Relieving Pain in America

A Blueprint for Transforming Prevention, Care, Education, and Research

Author: Committee on Advancing Pain Research, Care, and Education,Board on Health Sciences Policy,Institute of Medicine

Publisher: National Academies Press

ISBN: 0309214858

Category: Medical

Page: 347

View: 4285

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Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

Relieving Pain in America

A Blueprint for Transforming Prevention, Care, Education, and Research

Author: Institute of Medicine,Board on Health Sciences Policy,Committee on Advancing Pain Research, Care, and Education

Publisher: National Academies Press

ISBN: 0309214882

Category: Medical

Page: 382

View: 8805

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Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

Neustart im Kopf

Wie sich unser Gehirn selbst repariert

Author: Norman Doidge

Publisher: Campus Verlag

ISBN: 3593508397

Category: Science

Page: 382

View: 5473

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Die erstaunlichen Fähigkeiten unseres Gehirns Unser Gehirn ist nicht - wie lange angenommen - eine unveränderliche Hardware. Es kann sich vielmehr auf verblüffende Weise umgestalten und sogar selbst reparieren - und das bis ins hohe Alter. Diese Erkenntnis ist die wohl sensationellste Entdeckung der Neurowissenschaften. "Dr. Doidge, ein hervorragender Psychiater und Forscher, erkundet die Neuroplastizität in Begegnungen mit Pionieren der Forschung und mit Patienten, die von den neuen Möglichkeiten der Rehabilitation profitiert haben. ... Das Buch ist ein absolut außergewöhnliches und hoffnungsvolles Zeugnis der Möglichkeiten des menschlichen Gehirns." Oliver Sacks "...ein faszinierender Abriss der jüngsten Revolution in den Neurowissenschaften!" The New York Times "Das Gehirn ist kein fertig verdrahteter Denkapparat, der im Laufe des Lebens immer weiter verschleißt. Es kann sich umorganisieren, umformen und manchmal kann es sogar wachsen. Der Psychologe Norman Doidge erklärt neueste Ergebnisse der Hirnforschung: Durch einfühlsam geschilderte Beispiele macht er sie für jedermann verständlich und nachvollziehbar." Deutschlandfunk

Schlaganfall für Dummies

Author: John R. Marler

Publisher: Wiley-VCH Verlag GmbH

ISBN: 9783527703319

Category:

Page: 327

View: 3204

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Viele Krankheiten kündigen sich an, ein Schlaganfall jedoch kommt ohne Vorwarnung. Betroffene und Angehörige stehen der neuen Situation oft hilflos gegenüber und wissen häufig auch nicht, welche Fragen sie den behandelnden Ärzten stellen sollen. Das muss nicht sein. In diesem freundlichen Ratgeber erfahren die Leser, wie sie Warnzeichen erkennen, wie unterschiedlich die Auswirkungen eines Schlaganfalls sein können, welche Behandlungsmöglichkeiten es gibt und wie man durch konsequente Rehabilitation verlorene Fähigkeiten wieder erlangen kann. Auch für die Zeit nach Krankenhaus und Reha-Zentrum gibt es wichtige Tipps und Informationen, die nicht nur den Betroffenen helfen, sondern auch die Bedürfnisse der pflegenden Angehörigen berücksichtigen.

Perioperative Pain Management

Author: Richard D. Urman,Nalini Vadivelu

Publisher: Oxford University Press

ISBN: 0199937214

Category: Medical

Page: 144

View: 4888

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Millions of procedures, surgical and non-surgical, are performed around the world each year. Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care. Healthcare facilities and national accrediting organizations have established standards surrounding proper management of perioperative pain. There is now an increased burden on every hospital and training program to ensure that healthcare providers understand the essentials of pain management and are able to recognize and treat pain in a timely fashion. Poorly controlled pain leads to patient dissatisfaction and contributes to increased morbidity and mortality, such as myocardial infarction, pneumonia, and emotional effects. Proper management, including appropriate pharmacologic management and regional analgesic techniques, can improve function and shorten length of hospital stay. Patients who are undergoing procedures under sedation or anesthesia need to receive adequate pain relief with drugs or regional anesthetic techniques. In the recovery room following the procedure, the staff taking care of the patient needs to be properly trained to diagnose and treat post-procedural pain. Part of the Oxford American Pain Library, this concise, evidence-based clinical guide serves as a tool for every clinician who wishes to understand the basic mechanisms, pharmacology, invasive and noninvasive treatment modalities, guidelines and development of pain management protocols. The authors address new technologies, chronic pain issues, running an acute pain service, opioid and non-opioid pharmacology (including newly approved drugs), epidural and other regional anesthesia, and special populations such as pediatric patients, the elderly, and patients with a co-existing disease.

Clinical Nursing Skills and Techniques - E-Book

Author: Anne Griffin Perry,Patricia A. Potter,Wendy Ostendorf

Publisher: Elsevier Health Sciences

ISBN: 0323293913

Category: Medical

Page: 1216

View: 5207

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Known for its clear, comprehensive coverage of over 200 evidence-based skills, Clinical Nursing Skills & Techniques is today’s leading nursing skills reference. It features nearly 1,000 full-color photographs and drawings, a nursing process framework, step-by-step instructions with rationales, and a focus on critical thinking and evidence-based practice. This edition includes new coverage of patient-centered care and safety guidelines, an emphasis on QSEN core competencies, and links to valuable online resources. Written by the trusted author team of Anne Griffin Perry and Patricia A. Potter, and now joined by new author Wendy Ostendorf, this reference helps you perform nursing skills with confidence. Coverage of QSEN core competencies includes delegation and collaboration, guidelines for reporting and recording, and pediatric, geriatric, home care, and teaching considerations. Unique! Using Evidence in Nursing Practice chapter covers the entire process of conducting research, including collecting, evaluating, and applying evidence from published research. Comprehensive coverage includes 212 basic, intermediate, and advanced nursing skills. Clinical Decision Points within skills address key safety issues or possible skill modifications for specific patient needs. Icons indicate video clips related to skills and procedures in the book and related lessons in Nursing Skills Online. Rationales for each skill step explain why steps are performed in a specific way, including their clinical significance and benefit, and incorporate the latest research findings. The five-step nursing process provides a framework for the description of skills within overall client care. Unique! Unexpected outcomes and related interventions alert you to what might go wrong and how to appropriately intervene. Online checklists and video clips may be downloaded to mobile devices. NEW Patient-Centered Care sections address issues unique to people of specific cultural, ethnic, and demographic backgrounds — a QSEN core competency. NEW Safety Guidelines sections cover the global recommendations on the safe execution of skill sets — also a QSEN core competency. UPDATED Adverse Event Reporting (AER) procedural guideline covers the correct response to Serious Event Reporting within the healthcare facility. NEW! Safe Transfer to a Wheel Chair procedural guideline focuses on the safety aspect of this common maneuver. NEW! Communicating with the Cognitively Impaired Patient skill provides the understanding and protocol for dealing with patients who are unable to communicate in a typical manner. NEW! Assessing the Genitalia and Rectum skill includes complete information and rationales. NEW! Caring for Patients with Multi-Drug Resistant Organisms (MDRO) and C. difficili skill covers this growing challenge to patient welfare and to healthcare providers.

Bioethics, Medicine and the Criminal Law: Volume 2

Medicine, Crime and Society

Author: Danielle Griffiths,Andrew Sanders

Publisher: Cambridge University Press

ISBN: 1139619888

Category: Law

Page: N.A

View: 3341

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In recent years, debates have arisen concerning the encroachment of the criminal process in regulating fatal medical error, the implementation of the Corporate Manslaughter and Corporate Homicide Act 2007 and the recent release of the Director of Public Prosecution's assisted suicide policy. Consequently, questions have been raised regarding the extent to which such intervention helps, or if it in fact hinders, the sustained development of medical practice. In this collection, Danielle Griffiths and Andrew Sanders explore the operation of the criminal process in healthcare in the UK as well as in other jurisdictions, including the USA, Australia, New Zealand, France and the Netherlands. Using evidence from previous cases alongside empirical data, each essay engages the reader with the debate surrounding what the appropriate role of the criminal process in healthcare should be and aims to clarify and shape policy and legislation in this under-researched area.

Culture, Brain, and Analgesia

Understanding and Managing Pain in Diverse Populations

Author: Mario Incayawar,Knox H. Todd

Publisher: Oxford University Press

ISBN: 0199768870

Category: Medical

Page: 423

View: 5102

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In this state-of-theart volume, culture is placed in the forefront of studying pain in an integrative manner. The authors put forth that a patient's culture should be studied with the purpose of unveiling its effects upon biological systems and the pain neuromatrix.

Bioethics, Medicine and the Criminal Law

Medicine, Crime and Society

Author: Danielle Griffiths,Andrew Sanders

Publisher: Cambridge University Press

ISBN: 1107021537

Category: Law

Page: 332

View: 7393

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Griffiths and Sanders present a fresh and wide-ranging analysis of the impact of the criminal process on medical practice.

Nursing Interventions & Clinical Skills

Author: Anne Griffin Perry,Patricia A. Potter,Wendy Ostendorf

Publisher: Elsevier Health Sciences

ISBN: 0323241158

Category: Medical

Page: 888

View: 7705

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Master nursing skills with this guide from the respected Perry, Potter & Ostendorf author team! The concise coverage in Nursing Interventions & Clinical Skills, 6th Edition makes it easy to master the clinical skills required in everyday nursing practice. Clear guidelines address 159 basic, intermediate, and advanced skills — from measuring body temperature to insertion of a peripheral intravenous device — and step-by-step instructions emphasize the use of evidence-based concepts to improve patient safety and outcomes. Its friendly, easy-to-read writing style includes a streamlined format and an Evolve companion website with review questions and handy checklists for each skill. Coverage of 159 skills and interventions addresses basic, intermediate, and advanced skills you'll use every day in practice. UNIQUE! Using Evidence in Nursing Practice chapter provides the information needed to use evidence-based practice to solve clinical problems. Safe Patient Care Alerts highlight unusual risks in performing skills, so you can plan ahead at each step of nursing care. Delegation & Collaboration guidelines help you make decisions in whether to delegate a skill to unlicensed assistive personnel, and indicates what key information must be shared. Special Considerations indicate additional risks or accommodations you may face when caring for pediatric or geriatric patients, and patients in home care settings. Documentation guidelines include samples of nurses’ notes showing what should be reported and recorded after performing skills. A consistent format for nursing skills makes it easier to perform skills, always including Assessment, Planning, Implementation, and Evaluation. A Glove icon identifies procedures in which clean gloves should be worn or gloves should be changed in order to minimize the risk of infection. Media resources include skills performance checklists on the Evolve companion website and related lessons, videos, and interactive exercises on Nursing Skills Online. NEW coverage of evidence-based techniques to improve patient safety and outcomes includes the concept of care bundles, structured practices that have been proven to improve the quality of care, and teach-back, a new step that shows how you can evaluate your success in patient teaching. NEW! Coverage of HCAHPS (Hospital Care Quality Information from the Consumer Perspective) introduces a concept now widely used to evaluate hospitals across the country. NEW! Teach-Back step shows how to evaluate the success of patient teaching, so you can be sure that the patient has mastered a task or consider trying additional teaching methods. NEW! Updated 2012 Infusion Nurses Society standards are incorporated for administering IVs, as well as other changes in evidence-based practice. NEW topics include communication with cognitively impaired patients, discharge planning and transitional care, and compassion fatigue for professional and family caregivers.

Practice Management, An Issue of Primary Care Clinics in Office Practice - E-Book

Author: Michelle Bholat

Publisher: Elsevier Health Sciences

ISBN: 1455747572

Category: Medical

Page: 240

View: 2907

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This issue of Primary Care: Clinics in Office Practice focuses on practice management models for achieving health outcomes in chronic disease management and serves as a key to help the primary care practitioners work with local systems of care, integrate behavioral medicine in primary care, and collaborate with university-based research.

CBT for Chronic Pain and Psychological Well-Being

A Skills Training Manual Integrating DBT, ACT, Behavioral Activation and Motivational Interviewing

Author: Mark Carlson

Publisher: John Wiley & Sons

ISBN: 111881844X

Category: Psychology

Page: 256

View: 8349

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The first clinical manual of evidence-based CBT skills for managing psychological issues associated with chronic pain, drawn from current approaches such as DBT, ACT, and motivational interviewing. The first skills training manual in the field of chronic pain and mental health disorders to provide an integrated session-by-session outline that is customizable for clinicians Adaptive and evidence-based - integrates skill sets from DBT, ACT, Behavioral Activation, and Motivational Interviewing to address the unique needs of individual chronic pain sufferers Clinicians can import the approach into their work, selecting the most appropriate skills and sessions, or create an entire therapeutic program with the manual as its foundation Includes invaluable measurement and tracking tools for clinicians required to report outcomes

The Case Manager's Handbook

Author: Catherine Mullahy

Publisher: Jones & Bartlett Publishers

ISBN: 1284032086

Category: Medical

Page: 875

View: 711

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Written by renowned author Catherine Mullahy, The Case Manager s Handbook, Fifth Edition is the ultimate how-to guide for case managers. This practical resource helps case managers build fundamentals, study for the Certified Case Manager (CCM) exam, and most importantly, advance their careers after the exam. Written for all professionals in all practice settings in case management, it uses real-life examples and an easy-to-read, conversational style to examine the case management process while presenting practical procedural information. An excellent daily reference and training guide for new case managers and seasoned professionals in various setting, The Case Manager s Handbook, Fifth Edition is the go-to resource for facing the day-to-day challenges of case management, especially as the nation navigates through the many changes introduced by the landmark Patient Protection and Affordable Care Act. Significantly updated and revised, it contains eight new chapters: * Hospital Case Management: Changing Roles and Transitions of Care * Patient Centered Medical Home, ACOs, Health Exchanges * Evidence-Based Practice * Public Sector Reimbursement * Predictive Modeling * Pain Management * Health Technology, Trends, and Implications for Case Managers * The Affordable Care Act of 2010: Implications for Case Managers Included with each new print book is an Access Code for a Navigate Companion Website for students with objectives, multiple choice questions, and bonus appendices."

Low Back Pain, An Issue of Primary Care Clinics in Office Practice - E-Book

Author: Eron G. Manusov

Publisher: Elsevier Health Sciences

ISBN: 1455747580

Category: Medical

Page: 240

View: 3994

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Low back pain is one of the most common problems and leading causes of disability. This issue of Primary Care Clinics in Office Practice focuses on the burden of low back pain from diagnosis to treatment options and prevention with topics that include: surgical intervention, disability and low back pain: evaluation and determination, complementary and alternative medicine treatments, and interventional and non-interventional treatment of low back pain.

Rheumatology E-Book

Author: Marc C. Hochberg,Alan J. Silman,Josef S. Smolen,Michael E. Weinblatt,Michael H. Weisman

Publisher: Elsevier Health Sciences

ISBN: 0702063037

Category: Medical

Page: 2112

View: 5971

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Stay current in the ever-changing discipline of rheumatology with clear, reliable guidance from Hochberg’s Rheumatology, one of the most respected and trusted sources in the field. Designed to meet the needs of the practicing clinician, this medical reference book provides extensive, authoritative coverage of rheumatic diseases from basic scientific principles to practical points of clinical management in a lucid, logical, user-friendly manner. Track disease progression and treat patients more effectively with the information on genetic findings, imaging outcomes, cell and biologic therapies, rheumatoid arthritis, and SLE. Incorporate recent findings about pathogenesis of disease; imaging outcomes for specific diseases like RA, osteoarthritis, and spondyloarthropathies; cell and biologic therapies; and other timely topics. Remain up to date on the latest information in rheumatology through 13 brand-new chapters covering biomedical and translation science, disease and outcome assessment, new imaging modalities, early emerging disease, clinical therapeutics, patient management, and rehabilitation. Take advantage of expanded coverage of small molecule treatment, biologics, biomarkers, epigenetics, biosimilars, and cell-based therapies. Focus on the core knowledge needed for successful results with each chapter co-authored by an internationally-renowned specialist in the field. Easily find the information you need thanks to a consistent, user-friendly format with templated content and large-scale images.

Expert Decision Making on Opioid Treatment

Author: Jane Ballantyne,David J. Tauben

Publisher: Oxford University Press

ISBN: 0199768889

Category: Medical

Page: 240

View: 308

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This book offers expert, balanced, concise guidance on how clinicians can navigate a number of complex considerations to formulate a treatment plan for chronic pain that either includes or advisedly excludes opioids.

Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace

Author: Robert J. Gatchel,Izabela Z. Schultz

Publisher: Springer Science & Business Media

ISBN: 1493906127

Category: Psychology

Page: 509

View: 8175

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This book addresses the complexity of preventing, diagnosing, and treating musculoskeletal pain and disability disorders in the workplace. Divided evenly between common occupational pain disorders, conceptual and methodological issues, and evidence-based intervention methods, this comprehensive reference presents current findings on prevalence, causation, and physical and psychological aspects common to these disorders. Attention is given to working-world concerns, including insurance and compensation issues and AMA guidelines for disability evaluations. Also, specialized chapters offer lenses for understanding and administering the best approaches for treating specific pain disorders, and explore what workplaces can do to accommodate affected employees and prevent injuries from occurring in the first place.