Compact Clinical Guide to Cancer Pain Management. an Evidence-Based Approach for Nurses

Description

Although the prevalence of uncontrolled cancer pain remains unnecessarily high, research has indicated that 90% of cancer patients with pain can be successfully treated with standard therapies. This concise yet extremely comprehensive guide to managing cancer pain will enable nurses on the front lines of pain assessment and management to incorporate effective strategies into their daily practice. It offers quick access to current evidence-based guidelines for busy nurses and nurse practitioners working in all oncology care settings. To facilitate quick information retrieval, the text is designed in a consistently organized, bulleted format with highlighted key information and tools for assessment and standardized treatment. It also serves as an important review for the ONS and HPNA certification exam.

This book focuses on all aspects of cancer pain, including assessment and screening tools, pharmacologic and nonpharmacologic treatment options, current national guidelines for pain management, regional anesthesia techniques, patient-controlled anesthesia, and epidural pain management. It also includes updated information on the effect of opioid polymorphisms, cancer pain emergencies, myofascial pain, and chronic pain in cancer survivors. The book covers palliative care and end-of-life pain management, especially for patients who have symptoms that are not managed. Information on chronic pain conditions such as neuropathic pain in cancer and the use of adjuvant medications for pain control are included, along with special treatment options for addiction and substance abuse in the cancer population. The text additionally provides information on managing pain with difficult-to-treat populations.

Key Features:

• Provides current, evidence-based information on all aspects of cancer pain management
• Includes important new guidelines on using a combination of pain management scales for optimal pain assessment and management
• Describes interventional techniques for managing severe pain situations
• Organized for speedy information retrieval

Table of Contents

Foreword Preface
Acknowledgments

SECTION I: OVERVIEW OF CANCER PAIN
1. Overview of Cancer Pain
2. Assessing Pain in Patients With Cancer

SECTION II: COMMON MEDICATIONS AND TREATMENT OPTIONS FOR CANCER-RELATED PAIN
3. Using Nonopioid Medications for Cancer Pain Management
4. Opioid Medications for Cancer Pain
5. Coanalgesics for Additive Pain Relief in Cancer Patients
6. Management of Side Effects From Pain Medications
7. Complementary and Alternative Medicine (CAM) Techniques for Managing Cancer Pain

SECTION III: INTERVENTIONAL OPTIONS FOR MANAGING PAIN IN PATIENTS WITH CANCER
8. Infusions and Regional Techniques
9. Specialty Blocks and Implanted Techniques for Cancer Pain Management
10. Palliative Chemotherapy, Radiotherapy, and Surgery for Pain Control

SECTION IV: SPECIAL TREATMENT CONSIDERATIONS
11. The Effect of Opioid Polymorphisms and Other Physiologic Factors on Treating Cancer Pain
12. Opioid Addiction, Dependency, and Tolerance in Patients With Cancer
13. Developing a Comprehensive Plan of Care and Prescribing Safely

SECTION V: MANAGING CANCER?RELATED PAIN CONDITIONS
14. Cancer Pain Emergencies
15. Neuropathic Pain
16. Myofascial Pain
17. Chronic Pain in the Cancer Survivor

SECTION VI: PALLIATIVE CARE, HOSPICE, AND END-OF-LIFE CARE
18. Palliative Care and Hospice: Care When There Is No Cure
19. Pain Management at the End of Life
20. Psychosocial Aspects of Cancer Pain

Appendices
A. Selected Websites for Additional Information
B. Equianalgesic Conversion Table

Index

Author Bio

Pamela Stitzlein Davies, MS, ARNP, ACHPN, is an Adult/Geriatric Nurse Practitioner in Supportive & Palliative Care at the Seattle Cancer Care Alliance/University of Washington. She is a Teaching Associate at the University of Washington School of Medicine, and Clinical Faculty with the University of Washington School of Nursing, and is an Advanced Certified Hospice & Palliative Nurse. She provides complex symptom management and psychosocial support to those with advanced cancer. Ms. Davies has practiced as an Inpatient Hospice Center NP at Evergreen Healthcare, Kirkland, WA, providing comprehensive care to terminally ill patients requiring inpatient care for complex physical symptoms or psychosocial issues. Ms. Davies assisted in the creation of the University of California, San Francisco, Pain Clinical Research Center, and was responsible for coordination of all aspects of neuropathic pain clinical trials. Previously, she was a primary care provider at the Veteran's Administration Puget Sound Health Care System; and Charge Nurse in the Post-Anesthesia Care Unit at UCSF. She is a member of the American Academy of Hospice and Palliative Medicine, Hospice and Palliative Nurses Association, American Pain Society, and is past Treasurer of the American Society for Pain Management Nursing, She served on the American Pain Society 2010 guidelines committee on Guidelines on Opioids for Non-cancer Pain. Her articles are published in the New England Journal of Medicine, The Journal of Pain, and Pain. She is popular speaker on topics of cancer and non-cancer pain management, safe prescribing of opioids, and palliative and end-of-life pain care.

Yvonne D'Arcy, MS, CRNP, CNS, is a Nurse Practitioner for Pain Management and Palliative Care at Suburban Hospital, Bethesda, MD. 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, Jacksonville, FL, and Pain Center Manager and Clinical Coordinator of the Acute Pain Service at the Heartland Health System, St. Joseph, MO. Her accomplishments include 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, and serving on the editorial boards of Nursing, Journal for Nurse Practitioners and 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.