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 Pain Modulation written by Howard L. Fields and published by Elsevier Publishing Company. This book was released on 1988-01-01 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume represents edited material that was presented at a conference on brainstem modulation of spinal nociception held in Beaune, France during July, 1987. Pain Modulation, Volume 77 in the series Progress in Brain Research reviews, analyses and suggests new research strategies on several relevant topics including: the endogenous opioid peptides; sites of action of opiates; the role of biogenic animes and non-opioid peptides in analgesia; dorsal horn circuitry; behavioural factors in the activation of pain modulating networks and clinical studies of nociceptive modulation.

Download or read book A Guide to State Controlled Substances Acts written by and published by . This book was released on 1988 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Conditions of Participation for Hospitals written by United States. Social Security Administration and published by . This book was released on 1966 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Factorial Survey Experiments written by Katrin Auspurg and published by SAGE Publications. This book was released on 2014-11-28 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Filling a gap in the literature of the field, Factorial Survey Experiments provides researchers with a practical guide to using the factorial survey method to assess respondents’ beliefs about the world, judgment principles, or decision rules through multi-dimensional stimuli (“vignettes”) that resemble real-life decision-making situations. Using insightful examples to illustrate their arguments, authors Katrin Auspurg and Thomas Hinz guide researchers through all relevant steps, including how to set up the factorial experimental design (drawing samples of vignettes and respondents), how to handle the practical challenges that must be mastered when an experimental plan with many different treatments is embedded in a survey format, and how to deal with questions of data analysis. In addition to providing the “how-tos” of designing factorial survey experiments, the authors cover recent developments of similar methods, such as conjoint analyses, choice experiments, and more advanced statistical tools.

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 Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic written by Engineering National Academies of Sciences (and Medicine) and published by . This book was released on 2019 with total page 83 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 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.

Download or read book Prescription drugs OxyContin abuse and diversion and efforts to address the problem report to congressional requesters written by United States. General Accounting Office and published by DIANE Publishing. This book was released on 2003 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Approaching Death written by Committee on Care at the End of Life and published by National Academies Press. This book was released on 1997-10-30 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Download or read book Dietary Supplements written by United States. Federal Trade Commission. Bureau of Consumer Protection and published by . This book was released on 1998 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Expert Guide to Pain Management written by Bill H. McCarberg and published by ACP Press. This book was released on 2005 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive and practical reference on the assessment of acute and chronic pain, this is an authoritative and practical guide to the safe and effective management of pain. The concisely written text addresses the nature of pain, the pathophysiology and pharmacological treatment of pain, the psychological aspects of chronic pain, and the psychosocial factors in chronic pain patients. Geared to clinicians in all disciplines, the chapters in this book, written by leading experts, explain the most useful diagnostic tests, describe the entire spectrum of pain syndromes, and discuss all currently available drugs and other treatment options. Some of the chapters included are: Chronic Pain as Disease, Headache, Osteoarthritis and Fibromyalgia, Neuropathic Pain, and Addiction in Pain Management.

Download or read book The Stigma of Addiction written by Jonathan D. Avery and published by Springer. This book was released on 2019-01-09 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the stigma of addiction and discusses ways to improve negative attitudes for better health outcomes. Written by experts in the field of addiction, the text takes a reader-friendly approach to the essentials of addiction stigma across settings and demographics. The authors reveal the challenges patients face in the spaces that should be the safest, including the home, the workplace, the justice system, and even the clinical community. The text aims to deliver tools to professionals who work with individuals with substance use disorders and lay persons seeking to combat stigma and promote recovery. The Stigma of Addiction is an excellent resource for psychiatrists, addiction medicine specialists, students across specialties, researchers, public health officials, and individuals with substance use disorders and their families.

Download or read book Federal Guidelines for Opioid Treatment Programs written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-23 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Federal Guidelines for Opioid Treatment Programs (Guidelines) describe the Substance Abuse and Mental Health Services Administration's (SAMHSA) expectation of how the federal opioid treatment standards found in Title 42 of the Code of Federal Regulations Part 8 (42 CFR § 8) are to be satisfied by opioid treatment programs (OTPs). Under these federal regulations, OTPs are required to have current valid accreditation status, SAMHSA certification, and Drug Enforcement Administration (DEA) registration before they are able to administer or dispense opioid drugs for the treatment of opioid addiction.

Download or read book THE OPIOID EPIDEMIC CONSUMERS HEALTHCARE GUIDE written by D. TERRENCE FOSTER, M.D. and published by GLOBAL HEALTH & CONSORTIUM. This book was released on 2019-01-25 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: Read one of the most comprehensive books about the opioid epidemic: opioid overdose deaths, illegally manufactured fentanyl (IMF), synthetic opioid analogs, heroin, and how marijuana/cannabis affects the opioid epidemic. Read also about how drugs like cocaine methamphetamine and benzodiazepines ( BENZOS) affect the opioid epidemic, also learn about different medication treatment/programs such as naloxone, Suboxone, methadone, Safe Injection Sites/Supervised Injection Sites /Insight, and many drugs detoxification protocols. Learn how to protect your children from illicit opioids, cocaine, marijuana /cannabis, and other illegal drugs. This book looks at how the opioid epidemic started and where we are now. We examined and explained the causes of the opioid epidemic and who are most likely responsible, as we look at prescription drugs and the doctors and providers who write these prescriptions. The impact of legal and illegal opioids and their contribution to the opioid epidemic are discussed. Also, non-opioid drugs, which are also a major contributing factor to the opioid epidemic, are considered. The significance of diversions of opioids and controlled substances is presented. The impact of the opioid epidemic on family and loved ones, including teens and young adults, is also presented, as well as some of the obstacles to available treatment. Appropriate medical, nonmedical intervention, and treatment as well as the challenges faced by those of us who work with chronic and acute pain patients are elaborated on at length with an emphasis on addiction treatment, prevention. Alternative therapies such as marijuana, non-traditional treatments, and some controversial programs are also examined. The importance of naloxone is thoroughly discussed. As we move forward, we looked at what can be done, and some of the things that are being done in other countries that are helpful in their fight against the opioid crisis. We also looked at what is being done in our country by various sectors, including but not limited to the government, providers, and healthcare insurance companies. The importance of opioid use in our society is discussed, along with the need for continuing opioid treatment despite the number of deaths it has caused. This book provides a relatively simple approach to a very complex problem; as well as information that will create a better understanding for consumers, the public as a whole, and healthcare providers/physicians of some of the challenges involved with opioid use, treatment, and addiction. This book is intended for consumers and the general public, as well as healthcare providers mainly engaged in primary care and service treatment of patients who are potential users of opioids, and those who are already on opioids and other controlled substances.

Download or read book A Public Health Guide to Ending the Opioid Epidemic written by Michael R. Fraser and published by . This book was released on 2019 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE DEFINITIVE GUIDE FOR PUBLIC HEALTH PROFESSIONALS FIGHTING THE OPIOID EPIDEMIC The opioid crisis has devastated families and communities across the United States. Changes in policing and medical practices have been swift, but they've achieved only a modest impact on the fundamental causes of substance misuse and addiction. The necessity for upstream intervention is clear. But what does that look like? A Public Health Guide to Ending the Opioid Epidemic does what only a public health approach can: offer credible, scalable, and empirically supported approaches to uprooting one of society's most pernicious challenges. It systemizes the core tenets of the public health approach to substance misuse and addiction, which alongside clinical approaches (prescription guidelines and monitoring, increased access to overdose-reversal medication, and medication-assisted treatment availability) offers a roadmap for end-to-end response to this diverse problem. Core elements of the public health approach, all covered here in practical terms, include: - How to support community-based, primary prevention of substance misuse and addiction in different settings and populations - How to effectively address the cultural, social, and environmental aspects of health that are driving the current epidemic - How governmental public health agencies play a significant role in responding to the epidemic, both in the field's traditional model of disease surveillance and control and in more directed approaches to health promotion (building community resilience; addressing the impact of adverse childhood events; mitigating the root causes of addiction) These frameworks offer a foundation for understanding, analyzing, and meaningfully impacting the burden of opioid misuse and addiction in any population or setting. A Public Health Guide to Ending the Opioid Epidemic is a roadmap for meaningful change.

Download or read book The Delta Receptor written by Kwen-Jen Chang and published by CRC Press. This book was released on 2003-12-11 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Delta Receptor spans current research in delta receptor biology, pharmacology, physiology, and chemistry to identify, advance, and inspire the development of novel drug candidates. It demonstrates the potential significance and impact of the delta receptor in the therapy and treatment of medical conditions such as pain, gastrointestinal disorders, bladder dysfunction, and depression, as well as heart attack prevention. This reference examines the pathophysiological functions and mechanisms of receptor-selective drugs. Documenting key advances in the field, The Delta Receptor represents the most comprehensive and up-to-date studies on receptor applications currently available.