Pain Medicine at a Glance is a user-friendly, visual introduction to the impact of pain in various clinical care settings, focusing on primary care needs. Aligned with learning objectives developed by the Johns Hopkins School of Medicine, this authoritative guide covers the basic forms and pathophysiology of pain, the clinical skills necessary for delivering excellent care, pharmacological and non-pharmacological treatments, and a variety of special cases such as healthcare ethics, integrative care, and treatment planning for chronic pain self-management therapy and the management of pain in children and older adults.
A new addition to the market-leading at a Glance series, the text offers concise and accessible chapters, full-color illustrations, self-assessment questions, and easy-to-follow diagrams. Topics include pain assessment, cognitive factors that influence pain, applying behavioral perspectives on pain, managing opioids and other pharmacological therapies, treating acute pain in patients with substance abuse issues, and more. Perfect for learning, revision, and teaching, this book:
Provides a foundation of clinical and basic science knowledge about pain and its mechanisms
Describes major forms of pain, including surgical, orofacial, musculoskeletal, and obstetric pain
Offers advice on fostering empathy and compassionate practices in pain medicine
Covers non-pharmacological treatments such as physical therapy, hydrotherapy, meditation, acupuncture, massage, and various focal treatments
Includes discussion of recent advances and new discoveries in pain science
Pain Medicine at a Glance is the ideal companion for medical and healthcare students, junior doctors, advanced practice providers, nurse practitioners, and others involved in diagnosing and treating pain-associated illness.
Table of Contents
I Pain Basics
1 What is pain, how do we assess it?
2 Nociceptive processing, how does pain occur?
3 What are the major types of pain?
4 How prevalent is pain, what are the common forms?
5 How do we resolve dilemmas in pain?
6 What are the big challenges in pain?
7 Cognitive factors that influence pain
II Pain Clinical skills 8 Managing pain safely: diagnosis and treatment
9 Gathering the history with a pain narrative
10 Assessing pain in those with communication barriers
11 Examination skills I: Observation and affect
12 Examination skills II: Inspection and manual skills
13 Knowledge, skills, and compassionate practices
14 Counseling and shared decision-making: applying psychological approaches in primary care for pain
15 Communicating with teams of patients with pain
16 Planning therapy: coordinated, comprehensive care
III Pain Pharmacology 17 Basic considerations for pharmacological therapy – balancing mechanisms of drugs and disease
18 Non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen (over-the-counter analgesia)
19 Neuromodulating agents: pain-active anti-depressants and anti-convulsants
20 Opioids - the basics and perioperative pain control
21 Opioids – the details: equianalgesia and safe use
22 Opioids – advanced practice - alternative delivery: IV, PCA, epidural
23 Focal treatments for pain in primary practice: topical, iontophoretic, basic injections, TENS
24 Interventional treatments and surgery for pain
IV Non-pharm. treatments 25 Activating treatment: Physical/occupational therapy, hydrotherapy, exercise: walking, yoga, chi gong
26 Cognitive therapies: CBT, ACT, reframing
27 Manual therapies: massage: trigger points, acupressure, chiropractic, stretching, inversion
28 Therapies that utilize descending pain pathways: video, music, distraction, acupuncture, meditation
V Major pain forms 29 Acute and Chronic pain: the basics
30 Surgical and procedural pain
31 Musculoskeletal pain
32 Orofacial pain
33 Neck Pain, cervical and thoracic spine pain
34 Arm Pain
35 Low back pain
36 Back pain emergencies
37 Radiating leg, buttock, and groin pain
38 Knee pain
39 Foot and ankle pain
40 Headache emergencies
41 Headache - basic diagnosis and management
42 Headache - chronic pain and the acute flare
43 Visceral pain
44 Pelvic pain
45 Exceptional causes of severe, chronic pain: CRPS, fibromyalgia, erythromelalgia
VI Special patient groups and clinical contexts 46 Management of pain with substance abuse
47 Pain at the end of life, opioid rotation
48 Opioids for chronic pain: preventing iatrogenic OUD
49 Tapering opioids in patients with pain
50 Pain in infants, children, and adolescents
51 Pain in older patients
52 Pharmacotherapy in aging, renal & liver dysfunction
53 Pain in pregnancy and the peripeurium
Appendices
I Sample exam sheet
II Sample pain diary
III Daily stretching guide
IV Patient packet – Your power over pain
V Glossary
