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Communication in anaesthesia, pain management, and intensive care can have profound impacts on patients and healthcare colleagues. Good communication can result in better patient outcomes and experiences of the hospital setting, whereas poor communication is frequently at the heart of adverse incidents, complaints, and litigation. This handbook outlines two model frameworks to improve communication: one to give structure to an interaction and one that explores language structures and the layers of meaning to our words. The frameworks are essential tools for communicating with children, obstetric patients, and those with needle phobia. A practical guide, the book is packed with useful tips to enhance interactions with both patients and colleagues. Numerous examples and vignettes clearly demonstrate ideas that will improve patient care, safety, and bring out the best in everyone around. Fully updated with new clinical guidelines and literature, the second edition includes new chapters on how to talk to patients in pain, featuring motivational interviewing techniques, and on social media. Increased coverage of managing challenging situations, includes communicating with distressed relatives, dealing with complaints, and working with interpreters. The contributors and editors are senior clinicians from North America, Europe, and Australasia, working at the coalface of perioperative and critical care. Blending theory, science, and practicality, this book complements resources for communication skills teaching in anaesthesia and other related professional groups.

This new title is designed to bring together necessary and valuable information for anyone suffering from chronic pain—more than 20% of U.S. adults, according to recent figures—including family and friends of affected individuals. For those providing care and support to individuals with chronic pain, this resource provides easy-to-understand and helpful information and connects readers to many sources of support.

This book summarises contemporary basic science understanding of sacroiliac joint anatomy, biomechanics, and disease with related changes in the joint. It provides great insight into emerging and promising therapeutic options. Combining established concepts and recent findings on the sacroiliac joint, together with research advances made over the last 25 years, this illustrated text will appeal to pain therapists, orthopedic practitioners, spine surgeons, sacroiliac joint surgeons, physiotherapists, and general practitioners.

Hip and Knee Pain Disorders has been written to provide a state-of-the-art, evidence-informed and clinically-informed overview of the examination and conservative management of hip/knee pain conditions. Under the current predominantly evidence-based practice paradigm, clinician expertise, patient preference, and best available research determine examination, and prognostic and clinical management decisions. However, this paradigm has been understood by many to place greater value and emphasis on the research component, thereby devaluing the other two. Evidence-informed practice is a term that has been suggested to honor the original intent of evidence-based practice, while also acknowledging the value of clinician experience and expertise. In essence, evidence-informed practice combines clinical reasoning, based on current best evidence, with authority-based knowledge and a pathophysiological rationale derived from extrapolation of basic science knowledge. Unlike other published textbooks that overemphasize the research component in decision-making, this book aims to address the clinical reality of having to make decisions on the management of a patient with hip/knee pain, in the absence of a comprehensive scientific rationale, using other sources of knowledge. It offers an evidence-informed textbook that values equally research evidence, clinician expertise and patient preference.The book is edited by three recognised world leaders in clinical research into manual therapy and chronic pain. Their research activities are concentrated on the evidence-based management of musculoskeletal pain conditions using conservative interventions. For this book they have combined their knowledge and clinical expertise with that of 54 additional contributors, all specialists in the field The contributors include a mix of clinicians and clinician-researchers.Hip and Knee Pain Disorders is unique in bringing together manual therapies and exercise programs in a multimodal approach to the management of these pain conditions from both a clinical, but also evidence-based, perspective. It acknowledges the expanding direct access role of the physical therapy profession. The book provides an important reference source for clinicians of all professions interested in conservative management of the hip and knee regions. It will also be useful as a textbook for students at both entry and post-graduate level.

From childhood to millennials and beyond, it is essential we take a life-course approach to occupation and work when in pain. Written by experts in the field, Work and pain: A lifespan development approach provides an authoritative summary and analysis of the relationship between all forms of occupation and pain. Divided into three sections,'Foundations', provides a critical account of the nature of work and of pain. The next section,'Investigations', analyses the bi-directional relationships between children living with chronic pain and parents; between being a child in pain and schooling; what it is to be a millennial in pain; the implications of pain which is determined to be occupational in origin; and enabling a life lived well with pain as one ages. The final section,'Interventions', critically reviews what individuals can change, what workplaces can do, and how governments can innovate to try to maximise workability for people living with pain in the context of current working practices. Work and pain: A lifespan development approach investigates and guides the reader on understanding how and why people seek to be occupied, and how we can maximise their social and personal involvement when living with ongoing pain, suggesting ways forward in research, practice, and policy.

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.

The book “Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach” is not meant to replace in-depth, highly referenced textbooks in pain medicine. It may, nevertheless, be a valuable supplement, providing pain clinicians with a logical, concise, stepwise approach to the identification, diagnosis, and management of various acute or chronic pain conditions or syndromes. There have been great advances in the concepts, approaches, treatment options, and technology in pain medicine, which necessitate significant revision in order to make the book more relevant to the present-day practitioner. This book comprises 15 sections, which includes 145 chapters, which are thoroughly revised and updated. The first and second sections discuss the evaluation of pain and acute pain. The third and fourth sections describe the chronic pain syndromes and cancer pain. The fifth and sixth sections provide details about the head and neck pain and thoracic pain. The seventh and eighth sections cover the low back pain and upper extremity pain. The ninth and tenth sections deal with the lower extremity pain and pediatric pain. The eleventh and twelfth sections focus on pharmacology and opioid pharmacology. The thirteenth and fourteenth sections discuss the noninterventional therapeutic modalities and interventional therapeutic modalities. The final section gives an overview on other topics, which includes pain management ethics, imaging use during interventional procedures, radiographic contrast media, and controversial therapies.

Das vorliegende Werk orientiert sich an den Inhalten des Grundkurses und des Aufbaukurses der Zusatz-Weiterbildung Manuelle Medizin/Chirotherapie und wendet sich an alle Ärzte, die diese Zusatzbezeichnung anstreben.Ein Herausgeber- und Autorenteam mit langjähriger Praxiserfahrung vermittelt auf den Punkt gebracht die wesentlichen Grundlagen und Besonderheiten der Manuellen Medizin, u.a. zu Neuro-und Pathophysiologie der Funktionsstörung, den wichtigsten Prinzipien der manuellen Diagnostik und Therapie, inklusive der Differenzialdiagnostik funktioneller und struktureller Befunde, manuelle Medizin bei Kindern sowie den wichtigsten manualmedizinischen Krankheitsbildern und Syndrome. Das Buch eignet sich hervorragend als Kursbegleiter und zur Prüfungsvorbereitung, ist aber auch aufgrund der zahlreichen Fallbeispiele und Praxistipps, u.a. zur Verordnung und Abrechnung, für das schnelle Nachschlagen im klinischen Alltag bestens geeignet.

This go-to manual--now revised and significantly expanded with more than 50% new material--has enabled thousands of clinicians to effectively treat clients with chronic pain. In the face of today's growing opioid crisis, pain self-management techniques are needed now more than ever. The volume shows how to implement 10 treatment modules that draw on proven cognitive-behavioral therapy (CBT) strategies. In a convenient large-size format, it includes 58 reproducible client handouts and assessment tools that purchasers can photocopy from the book or download and print from the companion website. The website also offers access to downloadable audio recordings of relaxation exercises narrated by the author, plus supplemental resources for treating clients with lower levels of literacy. New to This Edition •Incorporates over a decade of important advances in pain research and clinical practice. •Treatment modules that allow clients to enter a group at any point after an introductory session. •Expanded with motivational enhancement, relaxation, and mindfulness techniques. •Many new handouts, assessment tools, and therapist scripts, as well as audio downloads. •Orients and engages clients using state-of-the-art research on how the brain processes pain.

Die Krankheiten des rheumatischen Formenkreises erlangen immer mehr Bedeutung in der Medizin. Die Kenntnisse über Molekularbiologie, Immunologie, medikamentöse und chirurgische Therapie haben in den letzten Jahren rasant zugenommen. Es ist den Herausgebern und Autoren gelungen, die Rheumatologie mit all ihren Randgebieten auf dem letzten Stand des Wissens zu präsentieren und gleichzeitig für die Tätigkeit am Krankenbett eine praxisbezogene Hilfe anzubieten. Im allgemeinen Teil wird u. a. auf die Bausteine des Bindegewebes, Immunologie, Genetik und Epidemiologie eingegangen, gefolgt von einem Teil über Diagnostik und Krankheitsbilder und einem therapeutischen Teil, der alle medikamentösen, nicht-medikamentösen und chirurgisch-orthopädischen Aspekte beinhaltet. Besonders in den klinischen Kapiteln wird durchgehend eine übersichtliche Gliederung nach folgendem Muster eingehalten: Definition, Häufigkeit, Ätiologie und Pathogenese, Krankheitsbild und Verlauf, Labor, bildgebende Verfahren, Komplikationen, Differentialdiagnose, Therapie und Prognose. Das Lehrbuch ist damit eine geglückte Synthese von fundiertem Handbuch und praktischer Checkliste.

Pain is a complex experience, influenced by many variables. There is currently growing interest in the influence of sex and gender on the experience of pain. The fact that there are sex differences in pain and analgesia is now a well-recognized phenomenon within the field of pain medicine. However, the specific mechanisms underlying these differences remain somewhat poorly understood. Traditionally, these sex differences in pain experience have been attributed largely to psychological, behavioral and socio-cultural variables - in particular, a perceived greater willingness on the part of women to report painful symptoms and seek medical attention. Although psychosocial factors do influence pain perception, there is now substantial evidence to support a strong role for hormonal factors mediating sex differences in pain modulation. In Pain in Women: A Clinical Guide, a renowned group of experts in pain medicine breaks new ground in the field by synthesizing and elucidating the range of biological and neurohormonal factors underlying these conditions and clarifying potential treatment options based on these factors. The initial section of this unique title introduces the topic of pain in women and its importance and then goes on to describe hormonal and myofascial considerations in this patient population. The second section addresses specific pain disorders common in women and the various treatment options for these, including rehabilitative and complementary and alternative medicine (CAM) treatments. The third and final section covers the specific populations of the pregnant/postpartum woman, issues related to breast cancer, the female athlete, menopausal considerations and the role of physical therapy in women's health. Timely and state-of-the-art, Pain in Women: A Clinical Guide is an important new reference that fills a significant need in the developing area of pain medicine.

Chronic back pain has been and continues to be a major cause of distress (both to people with persistent pain and their significant others), disability, work loss, and a huge cost to society. Moreover, with the aging population, it is becoming even more prevalent and as a consequence is having an escalating impact upon the healthcare systems and society as a whole worldwide. A significant issue concerns understanding why, although the majority of people with acute back symptoms recover in a reasonable time, a significant minority evolve into patients with chronic pain and prolonged pain-related disability. Understanding the variables that contribute to chronicity could serve as a basis for early intervention to prevent the downward spiral. In the past 15 years, psychological and psychobiological mechanisms have been identified as important risk factors in back pain, leading to the development of early screending methods (Yellow Flag diagnostics) and new psychosocial interventions. These work by closely targeting treatment modalities to patients'needs. However, many aspects of how acute pain becomes chronic pain remain unexplained. Recent neurobiological work investigating genetic, neurophysiological, and biomechanical processes has uncovererd important mechanisms involved in chronic and acute back pain. From Acute to Chronic Back Pain examines the risk factors and mechanisms involved in the transition from acute to chronic back pain. It integrates genetic, biomechnanical neurobiological, psychophysiological, psychosocial, and socieconomic risk factors. Moreover, the text examines advances in treatment approaches based on evidence from published studies-ranging from prevention of disability to pharmacological, psychological, and rehabilitative strategies and methods. Broad in scope, and with contributions from leading authorities in their respective fields, this book is a valuable and comprehensive work for the many specialities involved with back pain - including those in the fields of clinical and health psychology, physiology, epidemiology, and pain.

Grundlagen, Diagnostik und Therapie von Rückenschmerzen werden übersichtlich und interdisziplinär dargestellt: Evidenzbasiert und nach der Nationalen Versorgungsleitlinie KreuzschmerzInterdisziplinär und umfassend: von der Anatomie bis zur PsychosomatikVersorgungskoordination: wie wird der Patient am besten durchs Gesundheitssystem geleitet?

Die Krankheiten des rheumatischen Formenkreises werden immer bedeutsamer. Die Kenntnisse über Molekularbiologie, Immunologie, medikamentöse und chirurgische Therapie haben rasant zugenommen. Umfassend und praxisnah präsentiert dieses Buch die Rheumatologie mit all ihren Randgebieten. Im allgemeinen Teil wird u.a. auf die Bausteine des Bindegewebes, Immunologie, Genetik und Epidemiologie eingegangen, gefolgt von einem Teil über Diagnostik und Krankheitsbilder und einem therapeutischen Teil, der alle medikamentösen, nicht-medikamentösen und chirurgisch-orthopädischen Aspekte beinhaltet. In den klinischen Kapiteln wird durchgehend eine übersichtliche Gliederung eingehalten. Die fünfte Auflage wurde um aktuelle Themen, wie Biologika in die Therapie der entzündlichen rheumatischen Erkrankungen, die intensive Behandlung der Früharthritis und besserer Therapieerfolg durch Einführung einheitlicher klinischer Messkriterien erweitert. Eine geglückte Synthese von fundiertem Handbuch und praktischer Checkliste.

This new book examines the issue of pain in individuals with intellectual disabilities by introducing the topic as well as suggesting a model for pain in this population. A couple of articles suggest different approaches to the complex subject of evaluation in this group of clients, and also in depth approaches to specific syndromes. In this yearbook for 2009, you will find research published from the Journal of Pain Management by leading researchers from all over the world, which produces sound and evidence-based research that can help mankind to suffer less and enjoy a good quality of life.

Das Werk bietet Ihnen alle wichtigen Fakten zu Klinik, Diagnostik, Differenzialdiagnose und Therapie von Schmerzsyndromen sowie Übersichten zu verschiedenen therapeutischen Methoden. Flussdiagramme, Tabellen unterstützen die Entscheidungsfindung und Therapieplanung. Neu in der 4. Auflage:Neue TherapieempfehlungenAktualisierte medikamentöse TherapieverfahrenHinweise für Abrechnung und Gebührenordnung auf dem neuesten Stand

Chronic pain affects nearly one in every four adults worldwide, with pain one of the most common symptoms resulting in medical consultation. The increasing focus on chronic pain presents difficulties for the busy practitioner. Patients typically describe a complex pattern of discomfort, disability, and distress, with pain affecting physical, social, and psychological functioning. Clinicians must efficiently condense widely varied symptomatic descriptions into characteristic patterns to permit accurate diagnosis and implement effective treatment. This atlas serves as a useful educational resour.

The field of Pain Medicine has evolved over the last 20 years to include an increasing array of sophisticated and technologically complex diagnostic and the- peutic procedures. Concurrent to this advancement has been the development of a battery of pharmacological options to treat pain, from extended-release formulations of analgesics to antidepressants and anticonvulsants designed to treat specific types of pain syndromes. Despite (and perhaps because of) this phenomenal growth, it is not uncommon for patients with persistent pain to find themselves having gone through a number of procedures and taking a growing list of medications without ever expe- encing true resolution of the condition or a return to a normal lifestyle and function. Inherent in this approach is the viewpoint that the clinician's role is to do something to the patient that will reduce symptoms rather than to work in concert with the patient to either resolve the root causes or ameliorate the functional consequences of their pain condition. Although motivated by the desire to help, this model of pain management neglects individual choice and personal responsibility. This approach is of even greater concern in special populations such as the elderly.

Both pain and addiction are tremendous public health problems. Practitioners of every stripe say that they learned precious little about pain or addiction in their training and readily admit that instruction on the interface of pain and addiction is nonexistent. The recent problem of prescription drug abuse has only served to highlight the fact that these two worlds need unificationthose who treat pain must be informed about the risks of controlled substances and those who treat addiction need to better and more fully understand their benefits. Nowhere is the pooled knowledge of pain management and addiction medicine brought together to allow for a greater appreciation of the risks of addiction when treating people with pain and the pain problems of those with chemical dependency. This major new volume brings this vast knowledge base together, presenting an array of perspectives by the foremost thought leaders at the interface of pain and chemical dependency, and is the most comprehensive resource on the subject to date. There have been an increasing number of seminars devoted to this topic and a new society, The International Society on Pain and Chemical Dependency, has recently been formed, and this volume is destined to become the classic text on this multidisciplinary subject. It will appeal to anesthesiologists, neurologists, rehab physicians, palliative care staff, pain center physicians, and psychologists.

Selten hatte eine Krankheit soviel Mutlosigkeit hervorgerufen wie die Spondylarthritis - kylosans: bei den Betroffenen, weil viele einem unausweichlich scheinenden Schicksal e- gegengingen, das zwar unterschiedliche Facetten aufwies, aber zumeist unangenehme und in ihrem Ausmaß nicht vorhersagbare; und bei den Ärzten durch das bisherige Bewusstsein einer therapeutischen Ohnmacht (zugleich dadurch verknüpft mit diagnostischer Ab- stumpftheit, die zu mehrjähriger Verzögerung in der Krankheitserkennung führte). Eine „junge“ Krankheit, die – man mag es angesichts der vielfältigen historischen S- lettfunde mit Zeichen der Erkrankung und dem vermutlich ersten Bericht aus 1691 gar nicht glauben – erst nach einer Veröffentlichung des Petersburger Arztes Vladimir Bechterew aus dem Jahre 1893 in medizinischen Kreisen zur Kenntnis genommen und nach ihm benannt wurde. Ursache: unbekannt; Prädisposition: eine der höchsten genetischen Assoziationen in der Medizin – und doch enigmatisch; Pathogenese: ein wenig Licht im Dunkel; Diagnose: viel Dunkel im Lichte frühdiagnostischer Bestrebungen; Verlauf: wie gesagt – (bisher) „schicksalhaft“; Therapie: ja wieso ging denn bis vor kurzem so wenig? Bisher schicksalhaft, bisher so wenig, bisher so dunkel. Bisher therapeutische O- macht. Bisher.

Title from ebook title screen (viewed August 30, 2004).

Title from ebook title screen (viewed on June 4, 2004).