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Relieving Pain in America

Relieving Pain in America
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 383
Release: 2011-10-26
Genre: Medical
ISBN: 030921484X

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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.


Experiencing Chronic Pain in Society

Experiencing Chronic Pain in Society
Author: Lous Heshusius
Publisher: Createspace Independent Publishing Platform
Total Pages: 272
Release: 2017-04-25
Genre:
ISBN: 9781544241128

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This extensively researched book is a follow up to the author's highly praised memoir Inside Chronic Pain . The present work describes the "outside" of chronic pain: It shows how chronic pain is poorly represented to, and deeply embedded in, society. It is written for people living with pain as well as for those who, for whatever reason, are in contact with them. Integrating social analysis with the lived experience, this book shows how multiple societal institutions and beliefs often make chronic pain worse, stand in the way of obtaining relief, or misrepresent chronic pain. They range, among others, from insurers who benefit from pain's invisibility, to inadequate knowledge by the world of medicine; from misapplied psychological theories, to the dilemma the opioid overdose tragedy presents to people living in pain; from the social stigma attached to chronic pain due to pain's invisibility, to the often inappropriately cheerful messages from others, even from self help organizations. Reading Experiencing Chronic Pain In Society is being shocked into awareness of how frequently people and institutions habitually contribute, often unintentionally, to the misery that is a life lived in pain. Throughout this book, the focus is on what needs to happen to coach invisible pain into visibility, and to correct societal obstacles to pain relief. From reviews, cited in the book: "I found myself engrossed in the profound revelations about the world in which I live." "It's terrific to hear the voice of one who not only lives with pain but is able to tease apart the complexity of the experience. Her insights inform how professionals and others might become part of the solution." "Heshusius shows how accepted ideas about evidence, professionalism and science distort how a broad array of professionals as well as members of society at large understand --or are unable to understand-- lives lived in pain." "People living with pain will find an author who finally speaks with them rather than about them or even for them." "Her books have taken me off the path of suicide..." "Read this powerful book if you want to understand chronic pain.


Illness Behavior

Illness Behavior
Author: Sean McHugh
Publisher: Springer Science & Business Media
Total Pages: 421
Release: 2012-12-06
Genre: Psychology
ISBN: 1468452576

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In August, 1985, the 2nd International Conference on Illness Behaviour was held in Toronto, Ontario, Canada. The first International Conference took place one year previous in Adelaide, South Australia, Australia. This book is based on the proceedings of the second conference. The purpose behind this conference was to facilitate the development of a single integrated model to account for illness experience and presentation. A major focus of the conference was to outline methodological issues related to current behaviour research. A multidiscipl~nary approach was emphasized because of the bias that collaborative efforts are likely to be the most successful in achieving greater understanding of illness behaviour. Significant advances in our knowledge are occurring in all areas of the biological and social sciences, albeit more slowly in the latter areas. Marked specialization in each of these areas has lead to greater difficulty in integrating new knowledge with that of other areas and the development of a meaningful cohesive model to which all can relate. Thus there is a major need for forums such as that provided by this conference.


Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 483
Release: 2017-09-28
Genre: Medical
ISBN: 0309459575

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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.


Needless Suffering

Needless Suffering
Author: David Nagel, MD
Publisher: University Press of New England
Total Pages: 362
Release: 2016-07-05
Genre: Health & Fitness
ISBN: 1611689635

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Needless Suffering offers a sociological examination of a complex medical problem: chronic pain and the inability of doctors and other health professionals to understand and manage it in their patients. People in pain, writes Dr. David Nagel, are the poor of the medical world. Like the poor, they are stigmatized and left at the mercy of powerful social actors who tend to work in their own self-interest, frequently at the expense of those they propose to serve. This leaves those who suffer with little control over their own destinies and creates a dysfunctional status quo that harms instead of helps. Drawing on his own experience witnessing his mother's chronic pain and numerous clinical stories from over thirty years' expertise as a pain management specialist, Nagel looks first at patients, their families, and their doctors (usually not trained in pain management), and then broadens his canvas to elaborate a pain power structure that includes the entire healthcare community, insurers, lawyers, government regulators, employers, politicians, law enforcement agencies, and painkilling drugs. Concluding with concrete reforms to create more effective and compassionate pain care, this book is designed for pain patients and their families, healthcare providers, legislators and other public policymakers, judges, personal injury and other attorneys, insurers, government regulators, law enforcement personnel, and health care businesspeople.


Chronic Pain Epidemiology

Chronic Pain Epidemiology
Author: Peter Croft
Publisher: Oxford University Press, USA
Total Pages: 377
Release: 2010-09-30
Genre: Medical
ISBN: 0199235767

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This book provides an invaluable framework and basis for thinking about chronic pain and the potential for its prevention in public health terms.


Pain as Human Experience

Pain as Human Experience
Author: Mary-Jo DelVecchio Good
Publisher: Univ of California Press
Total Pages: 228
Release: 1994-11-14
Genre: Medical
ISBN: 9780520075122

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"With case studies drawn from anthropological investigations of chronic pain sufferers and pain clinics in the northeastern United States, the authors attempt to invent new ways of writing about this language-resistant human experience. Focused on substantive issues in the study of chronic pain, their work explores the great divide between the culturally shaped language of suffering and the traditional language of medical and psychological theorizing. They argue that the representation of experience in local social worlds is a central challenge to the human sciences and to ethnographic writing, and that meeting that challenge is also crucial to the refiguring of pain in medical discourse and health policy debates. Anthropologists, scholars from the medical social sciences and humanities, and many general readers will be interested in Pain as Human Experience. In addition, behavioral medicine and pain specialists, psychiatrists, and primary care practitioners will find much that is relevant to their work in this book."--Jacket.


Cancer Pain Management in Developing Countries

Cancer Pain Management in Developing Countries
Author: Sushma Bhatnagar
Publisher: Lippincott Williams & Wilkins
Total Pages: 253
Release: 2018-06-29
Genre: Medical
ISBN: 1975103106

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Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. A Comprehensive Handbook of Cancer Pain Management in Developing Countries Written by an international panel of expert pain physicians, A Comprehensive Handbook of Cancer Pain Management in Developing Countries addresses this challenging and vital topic with reference to the latest body of evidence relating to cancer pain. It thoroughly covers pain management in the developing world, explaining the benefit of psychological, interventional, and complementary therapies in cancer pain management, as well as the importance of identifying and overcoming regulatory and educational barriers.


Pain and Disability

Pain and Disability
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 318
Release: 1987-01-01
Genre: Medical
ISBN: 0309037379

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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.