Non-biomedical Perspectives on Pain and its Prevention and Management

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Publisher : Frontiers Media SA
ISBN 13 : 2832550088
Total Pages : 160 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis Non-biomedical Perspectives on Pain and its Prevention and Management by : Mark I. Johnson

Download or read book Non-biomedical Perspectives on Pain and its Prevention and Management written by Mark I. Johnson and published by Frontiers Media SA. This book was released on 2024-06-06 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Overreliance on the biomedical paradigm has contributed, in part, to illogical use of surgery and long-term opioid medication with harmful physical, psychological, social, and economic consequences. Pain literature is dominated by biomedical research at the expense of a holistic understanding of the lived experience of pain. Pain practice seems overly consumed with the burden of pain at an individual level (patient-centred pain management) and has neglected exploration of societal level (community-centred) or environmental level (ecologically-centred) solutions.

The Role of Nonpharmacological Approaches to Pain Management

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Author :
Publisher : National Academies Press
ISBN 13 : 0309490944
Total Pages : 139 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis The Role of Nonpharmacological Approaches to Pain Management by : National Academies of Sciences, Engineering, and Medicine

Download or read book The Role of Nonpharmacological Approaches to Pain Management written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-05-23 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is a leading cause of disability globally. The dramatic increase in opioid prescriptions within the past decade in the United States has contributed to the opioid epidemic the country currently faces, magnifying the need for longer term solutions to treat pain. The substantial burden of pain and the ongoing opioid crisis have attracted increased attention in medical and public policy communities, resulting in a revolution in thinking about how pain is managed. This new thinking acknowledges the complexity and biopsychosocial nature of the pain experience and the need for multifaceted pain management approaches with both pharmacological and nonpharmacological therapies. The magnitude and urgency of the twin problems of chronic pain and opioid addiction, combined with the changing landscape of pain management, prompted the National Academies of Sciences, Engineering, and Medicine to convene a workshop on December 4â€"5, 2018, in Washington, DC. The workshop brought together a diverse group of stakeholders to discuss the current status of nonpharmacological approaches to pain management, gaps, and future directions. This publication summarizes the presentations and discussions from the workshop.

Relieving Pain in America

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Publisher : National Academies Press
ISBN 13 : 030921484X
Total Pages : 383 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Relieving Pain in America by : Institute of Medicine

Download or read book Relieving Pain in America written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-26 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Pain Management and the Opioid Epidemic

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Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Behavioral and Psychopharmacologic Pain Management

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Publisher : Cambridge University Press
ISBN 13 : 113949354X
Total Pages : 507 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Behavioral and Psychopharmacologic Pain Management by : Michael H. Ebert

Download or read book Behavioral and Psychopharmacologic Pain Management written by Michael H. Ebert and published by Cambridge University Press. This book was released on 2010-11-25 with total page 507 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is the most common symptom bringing a patient to a physician's attention. Physicians training in pain medicine may originate from different disciplines and approach the field with varying backgrounds and experience. This book captures the theory and evidence-based practice of behavioral, psychotherapeutic and psychopharmacological treatments in modern pain medicine. The book's contributors span the fields of psychiatry, psychology, anesthesia, neurology, physical medicine and rehabilitation, and nursing. Thus the structure and content of the book convey the interdisciplinary approach that is the current standard for the successful practice of pain management. The book is designed to be used as a text for training fellowships in pain medicine, as well as graduate courses in psychology, nursing, and other health professions.

Handbook of Evidence-Based Prevention of Behavioral Disorders in Integrated Care

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Publisher : Springer Nature
ISBN 13 : 3030834697
Total Pages : 466 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Handbook of Evidence-Based Prevention of Behavioral Disorders in Integrated Care by : William O’Donohue

Download or read book Handbook of Evidence-Based Prevention of Behavioral Disorders in Integrated Care written by William O’Donohue and published by Springer Nature. This book was released on 2021-12-14 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook is a comprehensive, authoritative and up-to-date source on prevention technologies specifically for integrated care settings. It covers general issues related to prevention including the practical issues of financing, and staffing, and a general introduction to the advantages of prevention efforts. It covers a range of behavioral health disorders using an approach that is most relevant to the practitioner: it provides basic definitions, and describes the specific roles of both the primary care provider (PCP) and the behavioral care provider (BCP) as well as specific resources presented in a stepped care model. Stepped care has been used sucessfully in medical settings. Adapted to behavioral health settings, It allows the clinician and the patient to choose treatments that are tailored to specific levels of intensity. This handbook is an interdisciplinary resource useful for classes in integrated care as well as for clinicians employed in in these settings.

The walk without limbs: Searching for indigenous health knowledge in a rural context in South Africa

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Publisher : AOSIS
ISBN 13 : 1928523110
Total Pages : 247 pages
Book Rating : 4.9/5 (285 download)

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Book Synopsis The walk without limbs: Searching for indigenous health knowledge in a rural context in South Africa by : Gubela Mji

Download or read book The walk without limbs: Searching for indigenous health knowledge in a rural context in South Africa written by Gubela Mji and published by AOSIS. This book was released on 2019-12-12 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a country as diverse as South Africa, sickness and health often mean different things to different people – so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our vibrant, multicultural society. This book is concerned with the integration of indigenous health knowledge (IHK) into the current Western--orientated Primary Health Care (PHC) model. The first section of the book highlights the challenges facing the training of health professionals using a curriculum that is not drawing its knowledge base from the indigenous context and the people of that context. Such professionals will later recognise that they are walking without limbs in matters pertaining to health. The area that was chosen for conducting the research was KwaBomvana in Xhora (Elliotdale), Eastern Cape province, South Africa. The people who reside there are called AmaBomvana. The area where the Bomvana peoples reside is served by Madwaleni Hospital and eight surrounding clinics. Qualitative ethnographic, feminist methods of data collection supported the research done for Section 1 of the book. Section 2 comprises the translation and implementation of PhD study outcomes and had contributions from various researchers. In the critical research findings of the PhD study, older Xhosa women identify the inclusion of social determinants of health as vital to the health problems they managed within their homes. For them, each disease is linked to a social determinant of health, and the management of health problems includes the management of social determinants of health. For them, it is about the health of the home and not just about the management of disease. They believe that healthy homes make healthy villages, and that the prevention of the development of disease is related to the strengthening of the home. Health and illness should be seen within both physical and spiritual contexts; without health, there can be no progress in the home. When defining health, the older Xhosa women add three critical components to the WHO health definition, namely, food security, healthy children and families, and peace and security in their villages. Prof. Mji further proposes that these three elements should be included in the next revision of the WHO health definition because they are not only important for the Bomvana people where the research was conducted, but also for the rest of humanity. In light of the promise of National Health Insurance and the revitalisation of PHC, this book proposes that these two major national health policies should take cognisance of the IHK utilised by the older Xhosa women. In addtion to what this research implies, these policies should also take note of all IHK from the indigenous peoples of South Africa, Africa and the rest of the world, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach.

Chronic Pain

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496332075
Total Pages : 823 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Chronic Pain by : Herta Flor

Download or read book Chronic Pain written by Herta Flor and published by Lippincott Williams & Wilkins. This book was released on 2015-06-01 with total page 823 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Chronic Pain: An Integrated Biobehavioral Approach...offers in a single volume the most comprehensive and in-depth view of the field currently available. Drs. Flor and Turk share their collective knowledge and professional insights accumulated over three decades of extraordinary contributions to the field....The first section of the volume provides an up-to-date and highly digestible review of the foundational principles of the multidimensional experience of chronic pain and is followed by two sections on clinical assessment and treatment, concluding with a glimpse at future innovations in pain care. These later sections are simply extraordinary in integrating theory, science, and practical information that will be equally useful to novice and experienced clinicians, investigators, and policy makers." — From the Foreword by Robert D. Kerns, PhD This book integrates current psychological understanding with biomedical knowledge about chronic pain. With an emphasis on psychological factors associated with chronic pain states, this volume includes recommendations for a structured assessment plan. Using detailed treatment protocols and case examples, the authors aim to guide clinicians in developing effective individualized treatments for their chronic pain patients. The accompanying online ancillary content includes 65 appendices of sample documents and worksheets featuring detailed assessment methods and treatment protocols for use by health care professionals. Chronic Pain: An Integrated Biobehavioral Approach is essential reading for: Clinicians who treat chronic pain patients Clinical psychologists Students studying medicine, psychology, psychophysiology, and behavioral medicine Social workers Nurses Clinical investigators All those interested in the treatment of chronic pain

Pain Management

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Publisher : Elsevier Health Sciences
ISBN 13 : 0702049220
Total Pages : 432 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Pain Management by : Chris J. Main

Download or read book Pain Management written by Chris J. Main and published by Elsevier Health Sciences. This book was released on 2007-09-20 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title is directed primarily towards health care professionals outside of the United States. It deals specifically with the management of potentially chronic l pain, how to assess patients with pain, the factors involved in the development of chronic pain and the setting up and running of a pain management programme. The main focus is on musculoskeletal and fibromyalgic type pain. Cancer pain is not addressed. The authors address not only what is recommended in the management of pain but also whether and why it is done, thereby covering not only the content of interdisciplinary pain management but also the processes involved. Provides extensive background material and covers broad issues which other books lack Focuses on not only what is done with the management of pain but whether and why it is done Includes the nuts and bolts of setting up and running a pain management programme Addresses the application of pain management programmes in a wide range of fields Has a multidisciplinary approach and therefore appeals to a multidisciplinary market Two new co-authors: Kay Greasley and Bengt Sjolund. Major restructuring of chapters and rewriting of content with new authors for many of them. Greatly increased discussion of biopsychosocial management in individual clinical practice. Addresses the needs of the individual practitioners as well as those working in specialised pain management units. Includes more on primary care and secondary pain prevention. Expanded discussion of the clinical-occupational interfaces. Particular emphasis on the identification and targeting of modifiable risk factors for chronic pain and prolonged disability. The following topics stregthened throughout: communication, the nature of groups, medication and iatrogenics. Potential of an evidence-based biopsychosocial approach to pain management highlighted.

Disease Control Priorities in Developing Countries

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Publisher : World Bank Publications
ISBN 13 : 0821361805
Total Pages : 1449 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Disease Control Priorities in Developing Countries by : Dean T. Jamison

Download or read book Disease Control Priorities in Developing Countries written by Dean T. Jamison and published by World Bank Publications. This book was released on 2006-04-02 with total page 1449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

Pain and Chemical Dependency

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Publisher : Oxford University Press
ISBN 13 : 0199719802
Total Pages : 480 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Pain and Chemical Dependency by : Howard Smith M.D.

Download or read book Pain and Chemical Dependency written by Howard Smith M.D. and published by Oxford University Press. This book was released on 2008-04-25 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: Both pain and addiction are tremendous public health problems. Practitioners of every stripe say that they learned precious little about pain or addiction in their training and readily admit that instruction on the interface of pain and addiction is nonexistent. The recent problem of prescription drug abuse has only served to highlight the fact that these two worlds need unificationthose who treat pain must be informed about the risks of controlled substances and those who treat addiction need to better and more fully understand their benefits. Nowhere is the pooled knowledge of pain management and addiction medicine brought together to allow for a greater appreciation of the risks of addiction when treating people with pain and the pain problems of those with chemical dependency. This major new volume brings this vast knowledge base together, presenting an array of perspectives by the foremost thought leaders at the interface of pain and chemical dependency, and is the most comprehensive resource on the subject to date. There have been an increasing number of seminars devoted to this topic and a new society, The International Society on Pain and Chemical Dependency, has recently been formed, and this volume is destined to become the classic text on this multidisciplinary subject. It will appeal to anesthesiologists, neurologists, rehab physicians, palliative care staff, pain center physicians, and psychologists.

Topical Issues in Pain 2

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Publisher : Author House
ISBN 13 : 1491876719
Total Pages : 249 pages
Book Rating : 4.4/5 (918 download)

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Book Synopsis Topical Issues in Pain 2 by : Louis Gifford

Download or read book Topical Issues in Pain 2 written by Louis Gifford and published by Author House. This book was released on 2013-09 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the second volume in the series stimulated by/deriving from the work and study days of the Physiotherapy Pain Association. This volume is about some fundamental changes in practice which aim to prevent chronic incapacity from musculoskeletal pain problems. It is also about our relationships with our patients, and theirs with their pain and their families. As such, the information provided is essential to all professions involved in physical rehabilitation and prevention of chronic incapacity. When practice changes there is a necessary extension of traditional thinking into new territories and new skills to be taken on. In particular, all the chapters in this book underline the recognition that while musculoskeletal pain has a biomedical origin, there are also important psychosocial components that require management within a biopsychosocial framework. Authors provide background knowledge and practical guidance to help readers integrate the biopsychosocial model and biopsychosocial assessment into patient management. The material in this book is as important to the management of acute pain as it is to chronic pain states. Importantly, the book is not about categorising patients as having either real or not real pain. It represents a determined effort by all the authors to present clinicians with tools that will help them to better understand their patients; help prevent them becoming disabled, and help most to lead far more active and productive lives - no matter how complex the presentation. Volumes in the Topical Issues in Pain series are written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice. I look forward to this series and to the activities of the Physiotherapy Pain Association because they promise to revolutionise the morale, dignity and way of thinking of physiotherapists and thereby to affect everyone concerned with pain. Patrick Wall Physiotherapy 95(2):101-2

Pain as Human Experience

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Publisher : Univ of California Press
ISBN 13 : 9780520075122
Total Pages : 228 pages
Book Rating : 4.0/5 (751 download)

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Book Synopsis Pain as Human Experience by : Mary-Jo DelVecchio Good

Download or read book Pain as Human Experience written by Mary-Jo DelVecchio Good and published by Univ of California Press. This book was released on 1994-11-14 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: "With case studies drawn from anthropological investigations of chronic pain sufferers and pain clinics in the northeastern United States, the authors attempt to invent new ways of writing about this language-resistant human experience. Focused on substantive issues in the study of chronic pain, their work explores the great divide between the culturally shaped language of suffering and the traditional language of medical and psychological theorizing. They argue that the representation of experience in local social worlds is a central challenge to the human sciences and to ethnographic writing, and that meeting that challenge is also crucial to the refiguring of pain in medical discourse and health policy debates. Anthropologists, scholars from the medical social sciences and humanities, and many general readers will be interested in Pain as Human Experience. In addition, behavioral medicine and pain specialists, psychiatrists, and primary care practitioners will find much that is relevant to their work in this book."--Jacket.

Culture, Brain, and Analgesia

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Publisher : Oxford University Press
ISBN 13 : 0199768870
Total Pages : 448 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Culture, Brain, and Analgesia by : Mario Incayawar

Download or read book Culture, Brain, and Analgesia written by Mario Incayawar and published by Oxford University Press. This book was released on 2013-01-10 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this state-of-theart volume, culture is placed in the forefront of studying pain in an integrative manner. The authors put forth that a patient's culture should be studied with the purpose of unveiling its effects upon biological systems and the pain neuromatrix.

The Biopsychosocial Model of Health and Disease

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Publisher : Springer
ISBN 13 : 3030118991
Total Pages : 149 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis The Biopsychosocial Model of Health and Disease by : Derek Bolton

Download or read book The Biopsychosocial Model of Health and Disease written by Derek Bolton and published by Springer. This book was released on 2019-03-28 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social.

Real-World Implementation of the Biopsychosocial Approach to Healthcare: Pragmatic Approaches, Success Stories and Lessons Learned

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Author :
Publisher : Frontiers Media SA
ISBN 13 : 2889769240
Total Pages : 218 pages
Book Rating : 4.8/5 (897 download)

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Book Synopsis Real-World Implementation of the Biopsychosocial Approach to Healthcare: Pragmatic Approaches, Success Stories and Lessons Learned by : Marsha Nicole Wittink

Download or read book Real-World Implementation of the Biopsychosocial Approach to Healthcare: Pragmatic Approaches, Success Stories and Lessons Learned written by Marsha Nicole Wittink and published by Frontiers Media SA. This book was released on 2022-11-01 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Maitland's Peripheral Manipulation E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0702054577
Total Pages : 576 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Maitland's Peripheral Manipulation E-Book by : Elly Hengeveld

Download or read book Maitland's Peripheral Manipulation E-Book written by Elly Hengeveld and published by Elsevier Health Sciences. This book was released on 2013-08-27 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: The legacy of Geoff Maitland and his seminal work, Peripheral Manipulation, continues in this fifth edition, with Elly Hengeveld and Kevin Banks leading an international team of experts who demonstrate how to manage peripheral neuromusculoskeletal disorders using the principles and practice of the Maitland Concept. Together, they ensure the heart of the Concept beats on by promoting collaborative decision-making with the patient at centre and emphasizing the art and science of observation, listening, palpation and movement skills. A key feature of the new edition focuses on a more evidence-based and analytical view of the role of mobilization and manipulation in clinical practice. The authors have written in a way that reflects their application of the Maitland Concept and how they have integrated techniques in the light of advancement in professional knowledge. Each chapter stands alone as a ‘master class’. The text is systematically arranged focusing on detailed assessment, clinical reasoning and re-assessment to determine the physical dysfunction and efficacy of manipulative physiotherapy techniques, while also advocating continuous communication and interaction. Techniques of passive mobilization are also described, specifically designed around the individual patient’s condition. All the chapters are written from a clinical perspective and review the evidence which informs how to deal with and manage peripheral joint pain as they present to the practitioner. Furthermore, each peripheral region (craniomandibular, upper limbs and lower limbs) is considered from the point of view of best practice in analysing and hypothesising subjective data, examination, treatment and management of peripheral pain conditions. Brand new to the fifth edition is the addition of a companion website – Maitland’s Manipulation eResources (www.maitlandsresources.com) – providing access to a range of valuable learning materials which include videos, MCQs, interactive case studies, research links, and bonus chapters. World-leading experts provide evidence relating the Maitland Concept to clinical practice Evidence supporting practice Covers both subjective and physical examination Best practice management using mobilization and manipulation Case studies – how and when to integrate the Maitland Concept into clinical practice Chapter-based learning outcomes, keywords and glossaries Companion website – Maitland’s Manipulation eResources (www.maitlandsresources.com) Expert perspectives and supporting evidence Case studies Companion website – www.maitlandsresources.com – containing: Video Bank of over 480 video clips showing examination and treatment techniques Image Bank of over 1,000 illustrations Interactive case studies Over 200 MCQs Bonus chapters on additional principles and techniques of examination / treatment Weblink references to abstracts