Recent research studies have indicated that there is a difference between the pain experienced by men and that experienced by women. This is the only clinical reference specifically geared to management of all commonly presented pain conditions particular to women. It is written by an NP Pain Management Specialist for nurses in all settings, and provides evidence-based guidelines for treating women's pain as a unique entity. Concise and portable, the guide delivers key information and helpful pain strategies that will support individualized pain management approaches and help to improve pain management outcomes.
The guide provides quick access to nursing guidelines for treatment of pain due to fibromyalgia, TMJ pain, phantom breast pain, postmastectomy pain syndrome, menstrually related migraine headaches, irritable bowel syndrome, interstitial cystitis, and STD-related and pelvic pain. Pharmacologic and non-pharmacologic treatment options, current information from national guidelines (including using a combination of pain management scales for optimal pain assessment and management), along with regional anesthesia techniques, patient-controlled analgesia, and epidural pain management are also included. In addition, the guide discusses options for managing extreme pain situations, how to screen and treat potential substance abusers, and the physiologic bases of gender-different pain responses. Each chapter features a section called 'Nursing Considerations' which focuses on interventions and techniques to improve outcomes. Of particular note is a section on managing pain in obese women who suffer from pelvic pain syndromes and fibromyalgia, among other types of pain.
- Focuses on evidence-based clinical management of all commonly presented pain conditions particular to women
- Discusses pharmacologic and complementary pain management
- Addresses physiologic bases of gender-different pain responses
- Provides cutting edge information regarding pain in obese women and managing extreme pain situations
- Offers new information on opioid polymorphisms that guide understanding of why pain medication is sometimes less effective than expected
"The care provided to women in pain unfortunately often adds to the suffering rather than relieving it. This clinical resource describes instead the evidence-based approach to women's pain that offers optimum relief as well as a compassionate response Congratulations to Yvonne for creation of this resource, which will serve as an excellent tool for clinicians dedicated to pain relief for women. "
-Betty Ferrell, PhD, MA, FAAN, FPCN, CHPN
Professor and Research Scientist
City of Hope, Duarte, California
Table of Contents
Section I. An overview of pain in the older adult
- Chapter 1. Physiological factors and pain processing in the older adult
- Chapter 2. The psychosocial impact of pain on the older adult patient
Section II. Assessing pain in the older adult
- Chapter 3. Pain assessment in the older adult patient
- Chapter 4. Pain Assessment in the non-verbal, cognitively impaired older adult patient.
- Chapter 5. A review of pain assessment tools for use with the older adult
Section III. Managing Pain in the older adult
- Chapter 6. Developing a comprehensive plan
- Chapter 7 Choosing the right medication for the pain complaint
- Chapter 8. Using adjunct medications for specific pain types
- Chapter 9. Managing medication side effects and specific recommendationsfor using medications with older patients
Section IV. Other treatment options for pain relief
- Chapter 10. Interventional options such as vertebroplasty for compressionfractures, nerve blocks, acupuncture
- Chapter 11. Complementary methods for pain relief such as cognitivebehavioral methods, energy techniques, music
- Chapter 12. The role of physical therapy for reconditioning
Section IV . Pain Control for end of life care
- Chapter 13. Palliative care techniques to promote comfort
- Chapter 14. When hospice is the best option
Section V. Pain Conditions Common in Older Adults
- Chapter 15. Osteoarthitis and related musculoskeletal conditions
- Chapter 16. Neuropathic pain associated with post-herpatic neuralgia and diabetic neuropathy
- Chapter 17. Central Post Stoke Syndrome.
- Chapter 18. Facial pain associated with temporal arteritis or trigeminal neuralgia
- Chapter 19. Rheumatological Conditions
Section VI. Special Considerations in Managing Pain in Older Adults
- Chapter 20. Anxiety and depression in older adults
- Chapter 21. Alcohol and substance Use and Misuse
Yvonne D'Arcy, MS, CRNP, CNS is the Pain and Palliative Care
Nurse Practitioner at Suburban Hospital- Johns Hopkins Medicine in Bethesda,
Maryland. She received her BSN from Viterbo University, her MSN from Winona
State University and her Nurse Practitioner Certificate from the University
Ms D'Arcy is a member of the American Pain Society, the American Academy of Nurse Practitioners, and a previous member of the American Society of Pain Management Nurses. She has served on the board of directors for the American Society of Pain Management Nurses and has played an integral role in the formulation of several guidelines on the management of acute and chronic pain. She is a Principle Investigator at Suburban Hospital for Dissemination and Implementation of Evidence-based Methods to Measure and Improve Pain Outcomes. She is the recipient of the Nursing Spectrum Nursing Excellence Award in the Washington DC, Maryland, and Virginia district for Advancing and Leading the Profession.
Ms D'Arcy has contributed both to books and journals throughout her career. Books include Pain Management: Evidence-based Tools and Techniques for Nursing Professionals, Compact Clinical Guide to Chronic Pain, and Compact Clinical Guide to Acute Pain. Her book, How to Manage Pain in the Elderly is an American Journal of Nursing book of the year for 2010.Her books a Compact Clinical Guide to Cancer Pain co-authored with Pamela Davies, and A Compact Clinical to Women's Pain are scheduled for a 2012 publication.
Ms D'Arcy lectures and presents nationally and internationally on such topics as chronic pain, difficult-to-treat neuropathic pain syndromes, and all aspects of acute pain management. Articles she has published can be found in an extensive number of journals, including but not limited to American Nurse Today, Nursing 2011, Pain Management Nursing, PT Insider, and Nurse Practitioner Journal.