Pain and pain management Books

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Book SynopsisUp-to-date information on pain managementincluding options to consider when conventional treatment is ineffective Providing effective treatment for pain-especially to elderly clients-can be a vexing problem for even the most knowledgeable clinician. In Clinical Management of the Elderly Patient in Pain, some of the world's leading authorities describe the unique difficulties that arise when trying to provide pain relief to elderly patients. They examine conventional treatment with opioid and non-steroidal anti-inflammatory drugs along with a broad range of alternatives to consider when frontline drugs fail. Non-drug options for pain relief from the fields of physical medicine and psychology are also explored. Essential topics addressed in Clinical Management of the Elderly Patient in Pain include: pain as an aspect of advancing age how pharmacology differs in elderly patients available therapeutic options, including opioids, non-steroidal anti-inflammatory drugs, anti-epileptic drugs, tricyclic antidepressants, membrane stabilizers, and topical agents physical medicine approaches psychological approaches to pain in the elderly Most publications on this subject focus on the use of opioids, non-steroidal drugs, and other commonly prescribed analgesics. Clinical Management of the Elderly Patient in Pain takes a different approach. Editor Gary McCleane, MD, says, Our need, with elderly patients, is to provide treatment that is both effective and easily tolerated. This is not a book devoted to opioids and non-steroidals, although they are addressed. Nor is it about those analgesics used in younger patients being used in smaller doses with the elderly. Rather, it contains practical options for treating pain when other simple remedies fail to help. At times this will involve using conventional analgesics in scaled-down doses, but at others it will involve using substances not yet fully recognized as possessing analgesic properties because they fit the bill in terms of possible analgesic actions, side-effect profiles, and lack of drug/drug interactionsand because practical experience suggests they may be useful in the scenario described.Clinical Management of the Elderly Patient in Pain is designed as a point of interface between the specialist pain practitioner and the clinician faced with all the problems of satisfactorily managing pain in elderly patients. It presents commonsense, practical, patient-oriented options that make it a useful resource for busy clinicians.Table of Contents About the Editors Contributors Preface Chapter 1. Pain and the Elderly Patient (Gary McCleane) An Aging Population Neural Differences in the Aged Effect of Age in Animal Pain Models Effect of Age on Human Experimental Pain Effect of Age on Clinical Pain Conclusion Chapter 2. Acute and Chronic Pain in the Elderly (Pradeep Chopra and Howard Smith) Acute Pain Chronic Pain Cancer Pain Chapter 3. Pain Management and Pharmacological Differences in the Elderly Patient (Peter Passmore and David Craig) External Factors Pharmacokinetic Alterations Pharmacodynamic Changes Conclusion Chapter 4. Acetaminophen for the Elderly (Pradeep Chopra and Howard Smith) Clinical Pharmacology Adverse Effects Laboratory Values Affected Overdosage Dosage and Administration Chapter 5. Opioids (Gary McCleane) Does Age Influence the Dose of Opioid Required to Achieve Analgesia? Pain and Its Responsiveness to Opioids Types of Opioid Side Effects of Opioid Analgesics Clinical Use of Opioids in the Elderly Conclusion Chapter 6. NSAIDs and the Elderly (Jennifer A. Elliott) Mechanism of Action and Physiologic Effects of NSAIDs Classification of NSAIDs and Individual Agents of Particular Concern in the Elderly Potential Adverse Drug Interactions with NSAIDs in the Elderly Conclusion Chapter 7. Tramadol for the Elderly (Pradeep Chopra and Howard Smith) Clinical Pharmacology Adverse Events Dosage and Administration Guidelines for Using Tramadol in the Elderly Chapter 8. Topical Local Anesthetics (Charles Argoff) The Use of Topical Local Analgesics for Neuropathic Pain The Use of Targeted Peripheral Analgesics for Pain Associated with Soft Tissue Injury and Osteoarthritis The Use of Targeted Peripheral Analgesics for the Treatment of Low Back Pain and Myofascial Pain Other Uses of Topical Analgesics Summary Chapter 9. Nitrates, Capsaicin, and Tricyclic Antidepressants (Gary McCleane) Nitrates Capsaicin Tricyclic Antidepressants Conclusion Chapter 10. Topical Opioids (Gary McCleane) Peripheral Opioid Receptors Effect of Peripheral Application of Opioids for Acute Pain Transdermal Fentanyl Topical Morphine Transdermal Buprenorphine Other Modes of Administration of Strong Opioids Conclusion Chapter 11. Tricyclic Antidepressants As Analgesics in the Elderly (Mary E. Lynch and Jana Sawynok) Systemic Tricyclic Antidepressants As Analgesics Other Antidepressants As Analgesics Comorbid Pain and Depression Mechanisms of Action of Antidepressants As Analgesics Topical Antidepressants As Analgesics in Clinical Studies Chapter 12. Antiepileptics (Gary McCleane) Neuropathic Pain Selecting an AED Specific AEDs Side Effects of AEDs Examples of Conditions That May Respond to Use of an AED Conclusion Chapter 13. Spinal Analgesia in the Elderly (Thomas M. Larkin and Steven P. Cohen) Definitions Physiologic Considerations Anatomical Considerations Neuraxial Analgesics in Perioperative and Chronic Pain Conditions Local Anesthetics Opioids Alpha-2 Adrenergic Agonists N-Methyl-D-Aspartate Receptor Antagonists Calcium Channel Blockers Adenosine Cholinergic Agonists Gamma-Aminobutyric Acid Agonists Somatostatin Neuroleptics Aspirin and NSAIDs Conclusion Chapter 14. Oral and Intravenous Local Anaesthetics (Gary McCleane) Oral Local Anaesthetics Intravenous Local Anaesthetics Conditions Benefiting from Intravenous Lidocaine Suggested Clinical Use Conclusion Chapter 15. Muscle Relaxants (Howard Smith) Pharmacologic Considerations for the Use of Muscle Relaxants in the Elderly Muscle Relaxant Agents Other Agents and Treatments Summary Chapter 16. Physical Therapy and Pain Management with the Elderly (Dennis Martin) Function Context Consequences of Pain in the Elderly Models of Pain Management Role of the Physical Therapist Physical Therapy Treatments Goal Setting Conclusion Chapter 17. Psychosocial Factors in Pain Management of the Older Patient (Edmund J. Burke) Age Differences in Prevalence Rates of Chronic Pain The Nature of Pain States Physical Differences in Pain Perception Sociocultural Factors in the Experience and Report of Pain in Older Patients Emotional and Psychological Factors Influencing Pain Experience Practical Issues in the Assessment and Treatment of the Elderly Pain Patient Summary Chapter 18. Use of Psychotropic Medications in Geriatric Pain Management (Guerman Ermolenko) Antidepressants Antipsychotics Significant Side Effects and Interactions of the Antidepressants Strategies for Combined Psychiatric and Pain Syndromes Conclusion Chapter 19. Treatment of Common Conditions (Gary McCleane) Central Post Stroke Pain Cervical Radiculopathy Fibromyalgia Fracture Pain Metastatic Bone Pain Muscle Spasm Osteoarthritis—Monoarticular Osteoarthritis—Polyarticular Painful Diabetic Neuropathy Peripheral Vascular Disease Postherpetic Neuralgia Sciatica Skin Ulcers Tendonitis Trigeminal Neuralgia Visceral Pain Appendix. Drug Interactions Glossary Index Reference Notes Included

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisPatients suffering from HIV/AIDS often experience chronic pain due to the many diseases and infections they pick up as a result of a weakened immune system. It interferes with their quality of life and physical functioning, impacts adherence to antiretroviral therapy and HIV primary care, and is associated with significant psychological/social distress and substance use disorders. Chronic Pain and HIV addresses all these complex issues that can influence pain care that can influence pain care for the patient with HIV and acts both as a primer and a comprehensive review to define the field of chronic pain management. Using a clear, clinical approach, key topics include the following: Musculoskeletal pain in individuals in HIV Headache in individuals with HIV Psychiatric comorbidities among individuals with HIV and chronic pain Potential benefit and harm of prescription opioids in HIV Pain at the end of life in individualTrade Review"This book provides an excellent summary of the current literature on advances in the treatment of pain associated with HIV. Although a number of books address HIV/AIDS or pain management, Chronic Pain and HIV: A Practical Approach achieves the objective of addressing pain management in the context of patients with HIV...I believe this book should be required reading for every pain physician, researcher, resident, certainly every medical student, and even patients with HIV-related pain." (Anesthesia & Analgesia journal June 2017) Table of ContentsForeword vii About the editors ix List of contributors xi 1 Epidemiology of chronic pain in HIV-infected individuals 1 2 Pathophysiology of chronic pain in individuals with HIV 7 3 Chronic pain assessment, diagnostic testing, and management, with an emphasis on communication about these topics to individuals with HIV 16 4 HIV and chronic pain: musculoskeletal pain 27 5 Headache in HIV 38 6 HIV and peripheral neuropathy 51 7 Common medical comorbid conditions and chronic pain in HIV 63 8 Psychiatric comorbidities among individuals with HIV and chronic pain 71 9 Comorbid substance use among persons with HIV and chronic pain 78 10 Pharmacologic and Non-Pharmacologic treatment approaches to chronic pain in individuals with HIV 97 11 Potential benefits and harms of prescription opioids in HIV 113 12 Safer opioid prescribing in HIV-infected patients with chronic pain 123 13 The “difficult patient” with HIV and chronic pain, 137 14 HIV-related pain in low- and middle-income countries with reference to sub-Saharan Africa 150 15 Pain at the end of life in individuals with AIDS 157 16 Disparities and barriers in management of chronic pain among vulnerable populations with HIV infection 165 Index 177

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Book Synopsis

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