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Handbook of Pain Relief in Older Adults
(Englisch)
An Evidence-Based Approach
Gloth, F. Michael

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Handbook of Pain Relief in Older Adults

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Updated and expanded second edition that also includes new information on resources, which includes organizations, internet websites, and guidance on acquiring additional consultation for pain intervention

Contains the latest and most recently revised recommendations from the American Geriatrics Society on prescribing for older adults

Comprehensive resource with targeted, practical information of vital importance for all clinicians who provide care for seniors


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.

TABLE OF CONTENTS page Contributing Authors................................................3-5 Preface..................................................................5-7 Chapter, Title & Author 1. Introduction............................................................ 1 by F. Michael Gloth, III, M.D.

2. Pain Pain Everywhere...Almost .................................... 6 by F. Michael Gloth, III, M.D.

3.. Assessment ............................................................... 36 by F. Michael Gloth, III, M.D.

4. AGS 2009 Guidelines for Pharmacological Management of Persistent Pain in Older Adults ................... 57 by F. Michael Gloth, III, M.D.

5. Spirituality as an Adjunct To Pain Management .................. 69 by Cristina Rosca Sichitiu, M.D. and Thomas Mulligan, M.D.

6. The Role of Rehabilitation in Managing Pain in Seniors .......... 88 by Mark J. Gloth, D.O. and Rick Black, P.T., M.S., G.C.S.

7. Pharmacotherapy of Pain in Older Adults – Nonopioids ............... 112 by Mary Lynn McPherson, Pharm. D., B.C.P.S., C.P.E. and Tanya J. Telegadis, Pharm. D.

8. Pharmacotherapy of Pain in Older Adults –Opioids & Adjuvants ...... 157 by Mary Lynn McPherson, Pharm.D., B.C.P.S., C.P.E. and Tanya J. Telegadis, Pharm. D.

9. Interventional Strategies for Pain Management ............................. 195 by Kulbir S Walia M.D., Frederick W Luthardt M.A., Maneesh C Sharma, Peter S. Staats M.D.

10. Pain Managment in Long-term Care .................................... 226 by Susan L Charette, M.D. and Bruce A. Ferrell M.D.

11. The Politics of Pain: Regulatory Oversight, Legislative, and Public Policy Issues ......... 258 by F. Michael Gloth, III, M.D.

12. The Internet and EMR to Assist with Pain Relief ................... 289 by F. Michael Gloth, III, M.D.

13. Navigating Pain Care: Trials, Tribulations and Triumphs, and Resources To Help ....................................................... 309 by Micke Brown, B.S.N., R.N. and Amanda Crowe, M.A., M.P.H.

14. Suggestions for change...Education, Policy, and Communication ...... 340 by F. Michael Gloth, III, M.D.


From the reviews of the second edition:

"The writing style is clear and easy to follow. I liked the presentation of the material and the layout within the individual chapters. ... the whole range of treatments from simple nerve blocks to spinal cord stimulation are covered. ... this book is a useful vade mecum for those physicians starting out in pain medicine who find themselves with a large proportion of elderly patients in their practice. For a book of its size it contains a great deal of information.” (British Journal of Clinical Pharmacology, May, 2011)

"The book becomes a direct source of understandable and detailed recommendations for the attentive reader. ... The winning combination of overview and details from current evidence-based medicine will make this handbook attractive to all pain professionals as well as to other professional communities in the healthcare system, such as nursing staff in hospitals and facilities for the elderly. ... succeed in motivating the reader to use ... insights and create networks on local, political, and media-related levels, with the aim of improving pain relief.” (Matthias Karst, Journal of the American Medical Association, May, 2011)

"This multiauthored monograph on the nature and treatment of pain in older persons updates the first edition of 2004. The purpose is to provide a comprehensive look at pain in older persons ... . The audience is prescribers who treat older persons. ... This is a good book. The second edition adds information from more current guidelines and discusses how the Internet and electronic medical records are part of the solution.” (David O. Staats, Doody´s Review Service, June, 2011)


Expanding on the first edition with a number of timely new features, this practical handbook includes the revised recommendations from the American Geriatrics Society on prescribing as well as covering concepts such as preillegalscription synergy in more detail.

Contributing Authors.- Preface.- Introduction.- Pain Pain Everywhere...Almost.- Assessment.- AGS 2009 Guidelines for Pharmacological Management of Persistent Pain in Older Adults.- Spirituality as an Adjunct To Pain Management.- The Role of Rehabilitation in Managing Pain in Seniors.- Pharmacotherapy of Pain in Older Adults - Nonopioids.- Pharmacotherapy of Pain in Older Adults -Opioids & Adjuvants.- Interventional Strategies for Pain Management.- Pain Managment in Long-term Care.- The Politics of Pain: Regulatory Oversight, Legislative, and Public Policy Issues.- Internet and EMR to Assist with Pain Relief.- Navigating Pain Care: Trials, Tribulations and Triumphs, and Resources To Help.- Suggestions for change...Education, Policy, and Communication.

From the reviews of the second edition:

"The writing style is clear and easy to follow. I liked the presentation of the material and the layout within the individual chapters. ... the whole range of treatments from simple nerve blocks to spinal cord stimulation are covered. ... this book is a useful vade mecum for those physicians starting out in pain medicine who find themselves with a large proportion of elderly patients in their practice. For a book of its size it contains a great deal of information." (British Journal of Clinical Pharmacology, May, 2011)

"The book becomes a direct source of understandable and detailed recommendations for the attentive reader. ... The winning combination of overview and details from current evidence-based medicine will make this handbook attractive to all pain professionals as well as to other professional communities in the healthcare system, such as nursing staff in hospitals and facilities for the elderly. ... succeed in motivating the reader to use ... insights and create networks on local, political, and media-related levels, with the aim of improving pain relief." (Matthias Karst, Journal of the American Medical Association, May, 2011)

"This multiauthored monograph on the nature and treatment of pain in older persons updates the first edition of 2004. The purpose is to provide a comprehensive look at pain in older persons ... . The audience is prescribers who treat older persons. ... This is a good book. The second edition adds information from more current guidelines and discusses how the Internet and electronic medical records are part of the solution." (David O. Staats, Doody's Review Service, June, 2011)



Inhaltsverzeichnis



TABLE OF CONTENTS page Contributing Authors................................................3-5 Preface..................................................................5-7 Chapter, Title & Author 1. Introduction............................................................ 1 by F. Michael Gloth, III, M.D.

2. Pain Pain Everywhere...Almost .................................... 6 by F. Michael Gloth, III, M.D.

3.. Assessment ............................................................... 36 by F. Michael Gloth, III, M.D.

4. AGS 2009 Guidelines for Pharmacological Management of Persistent Pain in Older Adults ................... 57 by F. Michael Gloth, III, M.D.

5. Spirituality as an Adjunct To Pain Management .................. 69 by Cristina Rosca Sichitiu, M.D. and Thomas Mulligan, M.D.

6. The Role of Rehabilitation in Managing Pain in Seniors .......... 88 by Mark J. Gloth, D.O. and Rick Black, P.T., M.S., G.C.S.

7. Pharmacotherapy of Pain in Older Adults - Nonopioids ............... 112 by Mary Lynn McPherson, Pharm. D., B.C.P.S., C.P.E. and Tanya J. Telegadis, Pharm. D.

8. Pharmacotherapy of Pain in Older Adults -Opioids & Adjuvants ...... 157 by Mary Lynn McPherson, Pharm.D., B.C.P.S., C.P.E. and Tanya J. Telegadis, Pharm. D.

9. Interventional Strategies for Pain Management ............................. 195 by Kulbir S Walia M.D., Frederick W Luthardt M.A., Maneesh C Sharma, Peter S. Staats M.D.

10. Pain Managment in Long-term Care .................................... 226 by Susan L Charette, M.D. and Bruce A. Ferrell M.D.

11. The Politics of Pain: Regulatory Oversight, Legislative, and Public Policy Issues ......... 258 by F. Michael Gloth, III, M.D.

12. The Internet and EMR to Assist with Pain Relief ................... 289 by F. Michael Gloth, III, M.D.

13. Navigating Pain Care: Trials, Tribulations and Triumphs, and Resources To Help ....................................................... 309 by Micke Brown, B.S.N., R.N. and Amanda Crowe, M.A., M.P.H.

14. Suggestions for change...Education, Policy, and Communication ...... 340 by F. Michael Gloth, III, M.D.


Klappentext



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.




Updated and expanded second edition that also includes new information on resources, which includes organizations, internet websites, and guidance on acquiring additional consultation for pain intervention

Contains the latest and most recently revised recommendations from the American Geriatrics Society on prescribing for older adults

Comprehensive resource with targeted, practical information of vital importance for all clinicians who provide care for seniors

Includes supplementary material: sn.pub/extras



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