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Main Healthcare, Pharmaceuticals & Biotechnology Healthcare and drugs Pain Management, 2nd Edition 2006
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Pain Management, 2nd Edition 2006

DateDec, 2005
Pages181
Price / format€70 / Hard Copy
€70 / Electronic

€70 

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Abstract:
 The challenges of managing pain; classification of pain, pain measurement; health plan coverage for common tests, procedures, and treatment including complementary/alternative medicine, conventional drug therapies, opioids; patient consents, patient-provider contracts; provider credentialing; pain rehabilitation programs + anesthesia, orthopedic and rheumatology tests and procedures to manage pain syndromes. Resources and references from the medical literature. Updated annually.

Our ‘single topics’ provide the tools needed for a cost-effective, evidence-based strategy to increase the efficiency and quality of care management. Each is supported by current references from the peer-reviewed medical literature and other authoritative resources.

Pain control has become a problem because of confusion as to who is responsible, a general lack of knowledge about pain, and misconceptions about drug tolerance and addiction.
Dennis S. O’Leary, MD, President JCAHO. In: JAMA

Pain is one of the most common reasons people seek medical attention, yet chronic pain is one of the afflictions physicians are most loathe to treat. The chronic pain patient is shunned by many physicians because medical therapies are often ineffectual, patients frequently have unrealistic expectations, and physicians can feel powerless to help patients regain a more productive, satifying lifestyle. Paradoxically, despite the apparent futility of medical treatments, chronic pain patients take up enormous amounts of time in the clinic, after hours, and on the telephone.
Carlson, N., Belgrade, M.: The role of rehabilitation in the management of chronic pain. Med J of Allina








Table of contents:
 Part I Pain Evaluation and Management

Pain management introduction

Washington State Pain Management Guidelines

Classification of Pain, Pain measurement/scoring

Barriers to adequate pain control

Pre-emptive, multimodal or balanced analgesia/pain management

Behavioral Therapy Aspects of Pain Management

Palliative or ‘End-of-life’ care/Cancer pain

Placebos
JCAHO standards

Outpatient surgery pain management

Patient satisfaction

Pain Management Issues – Medicare LMRP abstract

Pain Rehabilitation Programs

Pain Clinics or Centers

Chronic/Persistent Pain Programs – coverage

Chronic/Persistent Pain Programs – Inpatient

Pain Rehabilitation, Outpatient

Outpatient Hospital Pain Rehabilitation Programs, Medicare NCD

Exit Criteria from chronic pain programs

Dental pain management – after hours care

Headaches

Pain Management in Long Term Care

Pain Management in the Emergency Department

Pain Management Notes


Pharmacologic Management of Pain

Initial oral mild to moderate pain management

Prescribing Guideline – California model guideline

Opioid therapy

Methadone

Cancer Pain Management

Topical NSAIDs for chronic musculoskeletal pain

Neuralgic/Neuropathic Pain

Pharmacologic Challenges for Sympathetically Maintained Pain

Continuous Epidural Analgesia for the treatment of Complex Regional Pain Syndrome (CRPS)/Reflex sympatheticDystrophy (RSD)
Cognitive Behavioral Therapy + Physical Therapy for Complex Regional Pain Syndromes
Cryoanalgesia and Cold Laser Therapy
Trigger Point Injections
Induced Lesions of Nerve Tracts, Medicare NCD
PCA by proxy – JCAHO sentinel alert


Addiction

Diversion

Complementary and Alternative Medicine; Approaches to pain management

Acupuncture

Biofeedback

Bioelectromagnetic therapy

Guided imagery

Manual/massage therapies

Naturopathy

Relaxation therapy

Transcendental meditation

Resources - CAM

Legal issues related to pain management – California Medical Board policy statement and guideline

References/suggested reading by topic related to Pain Management

References/suggested reading by topic related to CAM

CAM web sites

Anesthesiology: Anesthesia services - General Coverage Policy; Office-based anesthesia; Dental Anesthesia; Safe sedation of children; Pain Management; Intrathecal/subarachnoid injections; Epidural injections for pain; Continuous epidural analgesia; Cryoanalgesia and Cold Laser (low-energy or low-level) Therapy for wound healing, pain therapy, and other disorders;

Facet Joint Injections/Median Branch Nerve Blocks; Facet Denervation, Facet Denervation: Neurotomy, Facet Rhizotomy, or Articular Rhizolysis; Facet Denervation: Percutaneous Radiofrequency; Paravertebral Nerve Blocks; Anesthesiology Notes.

Pain Management web sites

Consent and Agreement Forms for long-term controlled substance/opioid therapy

Informed Consents for Long-term Narcotic Use - example

Opioid Contract – UC Davis form


Resources - Pain Management
Pain Publications for Patients and Their Families
Palliative Care Leadership Centers
Model Policy for the Use of Controlled Substances for the Treatment of Pain. Federation of State Medical Boardsof the United States, Inc. 2004
Pain Management Provider Credentialing
Pain Management Notes

Part II Skeletal Muscular System Guidelines

Knee

Arthroscopy, knee

Total Knee Replacement

Hyaluronidase, intra-articular injections for osteoarthritis, knee

Knee, general references

Back and Neck Pain – Evaluation and Procedures

Low back pain (Acute, ‘slow to recover’)

Anti-depressant drug therapy for low back pain

Machines to test and treat low back pain

Algorithm for back pain evaluation

Chymopapain Chemonucleolysis

Endoscopic Anterior Spinal Surgery

Epidural injection of steroids for back pain

Facet Joint Injections/Nerve Blocks

Facet Denervation, Facet Neurotomy, Facet Rhizotomy, or Articular Rhizolysis

Hypertonic saline for the treatment of epidural adhesions, adhesive arachnoiditis, or failed back syndrome

Intradiscal electrothermal therapy (IDET)

Laminectomy

Magnets for the treatment of chronic low back pain

Meniscectomy

Microdiscectomy, Percutaneous Lumbar Discectomy

Percutaneous vertebroplasty

Spinal Instability – Pedicle screw fixation

Spinal stenosis

Trigger Point Injections

Cervical Pain, acute

Chiropractic Medicine

Spinal manipulation under anesthesia

Bone stimulators, electric and low-intensity ultrasound

Distraction osteosynthesis, Ilizarov method

Olecranon bursa aspiration

Total Hip Replacement (arthroplasty); Primary, excluding hip fracture;

Injection, tendon sheath, ligament, or trigger points or ganglion cyst
Arthrocentesis – Joints; Aspiration/Injection Ganglion Cyst
Kyphoplasty – Medicare LMRP
Ultrasound therapy for calcific tendinitis of the shoulder

Post-work Injury Evaluation and Work Hardening

‘Prehab’

Web Sites – Skeletal-Muscular System-related

References – General - for skeletal-muscular pain management




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