Pain Management For Primary Care Clinicians

This resource - created for the primary care clinician - provides a practical, broad-based approach to identifying, assessing, and managing common types of pain that often go under-treated.

Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain. Chronic Pain: A Primary Care Guide to Practical Management, Second Edition provides strategies and techniques that are designed to improve the confidence with which the primary care physician can approach patients with complex pain complaints, reduce staff stress, and improve patient success.

Covers the entire scope of pain management with evidence-based guidance Written specifically for APRNs and PAs, this evidence-based text delivers practical guidance on how to assess, treat, and manage patients with pain in the primary care and family practice setting. Written by pain management experts well versed in both pharmacologic and non-pharmacologic therapies, the text encompasses the entire scope of pain management. Following an overview of the sources and physiology of pain, Pain Management in Primary Care delineates a multidimensional assessment approach and guides readers in developing a patient care plan. With an emphasis on strategies for safe prescribing, an extensive portion of the book addresses regulatory considerations, special populations, and thorough coverage of how to safely prescribe opioids. This includes risk screening, proper management, and identification and treatment of withdrawal. Woven throughout is a focus on the importance of interprofessional communication and collaboration in effective pain management. The text also provides concise, easy-to-reference information about medications, supplements, and non-opioid therapeutics. Abundant case scenarios and clinical pearls help readers apply knowledge to their own practice. Key Features: Covers the entire scope of pain management with evidence-based guidance on assessment, treatment, and pain management Emphasizes strategies for safely prescribing medications Includes detailed information on non-opioid and over-the counter-medications, opioids, and interventional pain management options Provides risk-screening tools and tips for proper selection, titration, and tapering of medications Describes how to identify and treat opioid withdrawal Illustrates application of knowledge to practice with case scenarios and clinical pearls

Authored by experts in pain medicine and internal medicine at the University of California, Davis, Primary Care Pain Management delivers just the right amount of clinically relevant information for primary care physicians, nurse practitioners, and physician assistants. Addressing safe and effective pain management in the primary care setting, it follows a user-friendly, high-yield format for quick reference at the point of care, helping you understand the full range of options for treating patients with chronic and acute pain.

Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain. Chronic Pain: A Primary Care Guide to Practical Management, Second Edition provides strategies and techniques that are designed to improve the confidence with which the primary care physician can approach patients with complex pain complaints, reduce staff stress, and improve patient success.

Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children’s pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children’s adaptive functioning as well as subjective discomfort. This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.

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.

Low back pain is one of the commonest conditions seen in general practice. This book has therefore been written to make it easier for GPs to manage low back pain by providing a simply written guide to give the GP an invaluable perspective on management.