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 Its Relief Without Addiction

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Author :
Publisher : Routledge
ISBN 13 : 1317826973
Total Pages : 435 pages
Book Rating : 4.3/5 (178 download)

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Book Synopsis Pain and Its Relief Without Addiction by : Barry Stimmel

Download or read book Pain and Its Relief Without Addiction written by Barry Stimmel and published by Routledge. This book was released on 2014-03-18 with total page 435 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain and Its Relief Without Addiction will help people in pain understand why their pain is not always adequately relieved, as well as help reverse the failure of current medical practice to routinely alleviate pain. As noted by a 1992 publication of the United States Department of Health Services, this devastating trend contributes to unnecessary discomfort, longer recovery periods, and compromised patient outcomes. By reading this book, frustrated physicians and, perhaps more importantly, persons in pain can acquire a better understanding of the nature of pain, its connection to the emotions and psychological state of patients, and the impact particular drugs have on the body; this will facilitate relief from pain among a higher percentage of the population. Opioid analgesics comprise many of the chapters in Pain and Its Relief Without Addiction. Author Barry Stimmel, MD, describes the principles to be followed in prescribing opioid analgesics to relieve pain while maintaining one’s daily activities without any limitation in function. The available opioids are described, and the differences between them are reviewed to allow you--as a physician, health care provider, or even a patient--to gain a better insight into the one(s) to use for both acute and chronic pain states. The point that is emphasized is that dependency on an analgesic to relieve pain is no different than dependency on medications to lower blood pressure, prevent heart attacks, treat diabetes, etc. What should be avoided is “addiction,” a condition where function is impaired rather than enhanced. Pain and Its Relief Without Addiction is a guidebook designed to assist physicians and other health professionals in developing a practical approach to pain management and to give patients a fuller understanding of their pain. You’ll gain specific information about: management of acute and chronic pain pain in children pain and cancer pain and AIDS psychological support of persons in pain theories of pain perception the anatomy of pain In Pain and Its Relief Without Addiction, you’ll learn the basic concepts of drug dependence, tolerance, and withdrawal, the pharmacological actions and side effects of drugs used to provide analgesia, and the fundamental steps to be taken in proper pharmacological treatment of pain. The book produces more effective and more informed communication among physicians, other health professionals, and patients so that together they can achieve better pain relief. As Pain and Its Relief Without Addiction illustrates, it is crucial that both patients and physicians understand clearly the terms describing drug use and the behavioral, biochemical, and cellular concepts underlying dependence, tolerance, and withdrawal. Finally, you will acquire a knowledge of all the potential causes of pain and the appropriate steps for intervention. Medical students, new practitioners, and those wishing to reconsider their approaches to pain management will benefit from the book’s coverage of general principles for pain control, the use of drug combinations to provide the most effective relief, methods for treating pain in different populations (such as the elderly and persons with chronic medical conditions), and alternative options for failed treatment. The scope of Pain and Its Relief Without Addiction reaches from nonprescription medications, such as aspirin, to NSAIDS, like ibuprofen, to narcotic analgesics to stimulants such as amphetamines and caffeine. It is the most comprehensive book available on various drugs, their desired effects and side effects, and their use to alleviate pain.

Chronic Pain and Addiction

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Author :
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805597258
Total Pages : 171 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Chronic Pain and Addiction by : Michael R. Clark

Download or read book Chronic Pain and Addiction written by Michael R. Clark and published by Karger Medical and Scientific Publishers. This book was released on 2011-01-01 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: The relationship between chronic pain and addiction Patients with chronic pain understandably seek relief from their distress and discomfort, but many medications that alleviate pain are potentially addictive, and most chronic pain conditions only have a temporary response to opiate analgesic drugs. This volume reviews the fundamental topics that underlie the complex relationships of this controversial domain. The authors review behavioral models and practical methods for understanding and treating chronic pain and addiction including methods to formulate patients with complex comorbidity and screen patients with chronic pain for addictive liability. Finally, the authors describe the current findings from clinical and basic science that illuminate the role of opiates, cannabinoids and ketamine in the treatment of chronic pain. Up to date and comprehensive, this book is relevant to all professionals engaged in the care of patients with chronic pain or addiction and all others interested in these contemporary issues, particularly non-clinicians seeking clarity in the controversy over the best approach to patients with chronic pain.

Pain Killer

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Publisher : Rodale
ISBN 13 : 9781579546380
Total Pages : 348 pages
Book Rating : 4.5/5 (463 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 Rodale. This book was released on 2003-10-17 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines OxyContin, the so-called miracle prescription drug that swept the nation but led to overdoes and addiction, providing a look at the multi-billion-dollar pain managment business, its excesses and its abuses.

Managing Patients with Chronic Pain and Opioid Addiction

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Author :
Publisher : Springer
ISBN 13 : 331908111X
Total Pages : 122 pages
Book Rating : 4.3/5 (19 download)

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Book Synopsis Managing Patients with Chronic Pain and Opioid Addiction by : Donald R Taylor

Download or read book Managing Patients with Chronic Pain and Opioid Addiction written by Donald R Taylor and published by Springer. This book was released on 2015-07-14 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text will provide readers with a thorough review of the complex condition of chronic pain and addictions. The book was originally commissioned due to the need in the field for more literature on the topic. This concise pocket book will review epidemiology, clinical features, diagnosis, and medical management of both chronic pain and addiction. Busy healthcare professionals will benefit from this text, which will not only cover the foundation of the management of both conditions and together, but discuss up-to-date national and international treatment guidelines, upcoming therapies and REMS.

Pain Free Living for Drug Free People

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Author :
Publisher : Simon and Schuster
ISBN 13 : 1592859747
Total Pages : 160 pages
Book Rating : 4.5/5 (928 download)

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Book Synopsis Pain Free Living for Drug Free People by : Marvin D Seppala

Download or read book Pain Free Living for Drug Free People written by Marvin D Seppala and published by Simon and Schuster. This book was released on 2010-06-04 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: An authoritative guide to pain control and pain medications for people in recovery People in recovery who suffer from pain, whether it's acute, chronic, or the result of an ongoing condition such as cancer--face a special challenge. How can they use effective pain medications without triggering a relapse? Pain-Free Living for Drug-Free People is an information-packed guide to pain management in recovery and other issues related to pain control and addiction.

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.

Relieving Pain in America

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Author :
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.

Practical Pain Management

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781731607
Total Pages : 860 pages
Book Rating : 4.7/5 (316 download)

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Book Synopsis Practical Pain Management by : C. David Tollison

Download or read book Practical Pain Management written by C. David Tollison and published by Lippincott Williams & Wilkins. This book was released on 2002 with total page 860 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly revised to reflect contemporary diagnostics and treatment, this Third Edition is a comprehensive and practical reference on the assessment and management of acute and chronic pain. This edition features 14 new chapters and is filled with new information on invasive procedures...pharmacologic interventions...neuraxial pharmacotherapy...physical and occupational therapies...diagnostic techniques...pain in terminally ill patients...cancer pain...visceral pain...rheumatologic disorders...managed care...and medicolegal issues. Reorganized with two new sections focusing on diagnostics and cancer pain. A Brandon-Hill recommended title.

"Please, Do Not Make Us Suffer Any More-"

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Author :
Publisher : Human Rights Watch
ISBN 13 : 1564324494
Total Pages : 51 pages
Book Rating : 4.5/5 (643 download)

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Book Synopsis "Please, Do Not Make Us Suffer Any More-" by : Human Rights Watch (Organization)

Download or read book "Please, Do Not Make Us Suffer Any More-" written by Human Rights Watch (Organization) and published by Human Rights Watch. This book was released on 2009 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: With support from the Open Society Institute International Palliative Care Initiative, Human Rights Watch released a groundbreaking report on the lack of access to pain relief medicines for millions of patients worldwide. The report, "Please Don't Make Us Suffer Anymore": Access to Pain Treatment as a Human Right, finds that countries can significantly improve access to pain medications by addressing the causes of their poor availability, which include the following: *Failure to put in place functioning supply and distribution systems *Absence of government policies to ensure medicine availability *Insufficient instruction for health care workers *Excessively strict drug-control regulations *Fear of legal sanctions among healthcare workers. "Please Don't Make Us Suffer Anymore" notes that international law requires states to make narcotic drugs available for the treatment of pain while preventing abuse, but that the strong international focus on preventing abuse of such drugs has led many countries to neglect that obligation. The full report is available in PDF format. French, Russian, and Spanish versions are available on the HRW website.

Marijuana As Medicine?

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Publisher : National Academies Press
ISBN 13 : 0309065313
Total Pages : 216 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Marijuana As Medicine? by : Institute of Medicine

Download or read book Marijuana As Medicine? written by Institute of Medicine and published by National Academies Press. This book was released on 2000-12-30 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some people suffer from chronic, debilitating disorders for which no conventional treatment brings relief. Can marijuana ease their symptoms? Would it be breaking the law to turn to marijuana as a medication? There are few sources of objective, scientifically sound advice for people in this situation. Most books about marijuana and medicine attempt to promote the views of advocates or opponents. To fill the gap between these extremes, authors Alison Mack and Janet Joy have extracted critical findings from a recent Institute of Medicine study on this important issue, interpreting them for a general audience. Marijuana As Medicine? provides patientsâ€"as well as the people who care for themâ€"with a foundation for making decisions about their own health care. This empowering volume examines several key points, including: Whether marijuana can relieve a variety of symptoms, including pain, muscle spasticity, nausea, and appetite loss. The dangers of smoking marijuana, as well as the effects of its active chemical components on the immune system and on psychological health. The potential use of marijuana-based medications on symptoms of AIDS, cancer, multiple sclerosis, and several other specific disorders, in comparison with existing treatments. Marijuana As Medicine? introduces readers to the active compounds in marijuana. These include the principal ingredient in Marinol, a legal medication. The authors also discuss the prospects for developing other drugs derived from marijuana's active ingredients. In addition to providing an up-to-date review of the science behind the medical marijuana debate, Mack and Joy also answer common questions about the legal status of marijuana, explaining the conflict between state and federal law regarding its medical use. Intended primarily as an aid to patients and caregivers, this book objectively presents critical information so that it can be used to make responsible health care decisions. Marijuana As Medicine? will also be a valuable resource for policymakers, health care providers, patient counselors, medical faculty and studentsâ€"in short, anyone who wants to learn more about this important issue.

Drug Dealer, MD

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Publisher : JHU Press
ISBN 13 : 1421421402
Total Pages : 187 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Drug Dealer, MD by : Anna Lembke

Download or read book Drug Dealer, MD written by Anna Lembke and published by JHU Press. This book was released on 2016-11-15 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: The disturbing connection between well-meaning physicians and the prescription drug epidemic. Three out of four people addicted to heroin probably started on a prescription opioid, according to the director of the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it’s built on well-meaning doctors treating patients with real problems. In Drug Dealer, MD, Dr. Anna Lembke uncovers the unseen forces driving opioid addiction nationwide. Combining case studies from her own practice with vital statistics drawn from public policy, cultural anthropology, and neuroscience, she explores the complex relationship between doctors and patients, the science of addiction, and the barriers to successfully addressing drug dependence and addiction. Even when addiction is recognized by doctors and their patients, she argues, many doctors don’t know how to treat it, connections to treatment are lacking, and insurance companies won’t pay for rehab. Full of extensive interviews—with health care providers, pharmacists, social workers, hospital administrators, insurance company executives, journalists, economists, advocates, and patients and their families—Drug Dealer, MD, is for anyone whose life has been touched in some way by addiction to prescription drugs. Dr. Lembke gives voice to the millions of Americans struggling with prescription drugs while singling out the real culprits behind the rise in opioid addiction: cultural narratives that promote pills as quick fixes, pharmaceutical corporations in cahoots with organized medicine, and a new medical bureaucracy focused on the bottom line that favors pills, procedures, and patient satisfaction over wellness. Dr. Lembke concludes that the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.

The American Society of Addiction Medicine Handbook on Pain and Addiction

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Author :
Publisher : Oxford University Press
ISBN 13 : 0190265361
Total Pages : 449 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis The American Society of Addiction Medicine Handbook on Pain and Addiction by : Ilene Robeck

Download or read book The American Society of Addiction Medicine Handbook on Pain and Addiction written by Ilene Robeck and published by Oxford University Press. This book was released on 2018 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title provides clinical considerations and guidelines for the clinician treating patients with pain and addiction. The text is structured in five sections that cover the core concepts of addressing pain and addiction; diagnosis and treatment; treating pain in patients with, or at risk for, co-occuring addiction; treating substance use disorders (SUD) and addiction in patients with co-occuring pain; and adapting treatment to the needs of specific populations. Each chapter ends with suggestions for further reading on the topics discussed

Empire of Pain

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Author :
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.

The Role of Nonpharmacological Approaches to Pain Management

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Author :
Publisher : National Academies Press
ISBN 13 : 030949091X
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 2019-06-23 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.

Framing Opioid Prescribing Guidelines for Acute Pain

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Author :
Publisher : National Academies Press
ISBN 13 : 030949687X
Total Pages : 223 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Framing Opioid Prescribing Guidelines for Acute Pain by : National Academies of Sciences, Engineering, and Medicine

Download or read book Framing Opioid Prescribing Guidelines for Acute Pain written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-03-20 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.

Mechanisms of Vascular Disease

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Publisher : University of Adelaide Press
ISBN 13 : 1922064009
Total Pages : 589 pages
Book Rating : 4.9/5 (22 download)

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Book Synopsis Mechanisms of Vascular Disease by : Robert Fitridge

Download or read book Mechanisms of Vascular Disease written by Robert Fitridge and published by University of Adelaide Press. This book was released on 2011 with total page 589 pages. Available in PDF, EPUB and Kindle. Book excerpt: New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.