Search

Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia. Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the'messiness'of clinical care, as well as the increasingly complex needs of patients today. As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.

This book provides a comprehensive review of the latest advances in translational pain and itch research, and presents the cutting-edge developments in the study of our two principal, yet most mysteries sensations. Despite the slow progress in the discovery of effective therapies for chronic pain and pruritus, scientists around the globe now have a better understanding of why and how these conditions occur. Based on these findings, a series of novel treatment strategies are currently under development, and hopefully in a few years, medical practitioners will become more confident and optimistic when facing patients with these annoying and sometimes severe disorders. The contributing authors are world-renowned research scientists, who have made significant discoveries. The book is of interest to neuroscientists, neurologists and pharmacologists in both clinical and basic medical research field. In this second edition of the book, five existing chapters have been updated. Five new chapters have been added to reflect the lasted developments in the related field of research.

Introducing the latest edition of The Phenomenon of Pain: A Comprehensive Exploration of Pain Mechanisms and Therapeutic Approaches.In recent decades, pain has emerged as a focal point in both basic and clinical research, reflecting its profound impact on individuals'lives. The rapid advancement of knowledge has deepened our understanding of the complex neurophysiological and psychological mechanisms underlying pain, shedding light on its multifaceted nature. Clinicians grapple daily with the daunting reality of human suffering, navigating its intricate web of causes and manifestations. This continuous engagement with pain presents significant and stressful challenges from the relentless pursuit of understanding and alleviating it. This book transcends mere discourse on the physiological and psychological underpinnings of pain; it delves into the intricate factors contributing to its persistence. Furthermore, it meticulously examines pharmacological and nonpharmacological treatment modalities, forging a crucial link between the mechanisms of pain and therapeutic interventions.By bridging the gap between pain mechanisms and treatment strategies, this edition equips clinicians with invaluable insights to augment their clinical acumen. Armed with this knowledge, clinicians can tailor interventions to effectively address the diverse array of pain presentations encountered in their practice.

This comprehensive guide shows how integrating hypnosis with psychotherapy and mindful meditation can help clinicians treat patients who suffer from chronic and acute pain. David R. Patterson and M. Elena Mendoza present hypnotic analgesia as a viable alternative to psychopharmacological interventions for pain resulting from physical injuries, nerve damage, surgery, neurological problems, and other sources. They review research elucidating the neurophysiological and biopsychosocial roots of pain and provide clinical strategies that can be applied in a variety of settings. Patterson and Mendoza adopt a nuanced treatment model that deemphasizes pain reduction, which can be counterproductive, and focuses instead on adaptive pain management through cognitive restructuring. This second edition includes updated research findings and practice guidelines, including technological innovations like virtual reality hypnosis, and a new chapter on mindful meditation. The authors also add a step-by-step case example that walks readers through an integrative, eight-session process and brings the techniques described in this volume to life.

This handbook is a practical guide covering pertinent topics in the specialty of Oral Medicine, which focuses on the diagnosis, prevention, and management of local and systemic conditions affecting the oral and maxillofacial region. Each topic covers a specific disease or disorder with overarching emphasis on diseases presenting with oral mucosal involvement and orofacial pain conditions. Each topic is presented as a summary of key clinical information for quick reference prepared by leading experts in the field. This clinical guide will serve as a valuable resource for students and clinicians in practice.

Das Buch bietet Praxiswissen für die optimale Palliativversorgung schwer kranker und sterbender Menschen. Es richtet es sich an alle, die sich professionell oder ehrenamtlich um die Begleitung Sterbender kümmern: Ärztinnen und Ärzte, Pflegefachkräfte, Tätige in der Seelsorge, Physiotherapie u.a. Aus einem reichen Erfahrungsschatz schöpfend und in klaren, einfühlsamen Worten gehen die Autoren auf alle zentralen Themen ein: Ethisch-rechtliche Grundlagen, aktive und passive Sterbehilfe, assistierter Suizid, Kommunikation mit Patienten und Angehörigen, Schmerztherapie, Symptomkontrolle, palliative Versorgung von Krebserkrankten und Nicht-Krebserkrankten, Palliativmedizin im Pflegeheim und bei Kindern. Zahlreiche Fallbeispiele helfen, die Vielschichtigkeit der Palliativmedizin zu verstehen. Die 7. Auflage erscheint komplett aktualisiert und um das Thema Spiritualität erweitert.

At last—a single, convenient reference on this interventional pain management technique, covering all recent advances in this fast-changing field. Peripheral Nerve Stimulation: A Comprehensive Guide is a one-stop resource offering practical guidance on performing a wide array of pain-relieving procedures using office-based ultrasound-guided techniques, fluoroscopy, and more. Concise and user-friendly, this easy-to-use guide helps physicians deliver safe, accurate, and cost-effective care by demonstrating how to evaluate the causes of pain, identify the most promising stimulation technique, locate the site with precision, and provide effective pain relief. - Offers clear guidance on peripheral nerve stimulation procedures for patients with chronic pain, incorporating all clinically useful imaging modalities. - Illustrates the anatomical targets for each procedure and the appropriate placement of wireless micro devices. - Presents information in an easy-to-follow, consistent format: anatomy; diagnosis by history, exam, imaging, and diagnostic block; indications for PNS; contraindications for PNS; and techniques. - Provides superb visual guidance with clinically relevant anatomic drawings, color line drawings, clinical photographs, and ultrasound images. - Discusses the risks and benefits of each procedure, highlights potential pitfalls, and offers clinical pearls on how to avoid them.

This book uniquely discusses an approach to illnesses for which the causes are unknown. It fills the gaps in the literature by relaying research on functional illness, identifying and assessing various options, and indicating some decision-making suggestions that should help clinicians and patients think about therapy. Special considerations for functional illness include “probability” explanations based on the experience of others, serious consideration of the severity of symptoms before treatments are applied, and balancing the risks, costs, and consequences of treatment; including the patient's thoughts and attitudes is critical for success in treating functional illness. Unique and comprehensive, Functional Illness is an invaluable reference for medical physicians of all specialties who wish to understand better and identify functional illness symptoms.

Part of the What Do I Do Now? Pain Medicine series, this timely volume presents clinical scenarios exploring headache medicine and treatments. Headache Medicine is a complex and constantly developing field, often relying on outdated and time-intensive textbooks. The purpose of this book is to educate readers on the diagnosis and management of commonly encountered headache disorders through brief discussion of relevant and specific cases. The book begins with Headache Medicine clinical pearls and red flags. It progresses through primary and secondary headache disorders, using cases to illustrate presentations and then help to guide an approach to evaluation and management. The book follows the same order as the International Classification of Headache Disorders (ICHD-3). Topics include migraines, cluster headaches, neuropathic eye pain, and trigeminal and occipital neuralgia. This handy guide will be of use to physicians and advanced practitioners (nurse practitioners and physician assistants) interested in the practice of Headache Medicine, emergency room and urgent care physicians, neurologists, internists, psychiatrists, physiotherapists, residents, and medical students undergoing a Neurology or Headache Medicine rotation.

Covering both surgical and non-surgical pain, Acute Pain Management Essentials is a comprehensive, clinically oriented reference for the entire acute pain management team. Edited by Drs. Alan David Kaye and Richard D. Urman, this new title brings together the expertise of contributing authors from anesthesiology, medicine, surgery, and allied health professions to offer an interdisciplinary approach to this complex and fast-changing field. Beginning with an overview of basic principles, it then approaches pain management by organ system, by patient population, and by treatment modality, ending with review of subspecialty considerations and related topics.

As lifespans increase, more people around the world find themselves victims of chronic pain. In spite of this, treatment options continue to be severely limited. Anti-inflammatory drugs can only do so much, while painkillers like opioids have led to crippling addictions and fatal overdoses. The subject of the book is the role of immune cells, including glial cells, and neuroimmune interactions in chronic pain. The book begins by examining the preclinical and clinical evidence supporting the involvement of non-neuronal cells in chronic pain. It discusses the interactions between non-neuronal cells and neurons in the regulation of chronic pain. It then presents the implications of these findings, including promising and emerging treatments such as specialized pro-resolving mediators (SPMs, such as resolvins and protectins), immune cell therapy, and complementary and alternative medicine, as well as neuromodulation and regenerative medicine, which may prove to be theturning point for hundreds of millions of patients world-wide who struggle to escape from the shadow of chronic pain. The book presents ground-breaking research that will alter current perspectives on chronic pain.

Clinical Pain Management Pain has many dimensions; biological, psychological and social. All of these warrant attention in clinical management and research. Despite advances in pain management and understanding, chronic pain in particular continues to be a major health concern. Many challenging problems persist in our efforts to understand and manage chronic pain. This revised and updated second edition of Clinical Pain Management: A Practical Guide draws attention to the challenges that exist for people living with chronic pain conditions, for the clinician trying to provide effective management of the patient's pain, for the scientist seeking to unravel the mechanisms underlying pain, and for society as a whole. This book offers the opportunity for clinicians to improve their knowledge about pain and apply that knowledge for the benefit of their patients. This second edition has built upon the first edition, which was distinctive in its integration of the clinical, psychosocial and basic science topics related to the different types of pain and their management. With up-to-date information throughout the 44 chapters of this second edition, this book provides a valuable resource about pain from a variety of perspectives. Clinical Pain Management: A Practical Guide, Second Edition, will be particularly valuable not only for clinicians to help them assist with their patients experiencing an acute pain or suffering from chronic pain, but also for scientists who wish to gain more insights into these pain conditions and their underlying processes.

Als Schmerzpatient müssen Sie ggf. regelmäßig Schmerzmedikamente einnehmen, um den Alltag bewältigen zu können. Dieser Ratgeber erklärt verständlich die Wirkungsweise und die möglichen Risiken der verschiedenen Substanzen, wie sie richtig eingesetzt werden und welche Nebenwirkungen auftreten können. Der Leser erhält auf praktische Fragen klare Antworten, z.B.: Welche Tätigkeiten darf ich unter Schmerzmitteln ausüben, darf ich Maschinen bedienen oder Auto fahren? Sind Schmerzmittel in der Schwangerschaft und Stillzeit erlaubt? Wie lange dürfen Schmerzmittel eingenommen werden? Die Autoren sind Ärzte und Experten auf dem Gebiet der Schmerzmedizin und kennen die Sorgen und Fragen von Patienten. Sie wenden sich an alle, die Schmerzmedikamente verschrieben bekommen haben oder rezeptfrei verkäufliche Schmerzmedikamente einnehmen.

Die regulative Schmerztherapie ist mit ihren physiologisch begründeten aufeinanderfolgenden Interventionen spezifisch auf die Verhinderung der Entwicklung bzw. die Behandlung von chronischen Schmerzen ausgerichtet. ​In diesem Buch wird je nach notwendiger Indikation die gesamte nicht pharmakologische Therapiekette der möglichen Interventionen vorgestellt. Es werden dabei sowohl passiv provozierte funktionell begründete Maßnahmen zur Aktivierung der Schmerzhemmmechanismen und der Durchblutungsförderung zur Verbesserung der Gewebeverhältnisse als Grundlage nozizeptiver Informationen beschrieben, als auch aktive Methoden, z.B. das antinozizeptive endgradige Beweglichkeitstraining von Gelenkregionen und andere aktive Belastungsinterventionen mit dem Ziel, eine strukturelle und funktionelle anti-nozizeptive Reorganisation auszulösen. Das Buch ist somit ein guter Leitfaden für die nicht-medikamentöse Schmerztherapie und die medizinische Rehabilitation aller primär und sekundär chronisch-degenerativen und entzündlichen Erkrankungen aber auch von onkologischen Erkrankungen. Als Zielgruppe werden Ärzte, Physiotherapeuten aber auch Sporttherapeuten angesprochen, die Schmerzpatienten betreuen.

The first resource of its kind, Palliative and Serious Illness Patient Management for Physician Assistants provides a fundamental framework for physician assistants and physician associates to incorporate palliative care medicine, including end-of-life care, into their practice. The book focuses on pharmacologic and integrative medical therapeutic modalities, as well as the evaluation and treatment of special populations, which reflects the reality of a physician assistant's day-to-day job. It uses a patient-centered approach to address the comprehensive management of serious illness patients, as well as their designated families, significant others, caregivers, and health care providers. Chapters are organized into six sections that cover the essential aspects of care, symptom management, and transitioning care at the end-of-life. This book is ideal for physician assistant trainers (didactic or clinical), students, and practicing clinicians who seek to enhance their communication and medical skills in the treatment of all seriously illness patient populations in any specialty, and in the management of their symptoms at any stage of their disease or condition.

This book presents multiple aspects of spine care from the perspective of different disciplines. It's organized by sections focused on non-operative care, spine injections and procedures, perioperative care, operative care, pediatric care, and special topics. Each chapter has been written by a clinician whose active practice involves the topic of their chapter. Practical and clinically relevant, this book educates any practitioner who cares for patients with back and neck pain and other spine conditions about implementing a multidisciplinary team to treat the spine.

Essential Notes in Pain Medicine provides a comprehensive review of pain medicine for clinical practice and postgraduate exam preparation. Mapped to the syllabus for the Fellowship of the Faculty of Pain Medicine of the Royal College of Anaesthetists (FFPMRCA)this resource ensures readers have all the information needed in one place. Written by a multidisciplinary team of over 70 international contributors, this resource provides high-quality, up-to-date guidance on 247 topics such as pain assessment, pain physiology, pain interventions, the role of psychology and physiotherapy and many more. Information is presented in concise note form with bullet points, tables, and diagrams, making retaining key facts easier and quicker. References to evidence-based guidelines and directions to further reading allow for identification of areas for further information. Drawing on the editors'expertise, Essential Notes in Pain Medicine is the ideal companion for exams and a comprehensive guide to acute, chronic, and cancer pain management for practising doctors, pain nurses, and allied health professionals.

This book is an in depth guide to chronic and neuropathic pain. The issue of chronic and neuropathic pain is very prevalent, yet only a fraction of the symptoms and root causes, as well as potential treatment plans, are properly understood. Additionally, less than half of cases are accurately identified and properly treated. The existing drugs, although classified as very strong and powerful, cannot provide lasting relief to chronic and neuropathic pain. Thus, with all the unique features of this condition, this book presents a systematic way of diagnosing and approaching this condition so every practitioner can appropriately treat their patients. In addition to introducing key concepts, like classification of chronic pain and the challenges patients and practitioners face when dealing with and treating chronic and neuropathic pain, this book also covers different syndromes that can lead to neuropathic pains. It discusses how to monitor progress by using outcome measures, the presence of chronic and neuropathic pain in children and young adults, and the pathophysiology of neuropathic pain as it relates to the release of pro-inflammatory cytokines. Interestingly, the latter is not presently addressed except with the usual pain drugs for general pain—this book aims to revolutionize the approach to chronic and neuropathic pain by exploring it separately from the clinical approach to general pain. It is interesting to note that these cytokines require a specific mode of action if we want to neutralize them in our system, and this concept will be discussed in the regenerative intervention sections. Since it is so necessary to address the many factors to chronic and neuropathic pain as laid out in the proposed table of contents, it is also critical include as varied authors as possible to address this condition from all areas being covered. The team assembled to author the chapters included in this text come from diverse backgrounds of practice and clinical and research interests, from physical medicine and rehabilitation to anesthesiology to radiology and interventional pain medicine. This is an ideal guide for all clinicians caring for patients with chronic and neuropathic pain.

Palliative medicine is the medical care provided for people who have a life limiting illness or condition. It encompasses both the physical symptoms a person may experience but also the psychosocial, emotional, and ethical issues that may arise. Now in its fourth edition, Palliative Medicine: A Case-Based Manual walks clinicians through the management of the most common situations found in palliative medicine, from diagnosis and managing symptoms through to grief and bereavement. Using real patient case scenarios and an easy-to-read question and answer format, it gives students and medical professionals an accessible, evidence-based entryway to gain the skills and knowledge needed to provide high quality palliative and end of life care to patients and their families. This new edition has been fully updated to cover the latest guidance, including new chapters dedicated to medical cannabis, opioids, grief and bereavement, and wider issues including palliative care in the community, structurally vulnerable populations, and public health. Written by over 50 experienced palliative care clinicians and educators, this book will be a welcome guide for palliative care workers, medical and nursing students, and medical professionals of any specialty where palliative needs might arise.

Opioids are responsible for the vast majority of preventable deaths related to drug use, and opioid crisis is a serious international health problem. Opioids are also the mainstay in pain treatment and are invaluable tools in palliative care. The purpose of this book is to present an overview of the complex field of opioid pharmacology through evidence-based chapters in clear language backed up with sound scientific evidence, providing researchers and health professionals with a firm understanding of their effects and mechanisms of action. The authors present an overview of the history of opioids from ancient civilizations to the current opioid crisis, covering state-of-the-art advances on opioid-induced signal transduction, opioids in pain management, and the neuroinflammatory effects of opioids. Also discussed are opioid use disorders and their treatment. The authors also review the growing body of evidence of opioid effects on innate and adaptive immune responses, discussing the molecules involved in the crosstalk between opioids and innate immunity receptors to provide an updated view of those compounds as important regulators of inflammation and host defense against pathogens and damage. The overall purpose is to provide the reader with a deeper knowledge of this field despite the complexities associated with the existence of numerous ligands, receptor subtypes, and complex pharmacological profiles. To this end, the chapter authors are specialists in the field who also have extensive experience in teaching, hoping to lend their expertise in translating complex concepts into comprehensive and clear explanations.

Trigeminal neuralgia and other cranial neuralgias comprise a group of facial pain conditions, characterised by disabling pain attacks that selectively respond to specific treatments. Although not as common migraine, they affect over 1% of the population and must be recognised and adequately treated in clinical practice. The spectrum of cranial neuralgias is wide and as a consequence the conditions are managed by a range of different specialists. Studies show that delayed diagnoses and mismanagement are common and can lead to depression and suicide. 36 recognised experts from nine countries have contributed to OPML Trigeminal Neuralgia and Other Cranial Neuralgias to guide you through the maze of pathophysiology, clinical features, diagnosis-making, and condition-specific treatments. The approach is practical and evidence-based and ready for real-world applications. The value of phenotyping, targeted investigations, and treatment algorithms is emphasised. The editors and contributors subscribe to the view that there needs to be a holistic approach with multidisciplinary teams working together and with patients being at the centre of this process. Psychologists and patent support groups can help to ensure that patients are managed holistically and share the decision-making process. Their involvement in the handbook has helped to emphasis this. There remain considerable challenges, but the field is rapidly evolving and there are increasing number of opportunities opening up to improve our understanding of these conditions and hence their management. The editors and contributors have included case scenarios, algorithms, self-administered tools for training in diagnosis and management, clinical tips and carefully chosen references. Each chapter includes a lay summary and key points and can be read as a stand-alone unit.

Chronic pain is a silent epidemic — it is estimated to affect 20-30% of the population. A good understanding of the disease, diagnosis and management are imperative in providing patient-centred care. A broad range of practitioners will frequently encounter patients with chronic pain. This book covers important topics in chronic pain relevant to many clinicians including, but not limited to, anaesthetists, intensive care professionals, surgical and nursing staff, junior doctors, operating department practitioners, general practitioners and medical students. It makes essential reading for healthcare workers and is also an invaluable first reference for physiotherapists, healthcare managers, psychologists and researchers with a need for an overview of the key aspects of this topic. This book will not only be an invaluable resource for trainee anaesthetists but also for practising anaesthetists with an interest in teaching the basics of chronic pain; it is also a succinct aid for clinical practice. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool. Subjects discussed range from the comprehensive assessment of chronic pain to the multimodal management of chronic pain. It is written in a simple and consistent style that can be easily understood and applied to day- to-day clinical practice. This material will be an important tool for professional exams. It is an ideal companion for candidates who are preparing for their final exams that include the topic of chronic pain and will help to assess their preparation and guide appropriate revision. Questions on chronic pain appear in written and structured oral examinations. This book will be handy for candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), The College of Anaesthesiologists of Ireland (FCAI), the European Society of Anaesthesiology (EDAIC), the European Society of Intensive Care Medicine (EDIC), the Australian and New Zealand College of Anaesthetists (FANZCA), the National Board of Examinations of India (Dip NB), and the American and Canadian board exams, as well as other competitive exams across the globe. Candidates appearing for advanced pain examinations will find this book useful to refresh their knowledge on pain medicine. The authors are consultants in pain medicine with clinical and teaching experience in university hospitals across the UK. They regularly conduct successful pain education courses which consistently attract good feedback. They conduct regular final FRCA and FFPMRCA exam courses attended by candidates from all over the country.

This book systematically introduces the Brain in Traditional Chinese Medicine (TCM) and its acupuncture treatments. It discusses the origin and development of the TCM Brain theory, and presents current research on brain and acupuncture, the unique brain related techniques such as scalp acupuncture and Dao-qi technique, the new developing acupuncture treatment methods for brain-related conditions, such as stroke, Parkinson's, dementia, Alzheimer's disease, multiple sclerosis, traumatic brain injury, autism, cerebral palsy and depression, anxiety, bipolar disorder among others. This book is of interest to TCM and acupuncture practitioners in the West, as well as acupuncture researchers and lecturers. It gives a new understanding of the brain and treatments for brain-related conditions from a complementary medicine point of view.

This book provides an up-to date, extensive, and focused review of complex regional pain syndrome (CRPS). It reflects the current scientific understanding of the disorder, describes appropriate treatment recommendations, and explores future directions of diagnosis and treatment. Divided into three sections, the first section covers the etiology and pathology of CRPS. The following section offers treatments and emerging advances in evaluation and/or treatment. The book then closes with an exploration of varying patient populations. Each chapter is authored by specialists experienced with CRPS research and treatment. Additionally, the review and recommendations provided reflect careful consideration of evidence-based medicine and medical consensus guidelines. Complex Regional Pain Syndrome targets a range of healthcare specialties including pain management, rheumatology, neurology, internal medicine, and family practice.

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.

This book provides a practical and comprehensive review of pain medicine in a clear and easy to apply question and answer format. Divided by topic, the book includes Q&As on Pain Basics, Psychology, Common Pain Syndromes, Medications, Pain Management in Special Populations and Interventional Pain. It is intended as a guide for residents and fellows and is written in such a manner to provide instantaneous feedback on correct answer choice and explanation for self-evaluation while preparing for written board examinations. Questions and Answers in Pain Medicine: A Guide to Board Exams fulfills the need for a resource that is similar to the Accreditation Council for Graduate Medical Education (ACGME) board examination in the US as well as international equivalents. It utilizes a fully Q&A approach which is how many students prefer to study. Written by a physician who has recently passed the ACGME written board exam and the founder of a pain management fellowship program for nearly 20 years, the authors provide valuable insight for successfully undertaking board examinations in pain medicine.

This book covers a range of topics, from the cause and identity of pain, to pain relief management. Starting from the mechanism of pain, it continues to pain management techniques such as nerve blocks, drugs (pain killers), noninvasive manipulations psychological techniques and electric management, before describing the management of various painful conditions such as headaches, back pain, extremities pain, post-herpetic pain or complex regional pain syndrome. It also provides the format of case reports which can be used to explain management options. A novel feature of the book is that it provides additional insights into how clinicians involve patients in treating their own pain through guided self-assessment and self-management. Recent studies have revealed that pain is not only a biological alarm that warns of disease, but can also be the disease itself, or the catalyst of a vicious circle of pain and disease. Providing rapid pain relief is often effective in sparking the rapid recovery from various diseases. This book offers the perfect guide for all clinicians, not only those working at pain clinics but all those who have to treat patients who are in pain.

Chronische Schmerzen und ihre Behandlung stellen für die Betroffenen eine beträchtliche Belastung und für das Gesundheitssystem eine enorme Herausforderung dar. In diesem Praxislehrbuch wird die Behandlung chronisch Schmerzkranker, bei denen Schmerz einen eigenständigen Krankheitswert erlangt hat, fokussiert und somit dem vielschichtigen Behandlungskonzept der multimodalen Schmerztherapie erstmals ausreichend Rechnung getragen. Es bildet die gesamte Bandbreite der interdisziplinären/interprofessionellen multimodalen Schmerztherapie ab: So werden nicht nur Ursachen, Entstehung, Symptomatologie, Diagnostik und Therapieverfahren chronischer Schmerzen dargestellt, sondern auch das gesamte Spektrum der beteiligten unterschiedlichsten Fachbereiche samt ihres gemeinsamen Vorgehens und der ökonomischen und organisatorischen Rahmenbedingungen.

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.

This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.

Part of the What Do I Do Now? Pain Medicine series, Psychological and Psychiatric Issues in Patients with Chronic Pain presents a variety of succinct case studies and'curb-side'consults on the complexity of chronic pain and its successful management. Chapters present models for understanding issues related to chronic pain within a psycho-social context, including cases on specific psychological or psychiatric issues, as well as broad considerations such as selecting among behavioral therapies options and the use of complementary therapies and non-opioid analgesics. Recognizing that most clinicians do not always have the time or resources to conduct the type of psychological assessment that each case may require, chapters focus on the key elements of each diagnosis, covering background information, assessment approach, treatment recommendations, and key points to remember.

Par le biais d'une approche vulgarisée, ce livre présente les données scientifiques récentes permettant de comprendre la neurobiologie des douleurs à l'échelle de l'organisme, de la physiologie et de la physiopathologie, et à l'échelle cellulaire, des aspects moléculaires des systèmes intervenant dans la genèse et la modulation de l'information douloureuse.'Douleurs'car il y en a plusieurs : douleur aiguë par excès de nociception, douleur chronique inflammatoire, douleur chronique neuropathique, douleurs mixtes ( du cancer, douleur du membre fantôme, douleurs à idiopathiques nociplastiques. L'objectif de cet ouvrage est de faire comprendre la complexité de la douleur, en insistant sur celle, particulière, du passage de la douleur aiguë à la douleur chronique, principal problème rencontré par les cliniciens du fait de la grande difficulté à la soulager. L'ouvrage décline les principaux apports de la recherche sur la douleur. Sont ainsi abordés aussi bien des thèmes d'introduction qui permettent au lecteur de saisir ce qu'est la douleur dans sa 5 complexité, et d'autres, beaucoup plus spécifiques, comme la douleur du cancer, la mémoire de la douleur et les aspects moléculaires des systèmes endogènes opioïdes et cannabinoïdes. Peu de médecins sont formés pour la prise en charge de la douleur et il est donc important de pouvoir mettre à disposition un ouvrage scientifique qui permette de mieux l'appréhender. Il sera également très utile à tous les étudiants désireux d'approfondir leurs connaissances suivant les cursus des études de médecine et des différents diplômes associés à l'enseignement de la douleur (capacité, DU-DIU) mais aussi des études scientifiques de neurosciences.

Offering expert guidance from seasoned clinicians at Massachusetts General Hospital, this bestselling handbook provides accurate, clinically essential information in a portable, quick-reference format. Broad-based, multidisciplinary coverage draws from the disciplines of anesthesiology, neurology, behavioral medicine, nursing, psychiatry, and physical therapy to provide practical, evidence-based information for sound therapeutic choices. Now in full color for the first time, The Massachusetts General Hospital Handbook of Pain Management, Fourth Edition, contains numerous new chapters, new illustrations, and other features that keep you up to date with today's latest approaches to pain management.

Die neuesten Konzepte zur Vermeidung und Behandlung postoperativer Schmerzen – übersichtlich von Experten aus Chirurgie und Anästhesie zusammengestellt. Das Buch bietet konkrete Anleitungen zur allen Aspekten der prä-, peri- und postoperativen Schmerztherapie. Angefangen mit der Schmerzerfassung und –messung führt es durch die Pharmakologie, systemische Schmerztherapie und die psychologischen Aspekte der Schmerzentstehung und Manifestation. Ein Hauptschwerpunkt bildet die prozedurenspezifische Schmerztherapie in den verschiedenen operativen Disziplinen sowie bei speziellen Patientengruppen. Kapitel zur Organisation des Akutschmerzdienstes mit Therapiepfaden und SOPs sowie rechtlichen und pflegerischen Aspekten runden das Buch ab.

Part of the What Do I Do Now? Pain Medicine series, Painful Conditions of the Upper Limb presents clinical scenarios related to painful syndromes affecting the neck, shoulder, arm, and hand. Upper limb pain can be complex to evaluate and manage given its multiple potential etiologies, complex anatomical structures, and pain referral patterns. This volume focuses on common presenting symptoms and expands from common diagnoses and syndromes to more complex conditions that require extensive diagnostic evaluation, comprehensive approaches, and complex management strategies. Clinical scenarios will also cover the multitude of cumulative trauma disorders and their resulting functional and vocational effects, with special attention to rehabilitative management and functional restoration. Throughout, chapters emphasize proper evaluation, discussing history and physical exam findings, differential diagnosis, appropriate ancillary testing, and management methods using specific restorative approaches, particularly non-opioid and mostly non-pharmacological options.

This book focuses on both the management of the pain as well as the pain patient and is formatted as a practical, evidence-based guide to managing chronic pain conditions. It meets the market need for a reference that aides physicians in understanding and improving chronic pain in their patients. Organized across 46 chapters, the book begins with an introduction on chronic pain evaluation, and specifically stresses the importance of complete patient evaluation including social and psychological evaluation. Subsequent chapters then start with an evaluation, medical and interventional options available, how and when to move from one option to another and the level of evidence offered for each intervention. These unique chapter elements provide the reader with a case-based approach to managing their patients. Additionally, a brief discussion of epidemiology and pathophysiology of the disease process is included and the technical aspects of interventional techniques are reviewed. Edited by a leader in the field with international contributing authors across pain medicine, Practical Chronic Pain Management this book is written primarily for anesthesiologists, pain specialists, rheumatologists, and primary care physicians.

This book focuses on the modern clinical management of acute and chronic pain syndromes. It not only presents information in a clinically illuminating format, but in a manner that is cognizant of the current prescription opioid epidemic. Divided into seven sections, this book covers acute pain, common pain conditions, regional pain problems, interdisciplinary evaluation and treatment, medical treatments and pain in different stages of life. Concluding with the exploration of several special topics, the last section includes an important discussion on the regulatory and legal issues in the use of controlled substances. Chapters are concise and relevant, with an emphasis on treatment based upon evidence from clinical trials and interpretation by practitioners in the field. Expertly written text is further supplemented by high-quality figures, images and tables outlining proven treatments with drug, dose or other information describing details oftreatment. Timely, informative, and socially conscious, Pain Management for Clinicians: A Guide to Assessment and Treatment is a valuable reference for clinicians who manage patients with chronic and common pain problems.

This book addresses all aspects of neuromodulation therapy in the management of headache and facial pain disorders, paying particular attention to the application of this rapidly growing and fascinating therapy to different forms of headache and facial pain conditions. It is divided into sections covering the principles of and rationale behind neuromodulation for headache, including in-depth discussions of challenging topics such as the definition of refractory headache and prognostic factors, and the technical aspects of devices used to modulate peripheral and central neuronal targets for the management of headaches. In addition, the book reviews the state-of-the art in current neuromodulation practice for headaches, discusses therapeutic strategies and therapy selection for each headache and facial pain disorder, and presents an in-depth, critical analysis of the published evidence, with sections covering innovative devices and emerging applications of novel neuromodulation technologies in the field. Gathering papers by internationally respected, leading experts, the book offers a unique guide to neuromodulation therapies in headache for neurologists, pain specialists, neurosurgeons, neuroscientists, trainees and general practitioners with an interest in headache and facial pain management.

This book provides an overview of the field of pain genomics and the genomics of related, or co-occuring, symptoms, the current state-of-the-science, and challenges that remain. It brings differing views in the field together and provides examples of translational science from using cellular and rodent models to human clinical trials. This book's structure leads the reader through the physiology of pain and genomics into how pain is studied, mechanisms of acute and chronic pain, various protocols that are used throughout the field along with the pros/cons of the current methods used, and project into the future of pain genomics. This work is intended for classroom teaching, for nurses, for novice researchers in symptom science and pain research as well as students and postdoctoral fellows.

Das Werk beschreibt 100 in der Schmerztherapie eingesetzte Pharmaka nach ihrem Wirkprofil. Die Autoren, langjährig erfahrene Schmerztherapeuten, fokussieren dabei auf die für die Praxis relevanten Fakten und beleuchten auch Off-Label-Anwendungen der Medikamente. Darüber hinaus liefert das Werk Tipps für den richtigen Einsatz, Entscheidungshilfen für die richtige Medikamentenwahl sowie Informationen bei besonderen Fragestellungen. Das Werk wendet sich an alle Ärzte, die Patienten mit akuten oder chronischen Schmerzen optimal und differenziert behandeln möchten und Orientierung bei der Auswahl der richtigen Substanz benötigen.

Primary care physicians are often the first caretakers to whom patients present for chronic pain. The current literature targeted at these providers is sparse, and the existing literature is very broad and large in scope and size. There are no quick pocket guides on this topic that the general practitioner may use as a point of care reference. This first of its kind text provides a practical, hands-on approach to the evaluation and treatment of chronic pain in the family medicine setting. Divided into four main sections, the first part focuses on the general approach to any patient suffering from chronic pain. Chapters in this section include the physical exam, formulating a diagnosis, formulating a variety of treatment plans including medication, physical therapy and psychiatric therapy, and specialist referral, among others. The second section focuses on evaluation and management of the chronic pain patient who requires opioid therapy. Thissection includes useful guidance on how to convert into morphine equivalents, interpretation of urine drug tests, and helpful office procedures for managing refills. It gives practical guidance on how to prescribe opioid reversal agents and opioid tapering regimens. A systems based approach to managing the patient is also discussed. The third section informs the reader of viable alternative and complementary treatment options. Five main treatment types are discussed each with their own separate chapter. These include musculoskeletal-based therapy, medicinal therapies, sense-based therapy, relaxation-based therapy and physical/exercise-based therapy. Given the controversy and limited training primary care physicians have on marijuana and cannabis, one chapter is dedicated specifically to inform the primary care physician on marijuana as a medicinal therapy for chronic pain. The fourth section focuses entirely on myofascial pain and trigger point therapy. The chapters in this section teach the reader how to examine and diagnose myofascial pain and distinguish between fibromyalgia. They also provide general principles of myofascial trigger point therapy and how to practically perform these in sthe clinical setting. Topics discussed include: trigger point massage, cold and stretch, isometric contraction, trigger point injection, and ischemic compression. It also includes general instruction so that the practitioner can teach patients how to perform trigger point therapy easily in their own home. The last chapter details chronic myofascial back pain and how to examine and practically treat with trigger point therapies.Evaluation and Management of Chronic Pain is a first-of-its-kind pocket-guide text specifically designed for primary care providers. It also appeals to residents, medical students and any other professional interested in treating chronic pain.

This multi-faceted book provides readers with comprehensive guidance to spine pain care. Unique in structure, the contents integrate various specialties involved in spine pain care, thereby bringing in new prospective and expanding readership. This six part reference begins with a review on the epidemiology and economic impacts that present clinical and financial challenges for spine pain care. Part two then brings the reader into a review of the anatomy, pathophysiology, and etiology of spine pain. Subsequent parts then dive into clinical evaluation tactics, unique disease conditions and treatment options. Finally, the book closes with two chapters discussing the challenges of spine pain medicine and the potential future directions of the field. Written by experts in their respective fields, Spine Pain Care - A Comprehensive Clinical Guide is a first-of-its-kind, barrier breaking work designed for allprofessionals involved in spine pain care, including physicians and nurses, as well as medical students, residents and fellows as a supplementary educational material.

This atlas is the result of research involving over 3,000 patients consecutively recruited since 2004. Clinical practice gives the opportunity to observe many more Aβ axonal lesions (axonotmesis) than transections (neurotmesis), consequently the mapped hypo aesthetic territories are partial. Therefore, the authors define for each cutaneous nerve branch, the autonomous territory and the boundary markers of the largest territory of cutaneous origin. Each anatomical chart of a cutaneous branch is the superposition of tens, even hundreds of observations seen in clinical practice – based on 3,133 maps of observed cutaneous hypoaesthetic territories. The data collected has also been cross-referenced with that published in nearly 100 other anatomy books.This 1st English edition – based on the 3rd French edition published by Sauramps Medical – illustrates the usefulness of anatomical knowledge for clinical practice. More precisely, it seeks to demonstrate how these topographic elements can offer valuable support, both for the clinical anamnesis, and for the clinical examination of neuropathic pain patients. This atlas is at the crossroads between the medical and rehabilitation disciplines. Accordingly, it addresses the needs of medical doctors, from GPs to specialists, and of pain therapists, and offers a valuable asset for all health professionals who are dedicated to the management of pain and associated problems.

Chronic pain seldom presents alone. Pain patients frequently have comorbid psychiatric conditions and those suffering from mental illness often experience pain. Nonetheless, pain conditions and psychiatric disorders have customarily been understood and treated as different and separate clinical entities, to the detriment of patients'wellbeing. This book will describe the complex and striking relationships between pain and psychiatric disorders, offering the first comprehensive review of the challenging and neglected intersection between pain medicine and psychiatry. Written by world-renowned experts in the fields of pain and psychiatry, chapters contribute a valuable array of clinical and theoretical perspectives and include illustrative case examples throughout.

Palliasjon er 3. utgave av den nordiske læreboken om lindrende behandling og pleie av pasienter med uhelbredelig sykdom. Målsettingen for slik behandling er best mulig livskvalitet for pasienter og deres pårørende. Lindring av symptomer og tiltak rettet mot psykiske, sosiale og eksistensielle problemer er derfor viet bred plass. For å dekke utviklingen i fagfeltet, er denne utgaven fullstendig omarbeidet. Alle tidligere kapitler er omarbeidet og oppdatert og boken inneholder 19 nye kapitler. 70 ledende norske, svenske og danske fagpersoner har skrevet kapitlene.. Boken har åtte deler med i alt 60 kapitler. Delene dekker relevant teori, organisering, grunnleggende kliniske aspekter, smerte og smertebehandling, lindring av andre symptomer og spesielle behandlingstiltak, lindring ved andre sykdommer enn kreft, lindring til barn og perspektiver på lindrende behandling i årene fremover. Det er lagt vekt på at det kliniske stoffet skal være anvendbart i praktisk arbeid. Smerte og smertebehandling er viet stor plass med egne kapitler om smertediagnostikk, patofysiologi, molekylærgenetikk, smertepsykologi, medikamentell behandling, invasiv smertebehandling og behandling av ikke-malign smerte.

El dolor agudo es el principal'salvavidas'con el que podemos contar los seres humanos, igual que sucede con la reacción aguda de estrés y con la ansiedadnormal, con evidente valor de supervivencia. Pero no es menos cierto que el diagnóstico temprano y el tratamiento efectivo del dolor crónico, en sus diferentes formas, sigue siendo un problema asistencial no resuelto, a pesar de la creación de las Unidades de Dolor, en número evi-dentemente insuficiente. El dolor crónico severo es un estresor potencialmente traumático que afecta la saludde demasiadas personas, habitualmente como complicación del dolor agudo, no adecuadamente diagnosticado ni tratado de forma efectiva. Los pacientes con dolor crónico sufren un verdadero'vía crucis'de consulta en consulta, con una creciente frustración de sus expectativas legítimas de recibir la ayuda profesional que precisan, lo que genera deses-peranza aprendida y unas elevadas tasasde trastornos de ansiedad, depresión y del sueño, entre otras.Los enormes costes y el sufrimiento generado por el dolor crónico se solucionarán en las consultas de Atención Primaria y Especializada, de Pediatría y Geriatría, etc., si los profesionales cuentan con la adecuada formación y competencias necesarias para afrontar estos casos clínicos. Este manual no es una meraguía clínica, sino que reúne el conocimiento experto de los diferentes coautores, con el deseo de contribuir a mejorar la calidad y la continuidad de la asistencia que se presta a los pacientes, así como para aumentar la satisfacciónde los usuarios y de los profesionales sanitarios.Esta publicación es una obra coral, interprofesional, que incluye al personalde enfermería, medicina, psiquiatría, psicología y derecho, según el modelo dela Psiquiatría de Interconsulta y Enlace, dirigida a proporcionar al paciente-agente, principal responsable del cuidado de su salud, una atención personalizada, no deshumanizadora, ni yatrógena.

Th is book takes an integrated, evidence-based approach the psychiatricaspects of organ transplantation. Unlike any other text currently on the market, this title presents the core principles of transplant psychiatry through an organ-based structure that includes the heart, lungs, liver, GI organs, kidney, composite tissue, and other key areas of transplantation. Each section is divided into chapters discussing psychosocial, medical, and surgical considerations prior to and post-transplant, such as indications leading to a particular type of transplantation, medical course and complications aft er transplantation, psychiatric and psychosocial considerations before and aft er transplantation, history of each type of organ transplant, and any other special considerations. Th e text ends with special topics in care, including psychopharmacology, substance abuse, psychosocial evaluation of recipients and donors, ethical considerations, cross-cultural aspects, and building the transplant psychiatry practice. It includes excellent learning tools, including over 140 tables and figures for ease of use.Written by interdisciplinary experts, Psychosocial Care of End-Stage Disease and Transplant Patients is a valuable resourcefor students and medical professionals interested in psychiatry, psychology, psychosomatic medicine, transplant surgery, internists, hospital administrators, pharmacists, nurses, and social workers.

This book provides comprehensive coverage of small fiber neuropathy (SFN), from diagnosis to therapy. It focuses on nerve degeneration and neuropathic pain, and their underlying pathology, physiology, psychophysics, genetics and imaging. In particular, this book describes and discusses the major advances in diagnostic techniques for assessing SFN. These include skin biopsy, evoked potentials, quantitative sensory testing and functional studies, as biomarkers of SFN.SFN is a common peripheral nerve disorder, but was often overlooked due to a lack of objective and specific diagnostic tests for the assessment of small nerve fibers. These fibers mediate thermal sensation, pain detection (nociception), and autonomic regulation. Major symptoms of SFN include neuropathic pain, impaired sensation and autonomic dysfunction. Neuropathic pain poses a diagnostic challenge to clinicians, an essential step for selecting appropriate treatment to relieve suffering.SFN frequently develops in systemic diseases such as diabetes mellitus, following chemotherapy, infections etc., or presents as a major feature of various genetic neuropathies (e.g. channelopathy and familial amyloidosis). In addition to describing these conditions which lead to SFN, this book also describes related syndromes of neurodegeneration and pain, including fibromyalgia, visceral pain and hypersensitivity.This definitive book covers both clinical aspects and research progress, which provides in-depth and up-to-date information on SFN. It would be immensely useful for clinicians, neurologists, neuroscientists, diabetologists, and pain specialists. Dr. Sung-Tsang Hsieh is a professor at Department of Neurology and Institute of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taiwan. He is also the associate dean of College of Medicine, National Taiwan University, Taiwan. Dr. Praveen Anand is a professor at Department of Clinical Neurology and head of Centre for Clinical Translation, Hammersmith Hospital, UK. Dr. Christopher Gibbons is an associate professor of Neurology, Harvard Medical School, Beth Israel Deaconess Medical Center, USA. Dr. Claudia Sommer is a professor of Neurology at the Department of Neurology, Würzburg University Hospital, Germany.

This comprehensive text is the definitive academic pain medicine resource for medical students, residents and fellows. Acting as both an introduction and continued reference for various levels of training, this guide provides practitioners with up-to-date academic standards. In order to comprehensively meet the need for such a contemporary text—treatment options, types of pain management, and variables affecting specific conditions are thoroughly examined across 48 chapters. Categories of pain conditions include orofacial, neuropathic, visceral, neck, acute, muscle and myofascial, chronic urogenital and pelvic, acute, and regional. Written by renowned experts in the field, each chapter is supplemented with high-quality color figures, tables and images that provide the reader with a fully immersive educational experience. Academic Pain Medicine: A Practical Guide to Rotations, Fellowship, and Beyond is an unprecedented contribution to the literature that addresses the wide-spread requisite for a practical guide to pain medicine within the academic environment.

Acute Pain Medicine is the first comprehensive, case-based text of its kind that explores the essential topics of acute pain medicine, including interventional, pharmacologic, and diagnostic considerations. Written and edited under the auspices of the American Academy of Pain Medicine by members of the Academy's Shared Interest Group for Acute Pain Medicine, the text includes an introduction to acute pain medicine and an easily referenced interventional section. Chapters focus on patients experiencing acute pain from either surgery or other medical conditions and include detailed information on the diagnosis and treatment of specific cases in acute pain medicine. The text is rounded out by the complete content of the thoroughly revised Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA II). Although the MARAA handbook gained its reputation as a useful resource for managing the pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance is useful for providing vital acute pain services in all settings. Acute Pain Medicine is an ideal, complete resource for physicians, fellows, and residents managing acute pain patients.