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“The Pain Project is ironically full of pleasure: on every page is another generous, original insight into this most intimate human subject.”—NAOMI KLEIN, author of Doppelganger “The Pain Project is a beautiful, humane, thoughtful inquiry into the challenge of living with chronic pain and how Stanley and Paradis navigate its impact on their lives. This is a tough subject but a joyful book; it takes on a daunting topic with heart and humor and determination. It’s wonderful.”—SUSAN ORLEAN, author of The Orchid Thief and The Library Book Ten years after her husband’s catastrophic injury, author Kara Stanley embarks with him on a journey to understand his chronic pain and find pathways into joy and relief. Kara and her husband, Simon, are at a desperate crossroads. In 2008, Simon fell off a scaffold, causing severe injuries to his brain and spinal cord. He made a remarkable recovery, eventually adjusting to life in a wheelchair and returning to his career as a musician, but he continues to suffer from debilitating pain that is beginning to strip away his selfhood. On the ten-year anniversary of the accident, Kara and Simon decide to confront Simon’s pain head-on by committing to a personal experiment. For one year, they will focus on researching, interviewing experts, and exploring both new, and age old, pain relief strategies. A decade ago, Simon was prescribed the pain-relieving drug hydromorphone. Can he discover an alternate therapeutic approach that is at least as effective as daily doses of opioids? As they navigate a difficult year, Kara’s tenacity and Simon’s wit shine through in their honest conversations, insightful journal entries, and affectionate banter. Throughout, they seek answers to profound questions about the nature of suffering and pain: Is it helpful to conceptualize pain as a disease, or not? What does it mean to understand that pain is always a creation of the brain? What is the difference between healing and curing? Is healing still possible even when all-better is not an option? Globally, at least one in five people suffer from chronic pain, placing an enormous burden on medical systems around the world. Not just a medical but also a social justice issue, chronic pain continues to be poorly understood and poorly treated. It is a challenging topic to discuss with friends and family because, as Simon says, no one really wants to lead with their cloud. Deciding to accept this challenge, Simon and Kara’s experiment is a wide-ranging exploration of the definitions, treatments, science, myths, and meanings of the mysterious and multi-faceted force that is pain. As difficult as the topic is, it can also provide us with an opportunity to question our current course. What can we learn when we confront our pain head-on? Honest, deeply researched, insightful, and ultimately hopeful, The Pain Project is a must-read for anyone looking for a greater understanding of pain as a phenomenon and in their own lives.
“Whether you are managing your first project or your hundredth, you are likely to face new challenges. Project Pain Reliever offers guidance you'll cherish and want to keep close by.” —Kevin Murphy, Managing Partner, Conner Partners “This book is like a therapy session for project managers. I'm prescribing this to my team. No more guesswork for new PMs. Project Pain Reliever lays it all out, with a 360 degree view on all the possible scenarios a PM will face, and prescribes a strategy to deal with them. As a project manager, I'm often trying to help my team members understand why we cannot do certain things — like scope-creep. This book will serve as a great tool to educate and re-enforce!” —Laureen Heinz, PMP, CSM, Six Sigma Blackbelt, Managing Consultant, Practice Services, CA Technologies “This is a wonderful and thorough overview of a number of very common, yet complex, problems and solutions that project and functional managers of all levels can benefit from. The honest writing style and poignant anecdotes also make this an enjoyable read. I've added Project Pain Reliever to my team's professional reading list... it is equally applicable to everyone on my team — from the greenest summer intern to my most seasoned business leader.” —Aaron Hall, PMP, Vice President, Program Management and Product Development, K12 Inc. Much of the work performed in organizations around the world today is project oriented. Those responsible for leading the majority of these projects to successful results have varied educational backgrounds, knowledge, skill sets, and experiences gained over the course of their lives and careers that do not include the professional discipline known as project management. Most are managing projects as part of their role, not their profession. However, these accidental project managers frequently run into the same sort of issues and problems faced by those whose profession is project management, but they lack the education or training to properly address them. As a result, more projects run by accidental project managers fail than succeed.This handbook was developed specifically for those accidental project managers and for the relatively new project managers within the profession. It is uniquely organized in a manner designed to help these project managers quickly find specific solutions to the problems they are desperate to fix right now! The text is divided into two broad categories: the Art of Project Management and the Science of Project Management. Each part is divided into chapters to narrow the user's search by type of issue that project managers encounter, such as Planning and Managing Risks. These are then further divided by specific problems labeled as sub-chapters, such as 'The company's project management process doesn't work for me' and 'My project is too dependent on a few key people'. Project Pain Reliever: A Just-In-Time Handbook for Anyone Managing Projects is essentially a plug-and-play answer to the accidental project manager's problems, and a valuable desk reference for all project managers. Key Features: Presents insights and specific guidance from more than 30 leading project management experts that were sourced from around the world for their specialized knowledge and experience Provides quick references to problems often encountered by anyone managing projects and specific solutions to these problems using language that is easy to understand and techniques that can be applied immediately Each of the 93 sub-chapters brings clarity to the perceived problem, describes warning signs, includes a sidebar example, explains what will happen if you do nothing, and outlines a best practice solution and specific steps for solving the problem WAV offers handy "What you have learned" summaries for addressing problems contained within the book, additional problems with solutions, and other useful resources — available from the Web Added Value Download Resource Center at www.jrosspub.com
Based on fieldwork in a pain treatment center, "Camp Pain" focuses on patients' perspectives—on their experiences of pain and what these experiences mean to them.
Painâ€"it is the most common complaint presented to physicians. Yet pain is subjectiveâ€"it cannot be measured directly and is difficult to validate. Evaluating claims based on pain poses major problems for the Social Security Administration (SSA) and other disability insurers. This volume covers the epidemiology and physiology of pain; psychosocial contributions to pain and illness behavior; promising ways of assessing and measuring chronic pain and dysfunction; clinical aspects of prevention, diagnosis, treatment, and rehabilitation; and how the SSA's benefit structure and administrative procedures may affect pain complaints.
This comprehensive book serves as a review for the Fellow of Interventional Pain Practice (FIPP) exam and functions as a concise guide for all interventional pain doctors. Through educational initiatives, it helps to promote consensus-building among experts on the effectiveness of existing techniques and avenues for advancement of therapeutic performances. The book is divided into four sections (head and neck, thoracic, lumbar and sacral/pelvic), and each chapter is devoted to the safe, standardized approach to interventional procedures. To prepare both the examiner and the examinee for the FIPP examination, each chapter contains the relevant C-arm images and outlines the most common reasons for “unacceptable procedures performance” and “potentially unsafe procedures performance.” Distinguishing it from many of the previous guides, it also includes labeled fluoroscopic high quality images and focuses on the current FIPP-examined procedures with all accepted approaches. Written and edited by world leaders in pain, Interventional Pain guides the reader in study for FIPP Exam and offers a consensus on how interventional procedures should be performed and examined.
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.
Pain touches sensitive nerves in American liberalism, conservatism, and political life. In this history of American political culture, Keith Wailoo examines how pain has defined the line between liberals and conservatives from just after World War II to the present. From disabling pain to end-of-life pain to fetal pain, the battle over whose pain is real and who deserves relief has created stark ideological divisions at the bedside, in politics, and in the courts. Beginning with the return of soldiers after World War II and fierce medical and political disagreements about whether pain constitutes a true disability, Wailoo explores the 1960s rise of an expansive liberal pain standard along with the emerging conviction that subjective pain was real, disabling, and compensable. These concepts were attacked during the Reagan era, when a conservative backlash led to diminished disability aid and an expanding role of courts as arbiters in the politicized struggle to define pain. New fronts in pain politics opened nationwide as advocates for death with dignity insisted that end-of-life pain warranted full relief, while the religious right mobilized around fetal pain. The book ends with the 2003 OxyContin arrest of conservative talk show host Rush Limbaugh, a cautionary tale about deregulation and the widening gaps between the overmedicated and the undertreated.
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.
The Phenomenology of Pain is the first book-length investigation of its topic to appear in English. Groundbreaking, systematic, and illuminating, it opens a dialogue between phenomenology and such disciplines as cognitive science and cultural anthropology to argue that science alone cannot clarify the nature of pain experience without incorporating a phenomenological approach. Building on this premise, Saulius Geniusas develops a novel conception of pain grounded in phenomenological principles: pain is an aversive bodily feeling with a distinct experiential quality, which can only be given in original first-hand experience, either as a feeling-sensation or as an emotion. Geniusas crystallizes the fundamental methodological principles that underlie phenomenological research. On the basis of those principles, he offers a phenomenological clarification of the fundamental structures of pain experience and contests the common conflation of phenomenology with introspectionism. Geniusas analyzes numerous pain dissociation syndromes, brings into focus the de-personalizing and re-personalizing nature of chronic pain experience, and demonstrates what role somatization and psychologization play in pain experience. In the process, he advances Husserlian phenomenology in a direction that is not explicitly worked out in Husserl’s own writings.
Janet L. Abrahm argues that all causes of suffering experienced by people with cancer, be they physical, psychological, social, or spiritual, should be treated at all stages: at diagnosis, during curative therapy, in the event that cancer recurs, and during the final months. In the second edition of this symptom-oriented guide, she provides primary care physicians, advanced practice nurses, internists and oncologists with detailed information and advice for alleviating the stress and pain of patients and family members alike. The new edition includes the latest information on patient and family communication and counseling, on medical, surgical, and complementary and alternative treatments for symptoms caused by cancer and cancer treatments, and on caring for patients in the last days and their bereaved families. Updated case histories, medication tables, Practice Points, and bibliographies provide clinicians with the information they need to treat their cancer patients effectively and compassionately.