Download or read book Pain Management in Vulnerable Populations written by Paul J. Christo and published by Oxford University Press. This book was released on 2024 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain Management in Vulnerable Populations addresses the clinical problem of pain in vulnerable populations in our society. Their vulnerability is related to the challenging nature of their clinical conditions, for which standard therapies are often ineffective, or social factors, structural to the nation's health system, that limit access to the personalized, multidisciplinary specialty and integrative care that is needed. Each vulnerable group demands a unique approach - this book reveals the details behind the history, examination, and therapeutic options.to remediate vulnerability and achieve quality care in these populations.
Download or read book Pain Management in Vulnerable Populations written by Paul J. Christo and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Over 50 million Americans report chronic pain most days or every day over the previous 3 months1-3. In addition, about 8%-14% adult Americans report high impact chronic pain (HICP), which incorporates both a persistent pain duration of 3-6 months1,4,5 and measures of disability to identify a subset of more severely impacted chronic pain population for whom pain frequently limits daily function 6,7. The more severely impacted chronic pain population are more likely to suffer mental, and cognitive health impairments6, lower quality of life7, and greater use of healthcare services.6,7 Over 80% of this group are unable to work, and one-third report difficulty with basic self-care activities6"--
Download or read book Medical Management of Vulnerable Underserved Patients Principles Practice Population written by Talmadge E. King and published by McGraw Hill Professional. This book was released on 2006-08-31 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: No other book on the subject Chronic diseases, especially those associated with poor nutrition, obesity, and addiction have grown to epidemic proportion in many poor and minority populations Covers all essential topics, including Navigating Language Barriers, Understanding Disability, Patient Education, Substance Abusers, the Care of Gay and Lesbian Patients, Reproductive Issues in Poor Women, and much more
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.
Download or read book Meanings of Pain written by Simon van Rysewyk and published by Springer Nature. This book was released on 2022-05-17 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, the third and final volume in the Meaning of Pain series, describes what pain means to people with pain in “vulnerable” groups, and how meaning changes pain – and them – over time. Immediate pain warns of harm or injury to the person with pain. If pain persists over time, more complex meanings can become interwoven with this primitive meaning of threat. These cognitive meanings include thoughts and anxiety about the adverse consequences of pain. Such meanings can nourish existential sufferings, which are more about the person than the pain, such as loss, loneliness, or despair. Although chronic pain can affect anyone, there are some groups of people for whom particular clinical support and understanding is urgently needed. This applies to “vulnerable” or “special” groups of people, and to the question of what pain means to them. These groups include children, women, older adults, veterans, addicts, people with mental health problems, homeless people, or people in rural or indigenous communities. Several chapters in the book focus on the lived experience of pain in vulnerable adults, including black older adults in the US, rural Nigerians, US veterans, and adults with acquired brain injury. The question of what pain experience could mean in the defenceless fetus, neonate, pre-term baby, and child, is examined in depth across three contributions. This book series aspires to create a vocabulary on the “meanings of pain” and a clinical framework with which to use it. It is hoped that the series stimulates self-reflection about the role of meaning in optimal pain management. Meanings of Pain is intended for people with pain, family members or caregivers of people with pain, clinicians, researchers, advocates, and policy makers. Volume I was published in 2016; Volume II in 2019.
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.
Download or read book The Role of Nonpharmacological Approaches to Pain Management written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-05-23 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is a leading cause of disability globally. The dramatic increase in opioid prescriptions within the past decade in the United States has contributed to the opioid epidemic the country currently faces, magnifying the need for longer term solutions to treat pain. The substantial burden of pain and the ongoing opioid crisis have attracted increased attention in medical and public policy communities, resulting in a revolution in thinking about how pain is managed. This new thinking acknowledges the complexity and biopsychosocial nature of the pain experience and the need for multifaceted pain management approaches with both pharmacological and nonpharmacological therapies. The magnitude and urgency of the twin problems of chronic pain and opioid addiction, combined with the changing landscape of pain management, prompted the National Academies of Sciences, Engineering, and Medicine to convene a workshop on December 4â€"5, 2018, in Washington, DC. The workshop brought together a diverse group of stakeholders to discuss the current status of nonpharmacological approaches to pain management, gaps, and future directions. This publication summarizes the presentations and discussions from the workshop.
Download or read book Handbook of Pain and Palliative Care written by Rhonda J. Moore and published by Springer. This book was released on 2019-06-12 with total page 902 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive revision of the invaluable reference presents a rigorous survey of pain and palliative care phenomena across the lifespan and across disciplines. Grounded in the biopsychosocial viewpoint of its predecessor, it offers up-to-date understanding of assessments and interventions for pain, the communication of pain, common pain conditions and their mechanisms, and research and policy issues. In keeping with the current public attention to painkiller use and misuse, contributors discuss a full range of pharmacological and non-pharmacological approaches to pain relief and management. And palliative care is given expanded coverage, with chapters on interventive, ethical, and spiritual concerns. · Pain, intercultural communication, and narrative medicine. · Assessment of pain: tools, challenges, and special populations. · Persistent pain in the older adult: practical considerations for evaluation and management. · Acute to chronic pain: transition in the post-surgical patient. · Evidence-based pharmacotherapy of chronic pain. · Complementary and integrative health in chronic pain and palliative care. · The patient’s perspective of chronic pain. · Disparities in pain and pain care. This mix of evolving and emerging topics makes the Second Edition of the Handbook of Pain and Palliative Care a necessity for health practitioners specializing in pain management or palliative care, clinical and health psychologists, public health professionals, and clinicians and administrators in long-term care and hospice.
Download or read book Culture Brain and Analgesia written by Mario Incayawar and published by Oxford University Press. This book was released on 2012-11-21 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, the authors have placed culture in the forefront of their approach to study pain in an integrative manner. Culture should not be considered solely for knowing more about patients' values, beliefs, and practices. It should be studied with the purpose of unveiling its effects upon biological systems and the pain neuromatrix. The book discusses how a multidisciplinary and integrative approach to pain and analgesia should be considered. Some familiarity with the cultural background of patients and awareness of the provider's own cultural characteristics will allow the pain practitioner to better understand patients' values, attitudes and preferences. Knowledge of patients' cultural practices will allow determining the impact of culture on biological processes, including the origin and development of pain-related disease, and the patients' response to pharmacological and non-pharmacological treatments. Acknowledging the interactions of molecules, genes and culture could yield a more appropriate and effective personalized pain medicine. Furthermore, this approach has the potential to transform the way pain medicine is taught to young students and future pain professionals, and in so doing meet the need of trained clinicians who are versed in multiple disciplines and are able to use an integrative approach to diagnose and treat pain. A personalized medicine will have non-negligible positive effects in improving doctor patient relationships, patient satisfaction, adherence to treatment plans, and health outcomes and inequities. It is hoped that the material in this volume will appeal to a broad cross-section of health practitioners, students and academicians, including pain medicine specialists, psychiatrists, psychologists, social workers, mental health, community and public health workers, health policy makers, and health administrators.
Download or read book Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-07-01 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their pain, coupled with a widespread misunderstanding of the addictive properties of opioids. This increase in prescribing of opioids also saw a parallel increase in addiction and overdose. In an effort to address this ongoing epidemic of opioid misuse, policy and regulatory changes have been enacted that have served to limit the availability of prescription opioids for pain management. Overlooked amid the intense focus on efforts to end the opioid use disorder epidemic is the perspective of clinicians who are experiencing a significant amount of daily tension as opioid regulations and restrictions have limited their ability to treat the pain of their patients facing serious illness. Increased public and clinician scrutiny of opioid use has resulted in patients with serious illness facing stigma and other challenges when filling prescriptions for their pain medications or obtaining the prescription in the first place. Thus clinicians, patients, and their families are caught between the responses to the opioid use disorder epidemic and the need to manage pain related to serious illness. The National Academies of Sciences, Engineering, and Medicine sponsored a workshop on November 29, 2018, to examine these unintended consequences of the responses to the opioid use disorder epidemic for patients, families, communities, and clinicians, and to consider potential policy opportunities to address them. This publication summarizes the presentations and discussions from the workshop.
Download or read book Medical Management of Vulnerable and Underserved Patients Principles Practice Populations Second Edition written by Talmadge E. King and published by McGraw Hill Professional. This book was released on 2016-06-17 with total page 577 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leading reference and text on the increasingly relevant and important topic of caring for underserved patients and those with highly unique health requirements A Doody’s Core Title for 2019! The timely publication of Medical Management of Vulnerable and Underserved Patients: Principles, Practice and Populations, Second Edition is designed to clarify current issues and instruct you in best practices and compliance with legislation, such as the Affordable Care Act, when caring for patients living with chronic diseases in poor and minority populations. How do these laws affect you, your practice, and patient care? Medical Management of Vulnerable and Underserved Patients is ideally suited for clinical and educational programs and policy-oriented institutions concerned with addressing health disparities and caring for the underserved and vulnerable patient. Comprehensive in scope and authored by many of the leading names in the field, the book takes complex concepts and issues and helps you understand them, resulting in a “roadmap” to guide real-world applications and compliance with the terms of the law. Each chapter integrates key concepts, core competencies, and common pitfalls and concludes with useful lists of web resources and stimulating discussion questions. From the reviews of the First Edition: "This book is an ambitious and important contribution to the care of our most wounded patients. For those of us who regularly care for vulnerable patients, it provides an excellent resource and supportive guide. However, it should also become part of the standard library for all medical students and practicing physicians. All physicians have much to learn from the practical, evidence-based approaches to the societal issues we all face in practice. Ultimately, this is a book that could help all clinicians take better care of all patients, especially those who may need extra help and support as they navigate our complex health care system." -- New England Journal of Medicine The Second Edition features: Fully revised to reflect passage and impact of the Affordable Care Act on care of underserved patients Expanded with major new chapters, from Health Quality to Rural Healthcare, and additional content relevant to nursing Focused on evidence-based practice with a patient-centered approach Full color format Boxed main points and Practical "Pearls,” such as how to write a disability letter PowerPoint slides and question sets, exercises, and cases to aid instruction
Download or read book Clinical Trials in Vulnerable Populations written by Milica Prostran and published by BoD – Books on Demand. This book was released on 2018-05-09 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book Clinical Trials in Vulnerable Populations has 12 chapters divided into 4 sections: Minority Patients, Women, Medically Compromised Patients and Clinical Trials. Contributing authors came from several countries, from Serbia to Turkey. The book was edited by Professor Milica Prostran MD, Ph.D., specialist in Clinical Pharmacology. The potential reader is shown a modern approach to clinical trials in vulnerable populations, from different points of view. The chapters deal at length and clarity with their topics. Finally, I believe, that this book I edited and reviewed with dedication will capture the attention of many readers, from medical students to practicing doctors and pharmacists. All of whom must consider this very important field of medicine: clinical trials in vulnerable patients.
Download or read book Cancer Pain Management in Developing Countries written by Sushma Bhatnagar and published by Lippincott Williams & Wilkins. This book was released on 2018-06-29 with total page 253 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. A Comprehensive Handbook of Cancer Pain Management in Developing Countries Written by an international panel of expert pain physicians, A Comprehensive Handbook of Cancer Pain Management in Developing Countries addresses this challenging and vital topic with reference to the latest body of evidence relating to cancer pain. It thoroughly covers pain management in the developing world, explaining the benefit of psychological, interventional, and complementary therapies in cancer pain management, as well as the importance of identifying and overcoming regulatory and educational barriers.
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.
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.
Download or read book Acute Pain Management written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2009-04-27 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.
Download or read book Pain and Palliative Care in the Developing World and Marginalized Populations written by M.r. Rajagapol and published by CRC Press. This book was released on 2004-04-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential information for anyone involved in palliative care programs for deprived patients! In this comprehensive resource, leading healthcare professionals describe pioneering work on the front lines of pain and palliative care service planning and implementation for underserved populations. Pain and Palliative Care in the Developing World and Marginalized Populations: A Global Challenge explores the challenges and barriers preventing satisfactory pain management for patients who urgently need it. This book provides you with true accounts of palliative care programs from around the world to help you meet the needs of disadvantaged clients. This essential volume includes a Foreword written by a world leader in palliative care—Jan Stjernsward, Former Chief of the Cancer and Palliative Care Program of the World Health Organization and currently International Director of the Oxford International Centre for Palliative Care in the United Kingdom. Pain and Palliative Care in the Developing World and Marginalized Populations: A Global Challenge addresses issues of vital importance for the global health care community, such as: Why do so many people in the developing world suffer excruciating pain for months and years, when simple inexpensive medication could make them comfortable? They get MRI scans; why don’t they have access to palliative care? Why do some palliative care programs fail to reach the needy? How could a palliative care delivery system be adapted to local needs? Why are medical and nursing students not taught the fundamentals of pain management? What direction should palliative care education take? Could health care resources be channeled to deliver care in a more just and equitable manner? This book chronicles the efforts of ambitious pain management care professionals to confront these questions, working toward an end to needless, preventable pain and suffering. It examines their programs, and acknowledges their successes and failures to date, with commentaries by international experts. This indispensable manual discusses palliative care programs in developing countries such as India, Chile, Argentina, Saudi Arabia, Thailand, Hong Kong, Malaysia, and others. Pain and Palliative Care in the Developing World and Marginalized Populations also offers an important look at pain management programs geared toward several specific underserved populations in both developing and developed countries, including Native Americans and inmates in a New Zealand prison. Illustrated with figures, graphs, and tables, this book is essential for practitioners and officials in both palliative and public health care. All proceeds from sales of this book will be used to support the growth of palliative care programs in India.
