find it useful, and it deserves a place on the library shelf where people from a wide range of backgrounds can gain access."--International Journal of Palliative Nursing ì[This] text is full of ëclinical pearlsí based on [the authorsí] extensive clinical experience with effective and ineffective pain management interventionsÖThe scope of the content in this text is extremely comprehensiveÖnewer content on the effect of opioid polymorphisms, cancer pain emergencies, myofascial pain, and chronic pain in cancer survivors places this text at the forefront in terms of cutting-edge issues in cancer pain management.î Christine Miaskowski, RN, PhD, FAAN Professor and Associate Dean for Academic Affairs American Cancer Society Clinical Research Professor Sharon A. Lamb Endowed Chair in Symptom Management Research Department of Physiological Nursing University of California, San Francisco, CA From the Foreword Although the prevalence of uncontrolled cancer pain remains unnecessarily high, research has indicated that 90% of cancer patients with pain can be successfully treated with standard therapies. This concise yet extremely comprehensive guide to managing cancer pain will enable nurses on the front lines of pain assessment and management to incorporate effective strategies into their daily practice. It offers quick access to current evidence-based guidelines for busy nurses and nurse practitioners working in all oncology care settings. To facilitate quick information retrieval, the text is designed in a consistently organized, bulleted format with highlighted key information and tools for assessment and standardized treatment. It also serves as an important review for the ONS and HPNA certification exam. This book focuses on all aspects of cancer pain, including assessment and screening tools, pharmacologic and nonpharmacologic treatment options, current national guidelines for pain management, regional anesthesia techniques, patient-controlled anesthesia, and epidural pain management. It also includes updated information on the effect of opioid polymorphisms, cancer pain emergencies, myofascial pain, and chronic pain in cancer survivors. The book covers palliative care and end-of-life pain management, especially for patients who have symptoms that are not managed. Information on chronic pain conditions such as neuropathic pain in cancer and the use of adjuvant medications for pain control are included, along with special treatment options for addiction and substance abuse in the cancer population. The text additionally provides information on managing pain with difficult-to-treat populations. Key Features: Provides current, evidence-based information on all aspects of cancer pain management Includes important new guidelines on using a combination of pain management scales for optimal pain assessment and management Describes interventional techniques for managing severe pain situations Organized for speedy information retrieval
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"This book is a comprehensive, very specific, clinical guide for health care providers..."--Dimensions of Critical Care Nursing "This well-written and well-organized book is a much needed 'middle ground' resource between oversimplified introductions to pain management and a thick textbook."--Clinical Nurse Specialist "The Compact Clinical Guide to Acute Pain Management provides an excellent overview of the processof pain management for adult patients in any setting."--Critical Care Nurse This book provides much-needed guidelines that are presented in an easy-to-use, systematic format for quick access to core concepts on acute pain management. It is designed to help busy practitioners accurately assess pain in a variety of patient populations, and select patient-appropriate medications and interventions to achieve optimal pain management for adult patients. Intended for use in primary care, internal medicine, and acute- and long-term care settings, this book covers the topics of acute pain assessment, both pharmacologic and nonpharmacologic treatment options, current information from national guidelines, along with regional anesthesia techniques, patient-controlled analgesia, and epidural pain management. Key Features: Offers important new perspective on combination use of pain scales to accurately predict individual pain management needs for more customized and effective management Delivers information on how to treat acute pain in hospitalized patients who also suffer from chronic pain and substance abuse Offers new information on opioid polymorphisms and their surprising effect on pain medication effectiveness Includes a special chapter on managing pain in difficult-to-treat patient populations This is an essential reference for primary care providers in clinics, hospitals, specialty care, and critical care to assess pain in general populations and provide tips for performing pain assessment on patients with acute pain.
Designated a Doody's Core Title! "This is an excellent resource that is essential for all primary care providers." Score: 100, 5 Stars.--Doody's Medical Reviews "[P]ractitioners who oversee the treatmentof chronic pain in the adult population will likely find thisnew reference an invaluable addition to their bookshelf."--Dimensions of Critical Care Nursing "This book is highly recommended; it will be an indispensable addition to the professional library of every nurse practitioner who manages patients with chronic, persistent pain." Margaret H. Granitto, RN, MSN, CRNP Georgetown University School of Nursing and Health Studies Presented in a clear, systematic format, this clinically oriented book provides nurses and physicians with quick access to much-needed pain management guidelines. With a unique focus on treatment options for patients with chronic persistent pain, this guide provides critical guidance on managing difficult conditions such as fibromyalgia and neuropathic pain. The text expertly assists practitioners in assessing pain in a variety of patient populations and provides professional insight on selecting patient-appropriate medications and interventions to achieve optimal pain management for adult patients. Key Features: Contains the newest guidelines on how to use a combination of pain screening tools to accurately assess the nature, intensity, and occurrence of patient pain Provides information on new medications and combinations of medications to use for chronic pain Presents essential information on safe prescribing and screening tools such as the Opioid Risk Tool (ORT) and screening tools for aberrant behaviors Provides strategies for utilizing nontraditional treatment options such as acupuncture, energy therapies, and psychological and coping strategies
Named a 2013 Doody's Core Title! "I would recommend this great little book for nurses who wish to carry a book with them in their clinical practice. Itís a great addition to the growing list of books addressing pain in pediatrics."--Pediatric Pain Letter "[This book] is a practical guide to pediatric pain assessment and management for the advanced practice nurse and primary caregivers who are interested in caring for patients with pain, but whose care specialty is not pain management. For the nurses whose specialty is pain management, this text provides a quick pediatric reference of our knowledge and tools of our trade. Even though it is a 'compact guide,' this text is well referenced with current key position statements, clinical practice guidelines, and primary references of the latest pediatric pain management research."--Pain Management Nursing Presented in a concise, systematic format, this clinically oriented book provides nurses and physicians quick access to up-to-date information on how to assess and manage pain in infants and children, including adolescents who suffer from acute and chronic pain conditions. This book provides a comprehensive review of medications for infants and children as well as nonpharmacological interventions to achieve optimal pain management for young patients undergoing needle-related procedures as well as painful conditions related to surgery, trauma, cancer, sickle cell disease, and chronic pain. Key Features: Describes the consequences of untreated pain on development of children Summarizes pain assessment tools recommended for verbal and preverbal patients as well as those who are critically or terminally ill Provides general principles and specific dosing recommendations for non-opioids, opioids, and coanalgesics for optimal safety and effective reduction in pain Describes the indications, medications, and ongoing care and monitoring related to the increasing use of epidural and continuous peripheral nerve block infusions for pediatric patients Provides information on how to use age-appropriate strategies for cognitive, cognitive-behavioral, and physical approaches to reduce pain Includes useful resources, such as websites, and other tools, such as pain diaries and patient education information, to support multidisciplinary teams and parents who care for children with acute and chronic pain
"This is an excellent resource for nurses practicing in critical care units, emergency departments, and trauma units, as well as for midlevel providers who manage these patients.--Doody's Medical Reviews "Compact ClinicalGuide to Critical Care,Trauma, and EmergencyPain Management is aconcise, easy-to-readresource for nurses whowant to reinforce theirfoundational knowledgein this area."--Critical Care Nurse This addition to Springer Publishingís Compact Clinical Guide to Pain Management Series presents evidence-based national guidelines and treatment algorithms for managing pain in patients in the critical care, trauma, and emergency room settings. Such patients often present with co-morbid and complex conditions which often make accurate pain assessment and treatment a challenge. In an easy-to-use, bulleted format, the book provides the most current information on assessing and managing pain in a variety of critical conditions. Both pharmacological management therapies and non-pharmacologic interventions are included along with information about pain assessment screening tools for special populations. Topics covered include the basics of pain physiology in critical, emergency, and operative care patients, assessing pain in the critically ill, medications and advanced pain management techniques useful with this population, and commonly occurring conditions in the various care environments. Also addressed are the management of particularly challenging patients (elderly, obese) and conditions (chronic pain, renal failure, chemically dependent patients, and burn patients). The book contains tables that efficiently summarize information and figures to illustrate key concepts. Pain rating scales and a helpful equi-analgesic conversion table are included in the Appendix. Key Features: Provides evidence-based information on treating pain in critical care, trauma, and emergency room patients for all practice levels Organized for quick access to pertinent clinical information on treatment options and pain types Provides cross-referenced indexing and easy-to-use assessment and screening tools Includes information for treating especially challenging and difficult to manage patient pain scenarios
Learn best practices and evidence-based guidelines for assessing and managing pain! Assessment and Multimodal Management of Pain: An Integrative Approach describes how to provide effective management of pain through the use of multiple medications and techniques, including both pharmacologic and non-pharmacologic treatment regimens. A holistic approach provides an in-depth understanding of pain and includes practical assessment tools along with coverage of opioid and non-opioid analgesics, interventional and herbal approaches to pain, and much more. Written by experts Maureen F. Cooney and Ann Quinlan-Colwell, this reference is a complete, step-by-step guide to contemporary pain assessment and management. - Evidence-based, practical guidance helps students learn to plan and implement pain management, and aligns with current guidelines and best practices. - Comprehensive information on the pharmacologic management of pain includes nonopioid analgesics, opioid analgesics, and co-analgesics, including dose titration, routes of administration, and prevention of side effects. - UNIQUE! Multimodal approach for pain management is explored throughout the book, as it affects assessment, the physiologic experience, and the culturally determined expression, acknowledgement, and management of pain. - UNIQUE! Holistic, integrative approach includes thorough coverage of pain management with non-pharmacologic methods. - Clinical scenarios are cited to illustrate key points. - Equivalent analgesic action for common pain medications provides readers with useful guidance relating to medication selection. - Pain-rating scales in over 20 languages are included in the appendix for improved patient/clinician communication and accurate pain assessment. - UNIQUE! Authors Maureen F. Cooney and Ann Quinlan-Colwell are two of the foremost authorities in multimodal pain assessment and management. - Sample forms, guidelines, protocols, and other hands-on tools are included, and may be reproduced for use in the classroom or clinical setting.
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.