Compact Clinical Guide To Cancer Pain Management

Awarded second place in the 2013 AJN Book of the Year Awards in the Palliative Care and Hospice category "This book provides many options for pain management in cancer patients, including pharmacological and nonpharmacological options,...[and] is well organized and easy to navigate." Score: 92, 4 Stars.--Doody's Medical Reviews "Overall, [this book] is a comprehensive and wide-ranging text that, as proclaimed on the cover, is evidence-based and fully referenced. Practitioners and students alike will find it useful, and it deserves a place on the library shelf where people from a wide range of backgrounds can gain access."--International Journal of Palliative Nursing ì[This] text is full of ëclinical pearlsí based on [the authorsí] extensive clinical experience with effective and ineffective pain management interventionsÖThe scope of the content in this text is extremely comprehensiveÖnewer content on the effect of opioid polymorphisms, cancer pain emergencies, myofascial pain, and chronic pain in cancer survivors places this text at the forefront in terms of cutting-edge issues in cancer pain management.î Christine Miaskowski, RN, PhD, FAAN Professor and Associate Dean for Academic Affairs American Cancer Society Clinical Research Professor Sharon A. Lamb Endowed Chair in Symptom Management Research Department of Physiological Nursing University of California, San Francisco, CA From the Foreword Although the prevalence of uncontrolled cancer pain remains unnecessarily high, research has indicated that 90% of cancer patients with pain can be successfully treated with standard therapies. This concise yet extremely comprehensive guide to managing cancer pain will enable nurses on the front lines of pain assessment and management to incorporate effective strategies into their daily practice. It offers quick access to current evidence-based guidelines for busy nurses and nurse practitioners working in all oncology care settings. To facilitate quick information retrieval, the text is designed in a consistently organized, bulleted format with highlighted key information and tools for assessment and standardized treatment. It also serves as an important review for the ONS and HPNA certification exam. This book focuses on all aspects of cancer pain, including assessment and screening tools, pharmacologic and nonpharmacologic treatment options, current national guidelines for pain management, regional anesthesia techniques, patient-controlled anesthesia, and epidural pain management. It also includes updated information on the effect of opioid polymorphisms, cancer pain emergencies, myofascial pain, and chronic pain in cancer survivors. The book covers palliative care and end-of-life pain management, especially for patients who have symptoms that are not managed. Information on chronic pain conditions such as neuropathic pain in cancer and the use of adjuvant medications for pain control are included, along with special treatment options for addiction and substance abuse in the cancer population. The text additionally provides information on managing pain with difficult-to-treat populations. Key Features: Provides current, evidence-based information on all aspects of cancer pain management Includes important new guidelines on using a combination of pain management scales for optimal pain assessment and management Describes interventional techniques for managing severe pain situations Organized for speedy information retrieval

Named a 2013 Doody's Core Title! "I would recommend this great little book for nurses who wish to carry a book with them in their clinical practice. Itís a great addition to the growing list of books addressing pain in pediatrics."--Pediatric Pain Letter "[This book] is a practical guide to pediatric pain assessment and management for the advanced practice nurse and primary caregivers who are interested in caring for patients with pain, but whose care specialty is not pain management. For the nurses whose specialty is pain management, this text provides a quick pediatric reference of our knowledge and tools of our trade. Even though it is a 'compact guide,' this text is well referenced with current key position statements, clinical practice guidelines, and primary references of the latest pediatric pain management research."--Pain Management Nursing Presented in a concise, systematic format, this clinically oriented book provides nurses and physicians quick access to up-to-date information on how to assess and manage pain in infants and children, including adolescents who suffer from acute and chronic pain conditions. This book provides a comprehensive review of medications for infants and children as well as nonpharmacological interventions to achieve optimal pain management for young patients undergoing needle-related procedures as well as painful conditions related to surgery, trauma, cancer, sickle cell disease, and chronic pain. Key Features: Describes the consequences of untreated pain on development of children Summarizes pain assessment tools recommended for verbal and preverbal patients as well as those who are critically or terminally ill Provides general principles and specific dosing recommendations for non-opioids, opioids, and coanalgesics for optimal safety and effective reduction in pain Describes the indications, medications, and ongoing care and monitoring related to the increasing use of epidural and continuous peripheral nerve block infusions for pediatric patients Provides information on how to use age-appropriate strategies for cognitive, cognitive-behavioral, and physical approaches to reduce pain Includes useful resources, such as websites, and other tools, such as pain diaries and patient education information, to support multidisciplinary teams and parents who care for children with acute and chronic pain

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"This book is a comprehensive, very specific, clinical guide for health care providers..."--Dimensions of Critical Care Nursing "This well-written and well-organized book is a much needed 'middle ground' resource between oversimplified introductions to pain management and a thick textbook."--Clinical Nurse Specialist "The Compact Clinical Guide to Acute Pain Management provides an excellent overview of the processof pain management for adult patients in any setting."--Critical Care Nurse This book provides much-needed guidelines that are presented in an easy-to-use, systematic format for quick access to core concepts on acute pain management. It is designed to help busy practitioners accurately assess pain in a variety of patient populations, and select patient-appropriate medications and interventions to achieve optimal pain management for adult patients. Intended for use in primary care, internal medicine, and acute- and long-term care settings, this book covers the topics of acute pain assessment, both pharmacologic and nonpharmacologic treatment options, current information from national guidelines, along with regional anesthesia techniques, patient-controlled analgesia, and epidural pain management. Key Features: Offers important new perspective on combination use of pain scales to accurately predict individual pain management needs for more customized and effective management Delivers information on how to treat acute pain in hospitalized patients who also suffer from chronic pain and substance abuse Offers new information on opioid polymorphisms and their surprising effect on pain medication effectiveness Includes a special chapter on managing pain in difficult-to-treat patient populations This is an essential reference for primary care providers in clinics, hospitals, specialty care, and critical care to assess pain in general populations and provide tips for performing pain assessment on patients with acute pain.

Now divided into four parts, the second edition of Cancer Pain delivers broad coverage of the issues that arise in the management of malignancy-related pain, from basic science, through end of life care and associated ethical issues, to therapies, both medical and complementary. Part One reviews basis considerations in cancer pain management, including epidemiology, pharmacology, history-taking and patient evaluation and teamworking. Part Two brings together the drug therapies for cancer pain, their underlying basis, and potential side-effects. Part Three covers the non-drug therapies, including nerve blocks, stimulation-induced analgesia, radiotherapy, complementary therapies and psychological interventions. The control of symptoms other than pain, so critical to cancer patients, is also considered here. Part Four describes special situations. Cancer pain management in children and older patients, and in the community setting, and pain in the dying patient and the cancer survivor are all covered here.

Provides in-depth coverage of all the interventional and medical strategies needed for effective cancer pain management. Logically organized, this practical guide starts with general principles in cancer pain management, followed by management of specific cancer pain syndromes, unique issues, interventional techniques, and other specialized approaches. Reflecting an approach to pain management developed at the prestigious M. D. Anderson Cancer Center, Cancer Pain Management addresses the full spectrum of cancer pain syndromes and reviews the selection and administration of various treatment options.

The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.

Janet L. Abrahm argues that all causes of suffering experienced by people with cancer, be they physical, psychological, social, or spiritual, should be treated at all stages: at diagnosis, during curative therapy, in the event that cancer recurs, and during the final months. In the second edition of this symptom-oriented guide, she provides primary care physicians, advanced practice nurses, internists and oncologists with detailed information and advice for alleviating the stress and pain of patients and family members alike. The new edition includes the latest information on patient and family communication and counseling, on medical, surgical, and complementary and alternative treatments for symptoms caused by cancer and cancer treatments, and on caring for patients in the last days and their bereaved families. Updated case histories, medication tables, Practice Points, and bibliographies provide clinicians with the information they need to treat their cancer patients effectively and compassionately.