Chronic Pain Management for the Hospitalized Patient

Description

Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control.

Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult.

The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.

• Guides clinicians in providing safe and effective management of hospitalized patients with co-existing chronic pain
• Fills the gap in the literature left by limited pain control guidelines for this challenging inpatient population
• Covers pain physiology, opioid and non-opioid management, pain prevention, special consideres for disease states, surgical conditions, and special populations

Contents

Part I: Chronic pain as a disease, and challenges of chronic pain management in hospital settings

Chapter 1: Epidemiology of Chronic Pain and Opioid Use and Challenges of Chronic Pain Management in Hospital Settings and Barriers to Adequate Pain Control Jiang Wu and Jiang Cheng
Chapter 2: Molecular and Physiological Markers and Mechanisms of Chronic Pain Haibin Wang and Edward Garay
Chapter 3: Psychological and Social Markers of Chronic Pain Jill Mushkat
Chapter 4: Pain Assessment Scales, Clinical Tools and Techniques Ankit Maheshwari and Richard Urman
Chapter 5: Opioids, Overview Daniel J. Leizman, Alparslan Turan, Shahbaz Qavi
Chapter 6: Non-Opioid Medications Karina Gritsenko, Adam Canter, Vijay Babu
Chapter 7: How/when to Get a Pain Medicine Consult? What to Ask of your Consultant? Establishing Treatment Goals Ellen Rosenquist and Abdul Kanu

Part II: Management of chronic pain in selected settings

Chapter 8: Management of Chronic Pain in the Emergency Department Waleed Shah, Dajie Wang, David Custodio
Chapter 9: Chronic Pain Management in the Intensive Care Unit Pavan Tankha and Marisa Lomanto
Chapter 10: Chronic Pain Patient on Labor and Delivery Floor Dmitri Souzdalnitski, Syed Ali, Denis Snegovskikh
Chapter 11: Management of Chronic Pain Patient on the Pediatric Floor Orvil Louis Ayala and Alexandra Szabova
Chapter 12: Chronic Pain Management on the Geriatric Floor Bruce Vrooman and Kathy Travnicek
Chapter 13: Management of Chronic Pain on the Palliative Care Floor Jennifer Drost, Danielle Ingram, Melissa Soltis
Chapter 14: Management of Chronic Pain in Nursing Home, in Rehabilitation Facility, on the Psychiatric Floor and in Long-term Facilities, and in Institutionalized Patients Karina Gritsenko, Michael Lubrano, Yury Khelemsky, and Todd Ivan

Part III: Role of nursing, pharmacy specialist and other hospital services in management of chronic pain patient

Chapter 15: Nursing Considerations Kimberly Berger and Christine Wierzbowski
Chapter 16: Role of the Pharmacist in Management of Patient with Chronic Pain in the Hospital Setting Glenn R. Rech and Pamela S. Moore
Chapter 17: Role of Clinical Psychologist Rod Myerscough
Chapter 18: Physical Medicine and Rehabilitation Consultation of the Inpatient with Chronic Pain Danielle Sarno, Stefan C. Muzin, Joseph Walker, and Susan Ludwig
Chapter 19: Integrative Medicine in Treatment of Inpatient Chronic Pain Patients Joseph Walker, Andree Maureen Leroy, Seelye, Richard Rynaksi

Part IV: Management of chronic pain in selected patient categories

Chapter 20: Chronic Pain in Hospitalized Patients with Selected Medical Conditions Tim Sable
Chapter 21: Management of Chronic Pain in Neurological Disorders Alexander Feoktistov
Chapter 22: Management of Chronic Pain with History of Substance Abuse in the Hospital Setting Eman Nada, Nicole Labor, and Dmitri Souzdalnitski
Chapter 23: Management of the Patients with Spinal Cord Stimulators and Intrathecal Pumps Samuel W. Samuel and Khodadad Namiranian

Part V: Perioperative chronic pain management

Chapter 24: Pre-operative Chronic Pain Management; Coordination of Surgical and Anesthesiology Services in Preparation for Surgery Sherif Zaky, Steven Rosenblatt, and Salim Hayek
Chapter 25: General and Regional Anesthesia for Patients with Pre-existing Chronic Pain Dmitri Souzdalnitski, M. Smith, Y. Huang, M. Guirgis
Chapter 26: Postoperative Pain Management Dmitri Souzdalnitski, Imanuel R. Lerman, Samer Narouze

Part VI: Patient satisfaction and quality management in hospitalized chronic pain patient

Chapter 27: Prevention of Chronic Pain After Hospitalization. Prevention of Chronic Postoperative Pain: Myth or Reality? Harsha Shanthanna, Hari Kalagara, and Loran Mounir Soliman
Chapter 28: Patient Satisfaction Dmitri Souzdalnitski, Richard W. Hohan, Carmen V. Natale, and Beth Minzter
Chapter 29: Criteria for Discharge from the Hospital from the Pain Perspective Ankit Maheshwari and Richard Urman

Appendix A: Opioid Conversion Table

Author

Richard W. Rosenquist is the Chairman of the Department of Pain Management at the Cleveland Clinic in Cleveland, Ohio. Dmitri Souzdalnitski is a Staff Physician at the Center for Pain Medicine, Summa Western Reserve Hospital in Akron, Ohio. Richard D. Urman is an Assistant Professor of Anesthesiology, Perioperative, and Pain Medicine at Harvard Medical School and Brigham & Women's Hospital in Boston, Massachusetts.