Compact Clinical Guide To Geriatric Pain Management

"The care of older adults suffering with pain is a difficult task that calls for understanding as well as compassion. Dr. Quinlan-Colwell has written an excellent book that deals with every facet of the problems that are encountered by caregivers....[This book] provides the reader with valuable knowledge that will diminish suffering and enrich the lives of people confronting new, often frightening, problems." From the Foreword by Ronald Melzack, PhD, FRSC Professor Emeritus McGill University "This is a well-written and concise book....Nurses and other healthcare professionals will certainly find this book a useful resource for understanding and managing geriatric pain."--Clinical Nurse Specialist Older adults can be especially susceptible to the debilitating effects of chronic pain, yet there are often barriers to successfully alleviating pain on the part of elderly patients and the health care professionals who treat them. This comprehensive guide to geriatric pain management provides the most current information available on assessment and treatment of pain in older adults. In a concise, reader-friendly format, the book provides techniques, tips, and tools for assessing pain and examines barriers to appropriate treatment. It addresses the physiological and psychosocial factors underlying the process and occurrence of pain and helps nurses to develop a comprehensive multimodal approach to pain management that includes pharmacological and nonpharmacological interventions. The guide provides detailed coverage of medications commonly used for pain management, including all contraindications and side effects, so that nurses will be able to evaluate the best use of a medication in the context of comorbidities and sensitivities of each individual. Also addressed are chronic illnesses common to the elderly population, palliative and hospice care, treatment of concurrent depression and anxiety, treatment of cognitively impaired elderly, and techniques for assessment and intervention in cases of substance abuse. Key Features: Provides concise yet comprehensive information on assessment and treatment of geriatric pain Includes detailed coverage of a great variety of pain medications, including contraindications and side effects Explores barriers to appropriate treatment Covers chronic diseases of the elderly, palliative and hospice care, depression and anxiety, substance abuse, and treatment of cognitively impaired elderly Written by a highly respected practitioner and educator in geriatric pain management Includes case studies, handy tables, questions for reflection, and references for additional study

Designated a Doody's Core Title! "This is an excellent resource that is essential for all primary care providers." Score: 100, 5 Stars.--Doody's Medical Reviews "[P]ractitioners who oversee the treatmentof chronic pain in the adult population will likely find thisnew reference an invaluable addition to their bookshelf."--Dimensions of Critical Care Nursing "This book is highly recommended; it will be an indispensable addition to the professional library of every nurse practitioner who manages patients with chronic, persistent pain." Margaret H. Granitto, RN, MSN, CRNP Georgetown University School of Nursing and Health Studies Presented in a clear, systematic format, this clinically oriented book provides nurses and physicians with quick access to much-needed pain management guidelines. With a unique focus on treatment options for patients with chronic persistent pain, this guide provides critical guidance on managing difficult conditions such as fibromyalgia and neuropathic pain. The text expertly assists practitioners in assessing pain in a variety of patient populations and provides professional insight on selecting patient-appropriate medications and interventions to achieve optimal pain management for adult patients. Key Features: Contains the newest guidelines on how to use a combination of pain screening tools to accurately assess the nature, intensity, and occurrence of patient pain Provides information on new medications and combinations of medications to use for chronic pain Presents essential information on safe prescribing and screening tools such as the Opioid Risk Tool (ORT) and screening tools for aberrant behaviors Provides strategies for utilizing nontraditional treatment options such as acupuncture, energy therapies, and psychological and coping strategies

"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.

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

The second edition of the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach expands on the first edition by providing a number of timely new features. Most important of these are the revised recommendations from the American Geriatrics Society on prescribing that reflect the many new agents available since the last guidelines were released in 2001. Additionally, concepts such as synergy in prescribing for older adults have been better delineated in this edition. The most salient features of the original edition have been retained and updated, including the full range of approaches for pain assessment and prevention, interventional strategies, guidance on pharmacotherapy and nonpharmacologic pain relief strategies for seniors, preventive analgesia, the role of rehabilitation in sound pain treatment, legal and public policy issues in pain care for seniors, pain management in long-term care, and even the issue of spirituality as an adjunct to pain management. The second edition also includes a new chapter on resources, which includes organizations, internet websites, and guidance on acquiring additional consultation for pain intervention. Of particular interest is an updated discussion of the effect that electronic medical records and internet-based personal health records will have on pain relief in older adults and a new chapter that serves as a resource guide for patients and caregivers trying to navigate the waters of pain relief assistance. This issue has not been addressed substantively in the pain management literature and the ramifications for older adults are particularly poignant. Comprehensive and practical, the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach (Second Edition) is a comprehensive resource with targeted, practical information that will be of vital importance for all clinicians who provide care for seniors.

A comprehensive assessment of the clinical, psychological, legal, and cultural aspects of dealing with unnecessary pain in the elderly. The authors explore pharmacotherapy (nonopioids, opioids, and adjuvants), interventional strategies, the role of rehabilitation in managing pain in seniors, and the problems of pain management in long-term care. Supplementary features include continuing medical education (CME) certification, a CME posttest and evaluation to be completed and submitted for credit, and an appendix of analgesics that details starting oral doses, maximum daily oral doses, and special considerations for the elderly. 6.5 AMA/PRA category 1 CME credits with completion of included test.

This clinically focused book provides the essential modalities for managing pain in older patients. Chapters cover a variety of topics important for clinicians, including effective approaches, evaluation, acute and chronic pain, interventional strategies, and addiction issues. Complexities in assessing and treating pain when presented with multiple comorbidities and the unique physical, cognitive, and sensory changes that occur in the elderly are discussed in detail. Practical, concise and authored by leaders in pain medicine, this will serve as an invaluable guide to practitioners that care for older people.

This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. M. Carrington Reid, is devoted to Geriatric Pain Management. Articles in this timely issue include: Overview of Pain Management in the Older Adult; Assessment Approaches in Geriatric Pain Management; Pharmacotherapies in Geriatric Pain Management; Psychological Approaches in Geriatric Pain Management; Exercise and Movement-based Therapies in Geriatric Pain Management; Non-surgical Interventional Approaches in Geriatric Pain Management; Interdisciplinary Approach to Managing Pain in Geriatric Patients; Role of Opioid Medications in Geriatric Pain Management; Pain Beliefs and Attitudes in Geriatric Patients; Role of Emerging Technologies in Geriatric Pain Management; Impact of Pain on Family Members and Caregivers of Geriatric Patients; and Pain in the Geriatric Patient with Advanced Chronic Disease.