Pain Management and the Opioid Epidemic

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Author :
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.

Opioids and Their Receptors

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Author :
Publisher : MDPI
ISBN 13 : 3036500464
Total Pages : 358 pages
Book Rating : 4.0/5 (365 download)

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Book Synopsis Opioids and Their Receptors by : Mariana Spetea

Download or read book Opioids and Their Receptors written by Mariana Spetea and published by MDPI. This book was released on 2020-12-18 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: The interest in opioids such as morphine, the prototypical opioid ligand, has been maintained through the years. The identification of endogenous opioids and their receptors (mu, delta, kappa, and nociceptin), molecular cloning, and the elucidation of the crystal structures of opioid receptors represent key milestones in opioid research. The opioid system modulates numerous pharmacological responses, with therapeutic (i.e., analgesia) and detrimental side effects (i.e., addiction). The medical use and misuse of opioids have dramatically increased, leading to the 21st century opioid crisis. This book presents recent developments in opioid drug discovery, specifically in the medicinal chemistry and pharmacology of new ligands targeting the opioid receptors as effective and safe therapeutics for human diseases. Furthermore, it draws a special attention to advancing concepts and strategies in opioid drug discovery to mitigate opioid liabilities. The diversity among the discussed topics is a testimony to the complexity of the opioid system, which results from the expression, regulation, and functional role of ligands and receptors. The array of multidisciplinary research areas illustrates the rapidly developing basic research and translational activities in opioid drug discovery. This book will serve as a useful reference while also stimulating continued research in the chemistry and pharmacology of opioids and their receptors, with the prospect of developing improved therapies for human diseases, but also improving health and quality of life in general.

American Overdose

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Author :
Publisher : PublicAffairs
ISBN 13 : 1541773772
Total Pages : 381 pages
Book Rating : 4.5/5 (417 download)

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Book Synopsis American Overdose by : Chris McGreal

Download or read book American Overdose written by Chris McGreal and published by PublicAffairs. This book was released on 2018-11-13 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive portrait of a uniquely American epidemic -- devastating in its findings and damning in its conclusions The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs, but the corrupting of medicine and public institutions that let the opioid makers get away with it. The starting point for McGreal's deeply reported investigation is the miners promised that opioid painkillers would restore their wrecked bodies, but who became targets of "drug dealers in white coats." A few heroic physicians warned of impending disaster. But American Overdose exposes the powerful forces they were up against, including the pharmaceutical industry's coopting of the Food and Drug Administration and Congress in the drive to push painkillers -- resulting in the resurgence of heroin cartels in the American heartland. McGreal tells the story, in terms both broad and intimate, of people hit by a catastrophe they never saw coming. Years in the making, its ruinous consequences will stretch years into the future.

Medications for Opioid Use Disorder Save Lives

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Author :
Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Cancer Pain Management

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780867207255
Total Pages : 404 pages
Book Rating : 4.2/5 (72 download)

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Book Synopsis Cancer Pain Management by : Deborah B. McGuire

Download or read book Cancer Pain Management written by Deborah B. McGuire and published by Jones & Bartlett Learning. This book was released on 1995 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer Pain Management, Second Edition will substantially advance pain education. The unique combination of authors -- an educator, a leading practitioner and administrator, and a research scientist -- provides comprehensive, authoritative coverage in addressing this important aspect of cancer care. The contributors, acknowledged experts in their areas, address a wide scope of issues. Educating health care providers to better assess and manage pain and improve patientsrsquo; and familiesrsquo; coping strategies are primary goals of this book. Developing research-based clinical guidelines and increasing funding for research is also covered. Ethical issues surrounding pain management and health policy implications are also explored.

In Pain

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Publisher : HarperCollins
ISBN 13 : 0062854666
Total Pages : 320 pages
Book Rating : 4.0/5 (628 download)

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Book Synopsis In Pain by : Travis Rieder

Download or read book In Pain written by Travis Rieder and published by HarperCollins. This book was released on 2019-06-18 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: NPR Best Book of 2019 A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal—a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic. Travis Rieder’s terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician’s orders. Over the course of four excruciating weeks, Rieder learned what it means to be “dope sick”—the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis’s doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself. Rieder’s experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the twenty-first century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America’s opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain—and that anyone can fall victim to this epidemic.

Fighting the Opioid Epidemic

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Author :
Publisher : Elsevier
ISBN 13 : 0128223901
Total Pages : 160 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Fighting the Opioid Epidemic by : Amitava Dasgupta

Download or read book Fighting the Opioid Epidemic written by Amitava Dasgupta and published by Elsevier. This book was released on 2020-07-22 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fighting the Opioid Epidemic: The Role of Providers and the Clinical Laboratory in Understanding Who Is Vulnerable covers the important aspects that are essential in fighting the opioid epidemic. This succinct reference highlights how the toxicology laboratory can play a vital role in fighting the opioid epidemic by implementing a robust system for drugs of abuse testing as well as drug testing in pain management patients. It targets health care professionals in a technical manner, discussing polymorphisms of important genes that may be associated with increased vulnerability of alcohol and drug addiction to an individual. Covers all important aspects of opioid abuse, including genetic and environmental factors Discusses pharmacology, toxicology and the pharmacogenomics related to opioid metabolism Presents genetic and environmental factors associated with those vulnerable to opioid addiction, as well as the pitfalls of drug testing in pain management

Pain Killer

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Author :
Publisher : Random House
ISBN 13 : 0525511091
Total Pages : 241 pages
Book Rating : 4.5/5 (255 download)

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Book Synopsis Pain Killer by : Barry Meier

Download or read book Pain Killer written by Barry Meier and published by Random House. This book was released on 2018-05-29 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the Pulitzer Prize–winning New York Times reporter who first exposed the roots of the opioid epidemic and the secretive world of the Sackler family behind Purdue Pharma, Pain Killer is the celebrated landmark story of corporate greed and government negligence that inspired an upcoming Netflix series. “This is the book that started it all. Barry Meier is a heroic reporter and Pain Killer is a muckraking classic.”—Patrick Radden Keefe, author of Empire of Pain Between 1999 and 2017, an estimated 250,000 Americans died from overdoses involving prescription painkillers, a plague ignited by Purdue Pharma’s aggressive marketing of OxyContin. Families, working class and wealthy, have been torn apart, businesses destroyed, and public officials pushed to the brink. Meanwhile, the drugmaker’s owners, Raymond and Mortimer Sackler, whose names adorn museums worldwide, made enormous fortunes from the commercial success of OxyContin. In Pain Killer, Barry Meier tells the story of how Purdue turned OxyContin into a billion-dollar blockbuster. Powerful narcotic painkillers, or opioids, were once used as drugs of last resort for pain sufferers. But Purdue launched an unprecedented marketing campaign claiming that the drug’s long-acting formulation made it safer to use than traditional painkillers for many types of pain. That illusion was quickly shattered as drug abusers learned that crushing an Oxy could release its narcotic payload all at once. Even in its prescribed form, Oxy proved fiercely addictive. As OxyContin’s use and abuse grew, Purdue concealed what it knew from regulators, doctors, and patients. Here are the people who profited from the crisis and those who paid the price, those who plotted in boardrooms and those who tried to sound alarm bells. A country doctor in rural Virginia, Art Van Zee, took on Purdue and warned officials about OxyContin abuse. An ebullient high school cheerleader, Lindsey Myers, was reduced to stealing from her parents to feed her escalating Oxy habit. A hard-charging DEA official, Laura Nagel, tried to hold Purdue executives to account. In Pain Killer, Barry Meier breaks new ground in his decades-long investigation into the opioid epidemic. He takes readers inside Purdue to show how long the company withheld information about the abuse of OxyContin and gives a shocking account of the Justice Department’s failure to alter the trajectory of the opioid epidemic and protect thousands of lives. Equal parts crime thriller, medical detective story, and business exposé, Pain Killer is a hard-hitting look at how a supposed wonder drug became the gateway drug to a national tragedy.

The United States of Opioids

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Author :
Publisher : Forbesbooks
ISBN 13 : 9781946633323
Total Pages : 224 pages
Book Rating : 4.6/5 (333 download)

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Book Synopsis The United States of Opioids by : Harry Nelson

Download or read book The United States of Opioids written by Harry Nelson and published by Forbesbooks. This book was released on 2019-03-26 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Harry has written a powerful book . . . . The United States of Opioids is a call to action and tangible steps that we can all take. Harry delivers insights into the challenges facing our health system―doctors, hospitals, and addiction treatment providers―but also offers steps that we can all take as parents and with everyone else in our lives”--Lisa Marie Presley

Opioid Reckoning

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Publisher : U of Minnesota Press
ISBN 13 : 1452962553
Total Pages : 364 pages
Book Rating : 4.4/5 (529 download)

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Book Synopsis Opioid Reckoning by : Amy C. Sullivan

Download or read book Opioid Reckoning written by Amy C. Sullivan and published by U of Minnesota Press. This book was released on 2021-10-19 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines the complexity and the humanity of the opioid epidemic America’s opioid epidemic continues to ravage families and communities, despite intense media coverage, federal legislation, criminal prosecutions, and harm reduction efforts to prevent overdose deaths. More than 450,000 Americans have died from opioid overdoses since the late 1990s. In Opioid Reckoning, Amy C. Sullivan explores the complexity of the crisis through firsthand accounts of people grappling with the reverberating effects of stigma, treatment, and recovery. Nearly everyone in the United States has been touched in some way by the opioid epidemic, including the author and her family. Sullivan uses her own story as a launching point to learn how the opioid epidemic challenged longstanding recovery protocols in Minnesota, a state internationally recognized for pioneering addiction treatment. By centering the voices of many people who have experienced opioid use, treatment, recovery, and loss, Sullivan exposes the devastating effects of a one-size-fits-all approach toward treatment of opioid dependency. Taking a clear-eyed, nonjudgmental perspective of every aspect of these issues—drug use, parenting, harm reduction, medication, abstinence, and stigma—Opioid Reckoning questions current treatment models, healthcare inequities, and the criminal justice system. Sullivan also imagines a future where anyone suffering an opioid-use disorder has access to the individualized care, without judgment, available to those with other health problems. Opioid Reckoning presents a captivating look at how the state that invented “rehab” addresses the challenges of the opioid epidemic and its overdose deaths while also taking readers into the intimate lives of families, medical and social work professionals, grassroots activists, and many others impacted by the crisis who contribute their insights and potential solutions. In sharing these stories and chronicling their lessons, Sullivan offers a path forward that cultivates empathy, love, and hope for anyone affected by chaotic drug use and its harms.

The Opioid Epidemic

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Author :
Publisher : What Everyone Needs to Know(r
ISBN 13 : 0190916036
Total Pages : 345 pages
Book Rating : 4.1/5 (99 download)

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Book Synopsis The Opioid Epidemic by : Yngvild Olsen

Download or read book The Opioid Epidemic written by Yngvild Olsen and published by What Everyone Needs to Know(r. This book was released on 2019 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: An incisive, essential guide to understanding one of today's most urgent -- and complex -- problems. The Opioid Epidemic: What Everyone Needs to Know® is an accessible, nonpartisan overview of the causes, politics, and treatments tied to the most devastating health crisis of our time. Its comprehensive approach and Q&A format offer readers a practical path to understanding the epidemic from all sides. Written by two expert physicians and enriched with stories from their experiences on the front lines of this epidemic, this book is a critical resource for any general reader -- and for the individuals and families fighting this fight in their own lives.

Demystifying Opioid Conversion Calculations: A Guide for Effective Dosin

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Author :
Publisher : ASHP
ISBN 13 : 1585284300
Total Pages : 263 pages
Book Rating : 4.5/5 (852 download)

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Book Synopsis Demystifying Opioid Conversion Calculations: A Guide for Effective Dosin by : Mary Lynn McPherson

Download or read book Demystifying Opioid Conversion Calculations: A Guide for Effective Dosin written by Mary Lynn McPherson and published by ASHP. This book was released on 2018-08-28 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praised by practitioners, students and instructors for its engaging approach to teaching a very complex subject, Demystifying Opioid Conversion Calculations: A Guide for Effective Dosing, has long been the go-to guide for learning how to calculate opioid conversions. Now in its second edition, this reference is a must-have for clinicians involved in pain management at all levels. Written by pain management expert Mary Lynn McPherson, PharmD, MA, MDE, BCPS, CPE, Demystifying Opioid Conversion Calculations focuses on the calculations that practitioners use in actual practice, providing realistic scenarios for decision making. The revised edition covers the entire spectrum of opioid analgesics used to manage patients with moderate-to-severe pain and serious life­-limiting illnesses.

Dreamland (YA edition)

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Author :
Publisher : Bloomsbury Publishing USA
ISBN 13 : 1547601418
Total Pages : 225 pages
Book Rating : 4.5/5 (476 download)

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Book Synopsis Dreamland (YA edition) by : Sam Quinones

Download or read book Dreamland (YA edition) written by Sam Quinones and published by Bloomsbury Publishing USA. This book was released on 2019-07-16 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: As an adult book, Sam Quinones's Dreamland took the world by storm, winning the NBCC Award for General Nonfiction and hitting at least a dozen Best Book of the Year lists. Now, adapted for the first time for a young adult audience, this compelling reporting explains the roots of the current opiate crisis. In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America. How that happened is the riveting story of Dreamland. Quinones explains how the rise of the prescription drug OxyContin, a miraculous and extremely addictive painkiller pushed by pharmaceutical companies, paralleled the massive influx of black tar heroin--cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel. Introducing a memorable cast of characters--pharmaceutical pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, teens, and parents--Dreamland is a revelatory account of the massive threat facing America and its heartland.

Chemistry of Opioids

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Author :
Publisher : Springer
ISBN 13 : 3642181074
Total Pages : 314 pages
Book Rating : 4.6/5 (421 download)

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Book Synopsis Chemistry of Opioids by : Hiroshi Nagase

Download or read book Chemistry of Opioids written by Hiroshi Nagase and published by Springer. This book was released on 2011-01-21 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent Advances in the Synthesis of Morphine and Related Alkaloids; by N. Chida * Opioids in Preclinical and Clinical Trials; by H. Nagase and H. Fujii * Synthesis of 14-Alkoxymorphinan Derivatives and Their Pharmacological Actions; by H. Schmidhammer and M. Spetea * 14-Amino-4,5-Epoxymorphinan Derivatives and Their Pharmacological Actions; by J. W. Lewis and S. M. Husbands * Nonpeptidic Delta (δ) Opioid Agonists and Antagonists of the Diarylmethylpiperazine Class: What Have We Learned?; by S. N. Calderon * Synthesis of Neoclerodane Diterpenes and Their Pharmacological Effects; by K. M. Lovell, K. M. Prevatt-Smith, A. Lozama and T. E. Prisinzano * Synthesis of Novel Basic Skeletons Derived from Naltrexone; by H. Nagase and H. Fujii * Twin and Triplet Drugs in Opioid Research; by H. Fujii * 3D-Pharmacophore Identification for κ-Opioid Agonists Using Ligand-Based Drug-Design Techniques; by N. Yamaotsu and S. Hirono

The American Opioid Epidemic

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615371575
Total Pages : 462 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis The American Opioid Epidemic by : Michael T. Compton, M.D., M.P.H.

Download or read book The American Opioid Epidemic written by Michael T. Compton, M.D., M.P.H. and published by American Psychiatric Pub. This book was released on 2018-12-31 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an in-depth look at clinical and public health approaches to this epidemic from both psychiatric and medical perspectives and gives mental health professionals the big picture necessary to understand the epidemic.

Avoiding Opioid Abuse While Managing Pain

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Author :
Publisher : Sunrise River Press
ISBN 13 : 1934716286
Total Pages : 250 pages
Book Rating : 4.9/5 (347 download)

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Book Synopsis Avoiding Opioid Abuse While Managing Pain by : Lynn R. Webster

Download or read book Avoiding Opioid Abuse While Managing Pain written by Lynn R. Webster and published by Sunrise River Press. This book was released on 2007-06 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide for clinicians who prescribe opioids. Sorts out the clinical, regulatory, and ethical issues associated with prescribing opioid analgesics.

The Opioid Epidemic and Infectious Diseases E- Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323683290
Total Pages : 302 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis The Opioid Epidemic and Infectious Diseases E- Book by : Brianna L. Norton

Download or read book The Opioid Epidemic and Infectious Diseases E- Book written by Brianna L. Norton and published by Elsevier Health Sciences. This book was released on 2020-10-25 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering timely guidance on the junction of the opioid crisis and infectious diseases, this practical handbook by Dr. Brianna L. Norton provides concise yet comprehensive coverage of a growing patient population. Infectious disease specialists are increasingly seeing patients who previously used opiods and now use intravenous drugs. Many challenges are unique to this patient population, including new and growing infections such as hepatitis C, endocarditis, HIV, and hepatitis B. The Opioid Epidemic and Infectious Diseases is an up-to-date, real-world guide that covers the scope of the problem, management guidelines, and much more. Describes the new landscape of the opioid crisis in the U.S. and its intersection with infectious diseases, including epidemiology, Opioid Use Disorder (OUD) and rural America, and more. Offers practical guidance on (OUD) and infectious co-morbidities like hepatitis C, STDs, endocarditis, HIV, and hepatitis B. Covers prevention, treatment, and harm reduction. Discusses OUD, infectious diseases, and the criminal justice system. Consolidates today’s available information and guidance into a single, convenient resource.