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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.


Pain

Pain
Author: Murat Aydede
Publisher: MIT Press
Total Pages: 443
Release: 2005-12-02
Genre: Medical
ISBN: 0262012219

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Leading philosophers and scientists examine the puzzles of pain and consider how the study of pain might help us to have a better understanding of the larger issues of consciousness and psychological research.


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.


The Pain Chronicles

The Pain Chronicles
Author: Melanie Thernstrom
Publisher: Macmillan + ORM
Total Pages: 378
Release: 2010-08-17
Genre: Medical
ISBN: 1429979453

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Each of us will know physical pain in our lives, but none of us knows when it will come or how long it will stay. Today as much as 10 percent of the population of the United States suffers from chronic pain. It is more widespread, misdiagnosed, and undertreated than any major disease. While recent research has shown that pain produces pathological changes to the brain and spinal cord, many doctors and patients still labor under misguided cultural notions and outdated scientific dogmas that prevent proper treatment, to devastating effect. In The Pain Chronicles, a singular and deeply humane work, Melanie Thernstrom traces conceptions of pain throughout the ages—from ancient Babylonian pain-banishing spells to modern brain imaging—to reveal the elusive, mysterious nature of pain itself. Interweaving first-person reflections on her own battle with chronic pain, incisive reportage from leading-edge pain clinics and medical research, and insights from a wide range of disciplines—science, history, religion, philosophy, anthropology, literature, and art—Thernstrom shows that when dealing with pain we are neither as advanced as we imagine nor as helpless as we may fear. Both a personal meditation and an intellectual exploration, The Pain Chronicles illuminates and makes sense of the all-too-human experience of pain—and confronts with extraordinary grace and empathy its peculiar traits, its harrowing effects, and its various antidotes.


Pain Medicine

Pain Medicine
Author: P. Prithvi Raj
Publisher:
Total Pages: 452
Release: 1996
Genre: Medical
ISBN:

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Here's a quick, focused review of all of the core knowledge in pain medicine. Based upon Dr. Raj's Practical Management of Pain, 3rd Edition, it presents concise outline summaries of the most important concepts in the field, including anatomy and physiology symptoms acute and chronic pain syndromes evaluation and investigation of pain patients treatment modalities special situations and more. Board-style review questions, with answers, test readers' mastery of the material in each chapter. And, a new, comprehensive exam at the end of the book enables readers to assess their overall grasp of the subject matter. Features contributions from many new authors, presenting fresh perspectives on every area of pain management. Covers hot topics such as acute pain trauma pain cancer pain interventional techniques diagnostic tools for pain management palliative care and economics of pain medicine. Encompasses all of the content covered in the pain management certification and recertification exams. Offers new suggested reading lists for more in-depth study. Features contributions from many new authors, presenting fresh perspectives on every area of pain management. Covers hot topics such as acute pain . trauma pain . cancer pain . interventional techniques . diagnostic tools for pain management . palliative care . and economics of pain medicine. Encompasses all of the content covered in the pain management certification and recertification exams. Offers new suggested reading lists for more in-depth study.


Mechanisms of Vascular Disease

Mechanisms of Vascular Disease
Author: Robert Fitridge
Publisher: University of Adelaide Press
Total Pages: 589
Release: 2011
Genre: Medical
ISBN: 1922064009

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New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.


McGraw-Hill Specialty Board Review Pain Medicine

McGraw-Hill Specialty Board Review Pain Medicine
Author: Salahadin Abdi
Publisher: McGraw Hill Professional
Total Pages: 368
Release: 2009-05-20
Genre: Medical
ISBN: 0071714391

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1000 Q&As provide the preparation you need to ace the pain medicine board exams and anesthesiology recertification! "The book is meant for all physicians who are practicing interventional pain medicine. It is certainly a very helpful book for any pain fellow getting ready for board examinations....There are other pain review books available...but none as useful as this book is in preparing readers for the pain boards. 3 Stars."--Doody's Review Service McGraw-Hill Specialty Board Review: Pain Medicine is the perfect way to prepare for the American Board of Anesthesiology exam as well as exams given by the American Board of Pain Medicine and the American Academy of Pain Medicine. It's also great for recertification! You'll find everything you need in one comprehensive review . . . questions, answers, explanations, practice tests, and references. Here's why this book is the ultimate anesthesiology board review tool: 1000 questions and answers with detailed explanations for correct and incorrect answers The number of questions per topic reflects the make-up of the actual exam -- so you know you're putting the most amount of study time into what's most important Answers are referenced to major pain medicine texts Questions duplicate the style and format of the ABA exam


Explain Pain

Explain Pain
Author: David S Butler
Publisher: Noigroup Publications
Total Pages: 138
Release: 2013-07
Genre: Health & Fitness
ISBN: 0987342673

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Imagine an orchestra in your brain. It plays all kinds of harmonious melodies, then pain comes along and the different sections of the orchestra are reduced to a few pain tunes. All pain is real. And for many people it is a debilitating part of everyday life. It is now known that understanding more about why things hurt can actually help people to overcome their pain. Recent advances in fields such as neurophysiology, brain imaging, immunology, psychology and cellular biology have provided an explanatory platform from which to explore pain. In everyday language accompanied by quirky illustrations, Explain Pain discusses how pain responses are produced by the brain: how responses to injury from the autonomic motor and immune systems in your body contribute to pain, and why pain can persist after tissues have had plenty of time to heal. Explain Pain aims to give clinicians and people in pain the power to challenge pain and to consider new models for viewing what happens during pain. Once they have learnt about the processes involved they can follow a scientific route to recovery. The Authors: Dr Lorimer Moseley is Professor of Clinical Neurosciences and the Inaugural Chair in Physiotherapy at the University of South Australia, Adelaide, where he leads research groups at Body in Mind as well as with Neuroscience Research Australia in Sydney. Dr David Butler is an international freelance educator, author and director of the Neuro Orthopaedic Institute, based in Adelaide, Australia. Both authors continue to publish and present widely.


Framing Opioid Prescribing Guidelines for Acute Pain

Framing Opioid Prescribing Guidelines for Acute Pain
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 223
Release: 2020-03-20
Genre: Medical
ISBN: 030949687X

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The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.


Essential Clinical Anesthesia Review

Essential Clinical Anesthesia Review
Author: Linda S. Aglio
Publisher: Cambridge University Press
Total Pages: 577
Release: 2015-01-08
Genre: Medical
ISBN: 1316062287

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This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.