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Assessment and Multimodal Management of Pain
An Integrative Approach
- 1st Edition - October 31, 2020
- Authors: Maureen Cooney, Ann Quinlan-Colwell
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 5 3 0 7 9 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 5 3 0 7 8 - 1
Learn best practices and evidence-based guidelines for assessing and managing pain! Assessment and Multimodal Management of Pain: An Integrative Approach describes how to provide e… Read more
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Request a sales quoteLearn best practices and evidence-based guidelines for assessing and managing pain! Assessment and Multimodal Management of Pain: An Integrative Approach describes how to provide effective management of pain through the use of multiple medications and techniques, including both pharmacologic and non-pharmacologic treatment regimens. A holistic approach provides an in-depth understanding of pain and includes practical assessment tools along with coverage of opioid and non-opioid analgesics, interventional and herbal approaches to pain, and much more. Written by experts Maureen F. Cooney and Ann Quinlan-Colwell, this reference is a complete, step-by-step guide to contemporary pain assessment and management.
- Evidence-based, practical guidance helps students learn to plan and implement pain management, and aligns with current guidelines and best practices.
- Comprehensive information on the pharmacologic management of pain includes nonopioid analgesics, opioid analgesics, and co-analgesics, including dose titration, routes of administration, and prevention of side effects.
- UNIQUE! Multimodal approach for pain management is explored throughout the book, as it affects assessment, the physiologic experience, and the culturally determined expression, acknowledgement, and management of pain.
- UNIQUE! Holistic, integrative approach includes thorough coverage of pain management with non-pharmacologic methods.
- Clinical scenarios are cited to illustrate key points.
- Equivalent analgesic action for common pain medications provides readers with useful guidance relating to medication selection.
- Pain-rating scales in over 20 languages are included in the appendix for improved patient/clinician communication and accurate pain assessment.
- UNIQUE! Authors Maureen F. Cooney and Ann Quinlan-Colwell are two of the foremost authorities in multimodal pain assessment and management.
- Sample forms, guidelines, protocols, and other hands-on tools are included, and may be reproduced for use in the classroom or clinical setting.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Reviewers
- Contributors
- Clinical Scenario Contributors
- Foreword
- Acknowledgments
- Chapter 1: The Evolution of Pain Assessment and Multimodal Analgesia as an Integrative Pain Management Approach
- Incidence and Prevalence of Pain
- Historical Perspective of Multimodal Pain Management
- Pain Assessment as the Foundation of Multimodal Analgesia
- Evolution of an Integrative Multimodal Approach for Pain Management (Multimodal Analgesia) (Multimodal Treatment)
- Drivers for Integrative, Multimodal, Opioid-Sparing Approaches
- Future Challenges and Opportunities for Multimodal Analgesia Within an Integrative Approach
- Chapter 2: Importance of Multimodal Pain Management
- Physiologic Complications of Unrelieved Pain
- Psychosocial Implications of Unrelieved Pain
- Role of Multimodal Analgesia in the Perioperative Setting
- Role of Multimodal Analgesia in the Management of Chronic Pain
- Ethical Considerations
- Clinical Application
- Key Points
- Case Scenario
- Chapter 3: Physiology of Pain
- Theories of Pain
- Other Models
- Classifications of Pain
- Pain Physiology and Pathophysiology
- Special Conditions
- Key Points
- Case Scenario
- Chapter 4: Barriers to Effective Pain Management
- Patient Barriers
- Clinical Application
- Fear
- Fear of Side Effects
- Health Care Literacy
- Family
- Access Issues
- Provider Barriers
- System Barriers to Effective Pain Management
- Opportunities
- Key Points
- Case Scenario
- Chapter 5: Introduction to Pain Assessment
- Importance of Pain Assessment
- Classification of Pain
- Roles of the Health Team in Pain Assessment
- Timing and Frequency of Pain Assessment
- Key Points
- Case Scenario
- Chapter 6: Pain Assessment in Cognitively Intact Adults
- Accurate Pain Assessment
- Pain Assessment
- Components of a Comprehensive Pain Assessment
- Conducting the Pain Assessment
- Tools for Assessing Pain
- Key Points
- Case Scenario
- Appendix 6-1
- Appendix 6-2
- Chapter 7: Pain Assessment of Patients Who Cannot Self-Report Pain
- Pain Assessment of Patients Who Cannot Self-Report Pain
- Pain Assessment in Critically Ill Adults Who Cannot Self-Report Pain
- Patients With Delirium Who Cannot Self-Report Pain
- Patients With Dementia Who Cannot Self-Report Pain
- The Checklist of Nonverbal Pain Indicators (CNPI)
- Patients With Intellectual Disabilities Who Cannot Self-Report Pain
- Patients at the End of Life Who Cannot Self-Report Pain
- Newer Trends in Pain Assessment for Patients Who Cannot Self-Report Pain
- Cautions
- Key Points
- Case Scenario
- Chapter 8: Assessment of Factors Affecting Pain and Affected by Pain
- Sleep
- Anxiety and Depression
- Family Assessment
- Financial Assessment
- Key Points
- Case Scenario
- Chapter 9: Basic Concepts Involved with Administration of Analgesic Medications
- Patient Considerations
- Route Selection
- Analgesic Dosing Considerations
- Key Points
- Case Scenario
- Chapter 10: Nonopioid Analgesic Medications
- Aspirin and Nonsteroidal Antiinflammatory Drugs
- Multimodal Use of Nonopioid Analgesics
- Key Points
- Case Scenario
- Chapter 11: Opioid Analgesics
- Section 1
- Opioid Receptors
- Factors Affecting Drug Response
- Opioid Classes
- Key Points
- Section 2
- Key Points
- Section 3
- Tapering and Discontinuing Opioid Therapy
- Key Points
- Case Scenario
- Chapter 12: Common Unintended Effects of Opioids
- Constipation
- Xerostomia (Dry Mouth)
- Opioid-Induced Nausea and Vomiting
- Pruritus
- Urinary Retention
- Hypogonadism
- Sedation
- Myoclonus
- Opioid-Induced Hyperalgesia
- Physical Dependence on Opioids
- Opioid Tolerance
- Immune Suppressing Effect of Opioids
- Key Points
- Case Scenario
- Chapter 13: Preventing Opioid-Induced Advancing Sedation and Respiratory Depression
- Acknowledgments
- Opioids and Respiratory Function
- Advancing Sedation and Opioid-Induced Respiratory Depression
- Identification of the Risk Factors
- Associated Pharmacologic Factors
- Strategizing to Improve Safety for Patients at Risk
- Assessing the Patient for Risk
- Procedures for Intermittent Nursing Assessment for All Patients on Opioids: Level of Sedation
- Procedures for Intermittent Nursing Assessment for All Patients on Opioids: Respiratory Status
- Interventions After Assessment
- Summary
- Key Points
- Case Scenario
- Chapter 14: Opioid Use Disorder
- Substance Use Disorder and Opioid Use Disorder
- Caring for Patients With Pain and Opioid Use Disorder
- Treatment of Opioid Use Disorder
- Pain and Opioid Use Disorder: Acute Care Setting
- Strategies to Reduce Risk
- Key Points
- Case Scenario
- Chapter 15: Coanalgesic Medications
- Medication Selection
- Gabapentinoids
- Antidepressants
- Alpha-Adrenergic Receptor Agonists
- Corticosteroids
- N-Methyl-d-Aspartate Receptor Antagonists
- Sodium Channel Blockers: Lidocaine and Mexiletine
- Muscle Relaxants
- Dronabinol, Nabilone, and Cannabidiol
- Other Coanalgesic Medications
- Key Points
- Case Scenario
- Chapter 16: Topical Analgesics for the Management of Acute and Chronic Pain
- Benefits of Topical Analgesics
- Types of Topical Analgesics
- Compound Analgesics
- Key Points
- Case Scenario
- Chapter 17: Patient-Controlled Analgesia
- General Concepts
- Optimize Safety Within the Patient-Controlled Analgesia Process
- Prescription Components
- Routes of Administration
- Patient Assessment and Monitoring to Optimize Safety
- Evaluating Equipment to Optimize Patient Safety
- Authorized Agent–Controlled Analgesia
- Key Points
- Case Scenario
- Chapter 18: Regional Analgesia, Local Infiltration, and Pain Management
- Neuraxial Analgesia
- Regional Analgesia
- Regional Analgesia Infusion Systems
- Local Infiltration Analgesia
- Additional Analgesic Procedures Involving Use of Local Anesthetics
- Key Points
- Case Scenario
- Chapter 19: Interventional Approaches
- Acknowledgement
- Anatomy of the Central Nervous System
- Spinal Pain
- Diagnostic Imaging
- Spinal Injections
- Implantable Therapies
- Key Points
- Case Scenario
- Chapter 20: Exercise and Movement
- Fear of Pain With Movement
- Exercise-Induced Hypoalgesia
- Movement
- Dance Movement Therapy
- Exercise
- Tai Chi
- Yoga
- Physical Therapy
- Patient Education for All Exercise and Movement
- Key Points
- Case Scenario
- Chapter 21: Distraction and Relaxation
- Distraction
- Relaxation
- Progressive Muscle Relaxation
- Music Therapy
- Animal-Assisted Therapy
- Guided Imagery
- Autogenic Training
- Key Points
- Case Scenario
- Chapter 22: Cognitive-Behavioral and Psychotherapeutic Interventions as Components of Multimodal Analgesic Pain Management
- Integrative, Interdisciplinary, and Multimodal Pain Treatment
- Interdisciplinary Pain Rehabilitation or Functional Restoration Programs
- Cognitive-Behavioral Therapy
- Evidence Supporting Cognitive-Behavioral Therapy for Pain Management
- The Activating Event Belief Consequence Model
- Acceptance and Commitment Therapy
- Biofeedback (Applied Psychophysiology)
- Mindfulness-Based Stress Management and Mindfulness-Based Cognitive Therapy
- Psychoeducation
- Key Points
- Case Scenario
- Chapter 23: Energy Healing Therapies or Biofield Therapies as Components of Multimodal Analgesic Pain Management
- Reiki
- Therapeutic Touch
- Healing Touch
- Acupuncture
- Auricular Acupuncture
- Acupressure
- Key Points
- Case Scenario
- Chapter 24: Manual Therapies for Pain Management
- Manual Therapy
- Osteopathy, Osteopathy Manual Medicine, or Osteopathic Manipulative Therapy
- Craniosacral Therapy
- Massage Therapy
- Reflexology
- Chiropractic Practice
- Myofascial Trigger Point Therapy
- Muscle Energy Technique
- Fascial Distortion Model
- Key Points
- Case Scenario
- Acknowledgments
- Chapter 25: Spirituality as a Component of Multimodal Pain Management
- Spirituality
- Prayer
- Meditation
- General Cautions and Precautions Regarding Meditation
- Key Points
- Case Scenario
- Chapter 26: Natural Products: Supplements, Botanicals, Vitamins, and Minerals as a Component of Multimodal Pain Management
- Dietary Supplements
- Botanicals and Herbs
- Pharmaconutrients: Nutritional Modulators of Pain
- Supplements
- Vitamins
- Key Points
- Case Scenario
- Chapter 27: Additional Nonpharmacologic Interventions as Components of Multimodal Pain Management
- Aromatherapy
- Caring, Empathy, and Compassion by Caregivers
- Crossing Hands and/or Arms Over the Midline
- Dietary Choices
- Environmental Modifications
- Hypnosis
- Mirror Therapy or Mirror Visual Feedback Therapy
- Obesity and Weight Management
- Static Magnet Therapy
- Temperature Modalities
- Alternating or Contrasting Temperature Therapy
- Valsalva Maneuver
- Key Points
- Case Scenario
- Chapter 28: Improving Institutional Commitment for Effective Multimodal Pain Management
- Organizational Commitment to Quality and Pain Management
- Organizational Initiatives to Support Quality of Safe and Effective Multimodal Pain Management
- Quality Improvement
- Clinical Nursing Efforts to Support Organizational Initiatives
- Education of Clinicians
- Future Opportunities for Improvement
- Key Points
- Case Scenario
- Appendix: Terminology
- Index
- No. of pages: 864
- Language: English
- Edition: 1
- Published: October 31, 2020
- Imprint: Elsevier
- Paperback ISBN: 9780323530798
- eBook ISBN: 9780323530781