BookGareth Parsons and Wayne Preece.
Contents:
List of figures
List of tables
About the authors
Acknowledgments
Introduction
What Is Pain?
Introduction
Importance of defining pain
Classifications of pain
Perspectives of pain
Summary
Reflective activity
References
Dilemmas In Pain Management
Introduction
Principles
Moral and ethical principles
Effects of illness on moral behavior
Morals and pain
Deontology
Utilitarianism
Performing a moral calculus
Rights and duties
Bioethics
Best way to organize pain management
Considering the particular nature of pain in developing principles of managing pain
Summary
Reflective activity
References
Further reading
Communicating The Experience Of Pain
Introduction
Intrapersonal perspective of pain
Biopsychosocial model and communication
Intrapersonal nature of pain
Detection and modulation
Cutaneous receptors
Visceral receptors
Inflammation and primary hyperalgesia
Action potentials
Sensory nerve communication
Pain gate
Ascending pathway
Brain
Differing pain experiences
Interpersonal pain
Influences on pain responses
Pain experience
Something lost in the translation
Iatrogenic communication
Summary
Reflective activity
References
Pain Assessment
Introduction
Pain assessment
Assessment as part of care planning
Problems associated with pain assessment
Pain management process
Why assess acute pain?
Pain assessment tools
Pain assessment in children
Assessment of chronic pain
Character of pain
Psychosocial assessment
Functional assessment
Pain history assessment
Questionnaire methods
Pain diaries and journals
Chronic pain assessment in children
Summary
Reflective activity
References
Further reading
Pharmacology Of Pain Control
Introduction
Mechanisms for drug action
Choice of analgesia
Drug effectiveness
Drug delivery
Routes of administration
Different routes
Plasma concentration
Duration of action
Three main groups of analgesics
Other drugs used in the treatment of pain
Summary
Reflective activity
References
Further reading
Delivering Pain Management
Introduction
Organization of pain management
Development of chronic pain services
Palliative care service
Acute pain service (APS)
Patient education
Risk management
Staff support and development
Summary
Reflective activity
References
Acute Pain management: Planning For Pain
Introduction
Physical effects of unmanaged acute pain
Surgical stress response
Balanced analgesia
Patient-controlled analgesia (PCA)
Person-centered pain management
Ensuring adherence to care
Pain management plan
Summary
Reflective activity
References
Chronic Pain Management
Introduction
Problem of chronic pain
Prevalence of chronic pain in the UK and Europe
Chronic pain and chronic pain syndrome (CPS)
Specific treatment approaches
Chronic pain management plan
Dealing with pain behaviors
Summary
Reflective activity
References
Pain Management In Palliative Care / Maria Parry
Introduction
Definition of key concepts
Life-limiting conditions
Defining pain in life-limiting conditions
Cancer pain
Multiple sclerosis (MS) and pain
HIV/AIDS and pain
Pain assessment
Pain assessment tools in palliative care
Psychosocial factors influencing the pain experience
Barriers to pain assessment and management
Pharmacological and non-pharmacological management of pain in palliative care
Approaches to pain management in patients who have cancer
Drug management
Analgesic ladder
Immobilization
Rehabilitation-modification of daily activities
Summary
Reflective activity
References
Further reading
Appendix
Glossary
Index.