Pain Assessment and Pharmacologic Management - Elsevier eBook on VitalSource, 1st Edition
Elsevier eBook on VitalSource
Pain is a key consideration in all patient care. Now students can benefit from evidence-based guidelines on pain assessment and the use of the three analgesic groups with this outstanding new text by today's foremost authorities on pain. Destined to become the definitive resource in pain management in adults, this book emphasizes the benefits of a multimodal analgesic approach, and is an excellent resource for nurses to become certified in pain management.
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- Presents best practices and evidence-based guidelines for assessing and managing pain most effectively with the latest medications and drug regimens.
- Features detailed, step-by-step guidance on effective pain assessment to help nurses appropriately evaluate pain for each patient during routine assessments.
- Provides reproducible tables, boxes, and figures that can be used in clinical practice.
- Contains Patient Medication Information forms for the most commonly used medications in each analgesic group, to be copied and given to patients.
- Offers the authors' world-renowned expertise in five sections:
- Underlying Mechanisms of Pain and the Pathophysiology of Neuropathic Pain includes figures that clearly illustrate nociception and classification of pain by inferred pathology.
- Assessment includes tools to assess patients who can report their pain as well as those who are nonverbal, such as the cognitively impaired and critically ill patients. Several pain-rating scales are translated in over 20 languages.
- Nonnopioids includes indications for using acetaminophen or NSAIDs, and the prevention and treatment of adverse effects.
- Opioids includes guidelines for opioid drug selection and routes of administration, and the prevention and treatment of adverse effects.
- Adjuvant Analgesics presents different types of adjuvant analgesics for a variety of pain types, including persistent (chronic) pain, acute pain, neuropathic pain, and bone pain. Prevention and treatment of adverse effects is also covered.
- Includes helpful Appendices that provide website resources and suggestions for the use of opioid agreements and for incorporating pain documentation into the electronic medical record.
- Covers patients from young adults to frail older adults.
- Provides evidence-based, practical guidance on planning and implementing pain management in accordance with current TJC guidelines and best practices.
- Includes illustrations to clarify concepts and processes such as the mechanisms of action for pain medications.
- Features spiral binding to facilitate quick reference.
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Section I: Underlying Mechanisms of Pain
Section II: Assessment
Introduction
1. Underlying Complexities of Pain Assessment
2. Misconceptions That Hamper Assessment and Treatment of Patients Who Report Pain
3. Assessment Tools for Patients
4. Other Challenges in Pain Assessment
Conclusion
References
Section III: Nonopioid Analgesics
Introduction
5. Indications for Administration of Acetaminophen or NSAIDs
6. Adverse Effects of Acetaminophen and NSAIDs
7. Individualizing the Selection of Nonopioid Analgesics
8. Perioperative Nonopioid Use
9. Nonprescription Nonopioids
10. Acute Overdose
Conclusion
References
Section IV: Opioid Analgesics
Introduction
11. Physiology and Pharmacology of Opioid Analgesics
12. Key Concepts in Analgesic Therapy
13. Guidelines for Opioid Drug Selection
14. Guidelines for Selection of Routes of Opioid Administration
15. Intraspinal Analgesia (Epidural and Intrathecal)
16. Initiating Opioid Therapy
17. IV Patient-Controlled Analgesia
18. Switching to another Opioid or Route of Administration
19. Management of Opioid-Induced Adverse Effects
20. Unwarranted Withholding of Opioids
Conclusion
References
Section 5: Adjuvant Analgesics
Introduction
21. General Considerations in the Use of Adjuvant Analgesics
22. Multipurpose Adjuvant Analgesics
23. Adjuvant Analgesics for Persistent (Chronic) Neuropathic Pain
24. Topical Analgesics for Persistent (Chronic) Pain
25. Adjuvant Analgesics for Musculoskeletal Pain
26. Adjuvant Analgesics for Postoperative and Other Acute Pain
27. Adjuvant Agends for Goal-Directed Sedation in the Critically Ill and Procedural Sedation
28. Local Anesthetics for Procedural Pain
29. Adjuvant Analgesics for Persistent (Chronic) Bone Pain
30. Adjuvant Analgesics for Malignant Bowel Obstruction
31. Adjuvants Less Often Used
Conclusion
References
Appendix A: Pain Resources on the Internet
Appendix B: Opioid Agreements
Appendix C: Use of Electronic Medical Records in Pain Management
Appendix D: Terminology -
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