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.

American Pain

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Author :
Publisher : Rowman & Littlefield
ISBN 13 : 1493019597
Total Pages : 321 pages
Book Rating : 4.4/5 (93 download)

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Book Synopsis American Pain by : John Temple

Download or read book American Pain written by John Temple and published by Rowman & Littlefield. This book was released on 2015-09-29 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: * Finalist for the Edgar® Award in Best Fact Crime * New York Post, “The Post’s Favorite Books of 2015” * Suspense Magazine’s “Best True Crime Books of 2015” * Foreword Reviews’ INDIEFAB Book of the Year in True Crime * Publishers Weekly, Big Indie Book of Fall 2015 The king of the Florida pill mills was American Pain, a mega-clinic expressly created to serve addicts posing as patients. From a fortress-like former bank building, American Pain’s doctors distributed massive quantities of oxycodone to hundreds of customers a day, mostly traffickers and addicts who came by the vanload. Inked muscle-heads ran the clinic’s security. Former strippers operated the pharmacy, counting out pills and stashing cash in garbage bags. Under their lab coats, the doctors carried guns—and it was all legal… sort of. American Pain was the brainchild of Chris George, a 27-year-old convicted drug felon. The son of a South Florida home builder, Chris George grew up in ultra-rich Wellington, where Bill Gates, Springsteen, and Madonna kept houses. Thick-necked from weightlifting, he and his twin brother hung out with mobsters, invested in strip clubs, brawled with cops, and grinned for their mug shots. After the housing market stalled, a local doctor clued in the brothers to the burgeoning underground market for lightly regulated prescription painkillers. In Florida, pain clinics could dispense the meds, and no one tracked the patients. Seizing the opportunity, Chris George teamed up with the doctor, and word got out. Just two years later Chris had raked in $40 million, and 90 percent of the pills his doctors prescribed flowed north to feed the rest of the country’s insatiable narcotics addiction. Meanwhile, hundreds more pain clinics in the mold of American Pain had popped up in the Sunshine State, creating a gigantic new drug industry. American Pain chronicles the rise and fall of this game-changing pill mill, and how it helped tip the nation into its current opioid crisis, the deadliest drug epidemic in American history. The narrative swings back and forth between Florida and Kentucky, and is populated by a gaudy and diverse cast of characters. This includes the incongruous band of wealthy bad boys, thugs and esteemed physicians who built American Pain, as well as penniless Kentucky clans who transformed themselves into painkiller trafficking rings. It includes addicts whose lives were devastated by American Pain’s drugs, and the federal agents and grieving mothers who labored for years to bring the clinic’s crew to justice.

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.

Pain and Shock in America

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Publisher :
ISBN 13 : 9781684580743
Total Pages : 432 pages
Book Rating : 4.5/5 (87 download)

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Book Synopsis Pain and Shock in America by : Jan Nisbet

Download or read book Pain and Shock in America written by Jan Nisbet and published by . This book was released on 2021-11-15 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first book to be written on the Judge Rotenberg Center and their use of aversives in treatment for children with disabilities. For over twenty years, professionals in the field of disability studies have engaged in debates over the use of aversive interventions (such as electric shock) like the ones used at the Judge Rotenberg Center. Advocates and lawyers have filed complaints and lawsuits to both use them and ban them, scientists have written hundreds of articles for and against them, and people with disabilities have lost their lives and, some would say, lived their lives because of them. There are families who believe deeply in the need to use aversives to control their children's behavior. There are others who believe the techniques used are torture. All of these families have children who have been excluded from numerous educational and treatment programs because of their behaviors. For most of the families, placement at the Judge Rotenberg Center is the last resort. This book is a historical case study of the Judge Rotenberg Center, named after the judge who ruled in favor of keeping its doors open to use aversive interventions. It chronicles and analyzes the events and people involved for over thirty years that contributed to the inability of the state of Massachusetts to stop the use of electric shock, and other severe forms of punishment on children and adults with disabilities. It is a long story, sad and tragic, complex, filled with intrigue and questions about society and its ability to protect and support its most vulnerable citizens.

African Americans and the Culture of Pain

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Publisher : University of Virginia Press
ISBN 13 : 9780813926902
Total Pages : 212 pages
Book Rating : 4.9/5 (269 download)

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Book Synopsis African Americans and the Culture of Pain by : Debra Walker King

Download or read book African Americans and the Culture of Pain written by Debra Walker King and published by University of Virginia Press. This book was released on 2008 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this compelling new study, Debra Walker King considers fragments of experience recorded in oral histories and newspapers as well as those produced in twentieth-century novels, films, and television that reveal how the black body in pain functions as a rhetorical device and as political strategy. King's primary hypothesis is that, in the United States, black experience of the body in pain is as much a construction of social, ethical, and economic politics as it is a physiological phenomenon. As an essential element defining black experience in America, pain plays many roles. It is used to promote racial stereotypes, increase the sale of movies and other pop culture products, and encourage advocacy for various social causes. Pain is employed as a tool of resistance against racism, but it also functions as a sign of racism's insidious ability to exert power over and maintain control of those it claims--regardless of race. With these dichotomous uses of pain in mind, King considers and questions the effects of the manipulation of an unspoken but long-standing belief that pain, suffering, and the hope for freedom and communal subsistence will merge to uplift those who are oppressed, especially during periods of social and political upheaval. This belief has become a ritualized philosophy fueling the multiple constructions of black bodies in pain, a belief that has even come to function as an identity and community stabilizer. In her attempt to interpret the constant manipulation and abuse of this philosophy, King explores the redemptive and visionary power of pain as perceived historically in black culture, the aesthetic value of black pain as presented in a variety of cultural artifacts, and the socioeconomic politics of suffering surrounding the experiences and representations of blacks in the United States. The book introduces the term Blackpain, defining it as a tool of national mythmaking and as a source of cultural and symbolic capital that normalizes individual suffering until the individual--the real person--disappears. Ultimately, the book investigates America's love-hate relationship with black bodies in pain.

The Painful Truth

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Publisher : Oxford University Press
ISBN 13 : 0190659750
Total Pages : 217 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis The Painful Truth by : Lynn Webster

Download or read book The Painful Truth written by Lynn Webster and published by Oxford University Press. This book was released on 2016-11-01 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most common medical problem in America today, chronic pain is more prevalent than cancer, heart disease, and diabetes combined. Yet tens of millions of people struggle with pain because they can't find someone who understands how much pain affects their lives--and because they live in a culture where pain is dismissed. Internationally recognized pain specialist Dr. Lynn Webster validates the debilitating nature of pain, offers practical answers, and helps you become a catalyst for changing the way pain is viewed in society. Drawing on his years of experience and the inspirational stories of others, he explores: - What a difference it makes to be heard - Why pain is much more than a symptom of disease - The benefits and risks of opioid prescriptions - How cultural attitudes toward pain affect us - The role of a caregiver in the journey of pain and recovery - How, even in the worst pain situations, you can have a fulfilling life The Painful Truth offers a path toward awareness, hope, and healing.

When Children Feel Pain

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Publisher : Harvard University Press
ISBN 13 : 0674185021
Total Pages : 337 pages
Book Rating : 4.6/5 (741 download)

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Book Synopsis When Children Feel Pain by : Rachel Rabkin Peachman

Download or read book When Children Feel Pain written by Rachel Rabkin Peachman and published by Harvard University Press. This book was released on 2022-08-30 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood pain is a widespread problem, yet it often goes untreated. Drawing on the latest research, two leading voices on pediatric pain show parents and medical practitioners how to handle children’s pain, from bumps and bruises to chronic illnesses, providing strategies that make a real difference in kids’ lives.

A Nation in Pain

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Publisher : Oxford University Press
ISBN 13 : 0199837201
Total Pages : 466 pages
Book Rating : 4.1/5 (998 download)

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Book Synopsis A Nation in Pain by : Judy Foreman

Download or read book A Nation in Pain written by Judy Foreman and published by Oxford University Press. This book was released on 2014-02 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: From neurobiology to public policy, examines the chronic pain crisis, which is a major national health concern, discussing the latest scientific discoveries and advances in treatments and providing a sensible plan of action.

Under the Medical Gaze

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Publisher : Univ of California Press
ISBN 13 : 0520925092
Total Pages : 385 pages
Book Rating : 4.5/5 (29 download)

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Book Synopsis Under the Medical Gaze by : Susan Greenhalgh

Download or read book Under the Medical Gaze written by Susan Greenhalgh and published by Univ of California Press. This book was released on 2001-05-03 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This compelling account of the author's experience with a chronic pain disorder and subsequent interaction with the American health care system goes to the heart of the workings of power and culture in the biomedical domain. It is a medical whodunit full of mysterious misdiagnosis, subtle power plays, and shrewd detective work. Setting a new standard for the practice of autoethnography, Susan Greenhalgh presents a case study of her intense encounter with an enthusiastic young specialist who, through creative interpretation of the diagnostic criteria for a newly emerging chronic disease, became convinced she had a painful, essentially untreatable, lifelong muscle condition called fibromyalgia. Greenhalgh traces the ruinous effects of this diagnosis on her inner world, bodily health, and overall well-being. Under the Medical Gaze serves as a powerful illustration of medicine's power to create and inflict suffering, to define disease and the self, and to manage relationships and lives. Greenhalgh ultimately learns that she had been misdiagnosed and begins the long process of undoing the physical and emotional damage brought about by her nearly catastrophic treatment. In considering how things could go so awry, she embarks on a cogent and powerful analysis of the sociopolitical sources of pain through feminist, cultural, and political understandings of the nature of medical discourse and practice in the United States. She develops fresh arguments about the power of medicine to medicalize our selves and lives, the seductions of medical science, and the deep, psychologically rooted difficulties women patients face in interactions with male physicians. In the end, Under the Medical Gaze goes beyond the critique of biomedicine to probe the social roots of chronic pain and therapeutic alternatives that rely on neither the body-cure of conventional medicine nor the mind-cure of some alternative medicines, but rather a broader set of strategies that address the sociopolitical sources of pain.

Empire of Pain

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Publisher : Anchor
ISBN 13 : 038554569X
Total Pages : 574 pages
Book Rating : 4.3/5 (855 download)

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Book Synopsis Empire of Pain by : Patrick Radden Keefe

Download or read book Empire of Pain written by Patrick Radden Keefe and published by Anchor. This book was released on 2021-04-13 with total page 574 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK OF THE YEAR • A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin. From the prize-winning and bestselling author of Say Nothing. "A real-life version of the HBO series Succession with a lethal sting in its tail…a masterful work of narrative reportage.” – Laura Miller, Slate The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful. The Sackler name has adorned the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, but the source of the family fortune was vague—until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis. Empire of Pain is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early twentieth-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, D.C. It follows the family’s early success with Valium to the much more potent OxyContin, marketed with a ruthless technique of co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability. A masterpiece of narrative reporting, Empire of Pain is a ferociously compelling portrait of America’s second Gilded Age, a study of impunity among the super-elite and a relentless investigation of the naked greed that built one of the world’s great fortunes.

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.

Pain

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Publisher : JHU Press
ISBN 13 : 1421413663
Total Pages : 295 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Pain by : Keith Wailoo

Download or read book Pain written by Keith Wailoo and published by JHU Press. This book was released on 2014-05-15 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain touches sensitive nerves in American liberalism, conservatism, and political life. In this history of American political culture, Keith Wailoo examines how pain has defined the line between liberals and conservatives from just after World War II to the present. From disabling pain to end-of-life pain to fetal pain, the battle over whose pain is real and who deserves relief has created stark ideological divisions at the bedside, in politics, and in the courts. Beginning with the return of soldiers after World War II and fierce medical and political disagreements about whether pain constitutes a true disability, Wailoo explores the 1960s rise of an expansive liberal pain standard along with the emerging conviction that subjective pain was real, disabling, and compensable. These concepts were attacked during the Reagan era, when a conservative backlash led to diminished disability aid and an expanding role of courts as arbiters in the politicized struggle to define pain. New fronts in pain politics opened nationwide as advocates for death with dignity insisted that end-of-life pain warranted full relief, while the religious right mobilized around fetal pain. The book ends with the 2003 OxyContin arrest of conservative talk show host Rush Limbaugh, a cautionary tale about deregulation and the widening gaps between the overmedicated and the undertreated.

Pain Killer

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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.

Bonica's Management of Pain

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496349059
Total Pages : 1896 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Bonica's Management of Pain by : Jane C. Ballantyne

Download or read book Bonica's Management of Pain written by Jane C. Ballantyne and published by Lippincott Williams & Wilkins. This book was released on 2018-11-19 with total page 1896 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. This exhaustively comprehensive edition of the classic Bonica’s Management of Pain, first published 65 years ago, expertly combines the scientific underpinnings of pain with clinical management. Completely revised, it discusses a wide variety of pain conditions—including neuropathic pain, pain due to cancer, and acute pain situations—for adults as well as children. An international group of the foremost experts provides comprehensive, current, clinically oriented coverage of the entire field. The contributors describe contemporary clinical practice and summarize the evidence that guides clinical practice.

Holistic Pain Relief

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Publisher : New World Library
ISBN 13 : 1608682064
Total Pages : 314 pages
Book Rating : 4.6/5 (86 download)

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Book Synopsis Holistic Pain Relief by : Heather Tick, MD

Download or read book Holistic Pain Relief written by Heather Tick, MD and published by New World Library. This book was released on 2013-11-01 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain has become an epidemic in North America, yet our current health care system is ill equipped for treating sufferers. An expert in both conventional and holistic medicine, Dr. Heather Tick has spent twenty-five years treating patients for whom “all else has failed.” Based on her experience, Holistic Pain Relief offers practical guidance to anyone with pain. It includes easy-to-implement solutions for effective and permanent pain relief and also offers help to those with chronic conditions who feel confused, worried, or hopeless. Dr. Tick presents a new way of looking at pain with a focus on health. By helping you make informed choices about physical, emotional, and spiritual living, Holistic Pain Relief offers possibilities for recovery and information on a wide range of treatment and prevention options, including acupuncture, chiropractic techniques, intramuscular stimulation, dietary supplements, medication, nutrition, and exercise. The result is a realistic — and inspiring — prescription for pain-free living.

Perioperative Pain Management

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Publisher : Oxford University Press
ISBN 13 : 0199937214
Total Pages : 141 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Perioperative Pain Management by : Richard D. Urman

Download or read book Perioperative Pain Management written by Richard D. Urman and published by Oxford University Press. This book was released on 2013-05-23 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perioperative Pain Management is an up-to-date, evidence-based guide for clinicians who diagnose and treat post-surgical patients.

Needless Suffering

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Publisher : University Press of New England
ISBN 13 : 1611689635
Total Pages : 362 pages
Book Rating : 4.6/5 (116 download)

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Book Synopsis Needless Suffering by : David Nagel, MD

Download or read book Needless Suffering written by David Nagel, MD and published by University Press of New England. This book was released on 2016-07-05 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Needless Suffering offers a sociological examination of a complex medical problem: chronic pain and the inability of doctors and other health professionals to understand and manage it in their patients. People in pain, writes Dr. David Nagel, are the poor of the medical world. Like the poor, they are stigmatized and left at the mercy of powerful social actors who tend to work in their own self-interest, frequently at the expense of those they propose to serve. This leaves those who suffer with little control over their own destinies and creates a dysfunctional status quo that harms instead of helps. Drawing on his own experience witnessing his mother's chronic pain and numerous clinical stories from over thirty years' expertise as a pain management specialist, Nagel looks first at patients, their families, and their doctors (usually not trained in pain management), and then broadens his canvas to elaborate a pain power structure that includes the entire healthcare community, insurers, lawyers, government regulators, employers, politicians, law enforcement agencies, and painkilling drugs. Concluding with concrete reforms to create more effective and compassionate pain care, this book is designed for pain patients and their families, healthcare providers, legislators and other public policymakers, judges, personal injury and other attorneys, insurers, government regulators, law enforcement personnel, and health care businesspeople.