This clinically oriented book provides quick access to needed pain management guidelines presented in a clear, systematic format. The book assists practitioners in assessing pain in a variety of patient populations, as well as selecting patient-appropriate medications and interventions to achieve optimal pain management for adult patients.
The book focuses on treatment options for patients with chronic persistent pain, or pain that lasts beyond the normal healing time period of 3 to 6 months. Crucial information on managing the pain of chronic pain conditions is included, such as rheumatoid arthritis as well as difficult to treat conditions such as fibromyalgia and neuropathic pain.
The text is designed to guide the practitioner in the selection of medication management options as well as considering other types of treatment options such as acupuncture, energy therapies, psychological, and coping strategies. The book also presents essential information on safe prescribing and screening tools such as the Opioid Risk Tool (ORT) and screening tools for aberrant behaviors. It offers the newest guidelines on how to use a combination of pain screening tools to accurately assess the nature, intensity, and occurrence of patient pain.
Table of Contents
Section I Overview and Assessment of Chronic Pain
Chapter 1 The Problem of Chronic Pain
Chapter 2 The Art & Science of Chronic Pain Assessment
Section II Pain Management Options
Chapter 3 Non-Opioid Analgesics
Chapter 4 Opioids
Chapter 5 Co-Analgesics for Additive Pain Relief
Chapter 6 Complementary & Integrative Therapies for Pain Management
Chapter 7 Pain Clinic Referrals and Interventional Options
Section III Special Considerations for Treating Chronic Pain
Chapter 8 Effect of Opioid Polymorphisms and Gender Differences
Chapter 9 Pain and Addiction
Chapter 10 Developing a Comprehensive Treatment Plan for Patients with Chronic Pain
Section IV Treating Common Chronic Pain Conditions
Chapter 11 Low Back Pain
Chapter 12 Rheumatoid and Osteoarthritis
Chapter 13 Fibromyalgia
Chapter 14 Headaches
Section V Managing Neuropathic Pain Syndromes
Chapter 15 Overview of Neuropathic Pain
Chapter 16 Peripheral Neuropathic Pain Syndromes
Chapter 17 Central Pain Syndromes
Appendix A Selected Web Sites for Guidelines
Appendix B Equi-Analgesic Conversion Table
Yvonne D'Arcy is an expert pain management and palliative care nurse practitioner who has received several awards for nursing excellence, and possesses a remarkable publishing and presentation career history. Currently, Ms D'Arcy is the NP for Pain Management and Palliative Care at Suburban Hospital, in Bethesda, Maryland. She has significant experience in pain management, having worked as Staff education Coordinator at Johns Hopkins Oncology Center, Pain Clinic Supervisor at the Mayo Clinic, in Jacksonville, Florida, and Pain Center Manager and Clinical Coordinator, of the Acute Pain Service at the Heartland Health System, in St. Joseph, Missouri. Her accomplishments include more than delivering more than 100 poster and oral presentations, publishing more than 100 journal articles on pain-related topics, authoring three books on pain, serving as consultant for pharmaceutical companies, VA hospitals, pain clinics, and publishing companies (Elsevier; LWW; P-H) and serving on the Editorial Boards of Nursing (journal), the Journal for Nurse Practitioners and the Pain Management News. Ms. D'Arcy has been an active member of the Pain Management Society and the American Society of Pain Management Nurses, having served on various committees, task forces and in executive positions. She also belongs to Sigma Theta Tau, the International Association for the Study of Pain and the American Academy of Pain Medicine.