Pain

A textbook for health professionals

3rd Edition - December 10, 2022
Editors: Hubert van Griensven, Jenny Strong
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 0 3 3 - 7
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 0 3 4 - 4

Pain: A textbook for health professionals provides a comprehensive guide to pain and pain management with a focus on interprofessional practice. Written by internationally accl… Read more

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Pain: A textbook for health professionals provides a comprehensive guide to pain and pain management with a focus on interprofessional practice.

Written by internationally acclaimed authors and fully updated to reflect latest evidence and understanding, this book bridges the gap between theoretical underpinning and practice for assessment and management of patients with persistent pain – all in clear and accessible language.

Now in its third edition, the text emphasises personal aspects of pain and the therapeutic alliance, as well as social and cultural aspects of pain, pain education for patients, and multidisciplinary and interdisciplinary working. It will provide both students and clinicians with a new lens through which to understand a person’s pain experience, as well as tools for effective management.

Cover image
Title page
Table of Contents
Copyright
Foreword to the first edition
Foreword to the second edition
Foreword to the third edition
Preface
Contributors
Chapter 1. Introduction to pain
What is pain?
Issues in pain—about this book
Chapter 2. The patient’s voice
Overview
The experience of living with chronic pain
The search for restoration
Loss
Stigma
The value of the patient’s voice
Shared voices: the value of peer support
Conclusion
Chapter 3. Developing your communication toolkit: a practical guide for healthcare professionals
Introduction
Reflecting on communication problems: why might we sometimes get it wrong?
Exploring communication solutions: what can happen when we get it right?
Evidence-based communication strategies
Conclusion
Chapter 4. Social determinants of pain
Overview
The social communication model of pain
Sources of pain: opportunities for prevention
The experience of pain
How pain is communicated to others
How others recognise, interpret and respond to the person’s pain
Social policy and healthcare delivery
Conclusion
Section 1. Overview: what is pain?
Chapter 5. The psychology of pain: implications for the assessment and management of people in pain
Overview
Significance of the gate control theory of pain
Introduction of biopsychosocial models of illness and pain
Biopsychosocial model of pain in International Classification of Diseases—ICD-11 vs ICD-10
How might psychological and environmental factors influence pain outcomes?
Hypothetical case example
Conclusion
Chapter 6. Neuroanatomy of the nociceptive system
Overview
Structure and function of peripheral nociceptors
Nonneuronal cells
Anatomy of referred pain
Dorsal root ganglion cells
Primary afferents
The dorsal horn
Somatotopic organisation of dorsal horn
Terminations of afferent fibres in the dorsal horn
Trigeminal system
Sympathetic nervous system
Spinal cord transmission pathways
Areas of the brain involved in the perception, integration and response to nociception
Conclusion
Chapter 7. Neurophysiology of pain
Introduction
Mechanisms of nociception
Nociceptive processing in the dorsal horn
CS in clinical care
Descending inhibition and facilitation
Conclusion
Section 2. Assessment and management of pain
Chapter 8. Assessing pain
Overview
Recent history of pain measurement
Types of pain measures
Contemporary consensus pain outcome measurement frameworks
Conclusion
Resources for health professionals
Chapter 9. Pain education for patients
Introduction
Current pain education for patients
Challenges
Solutions
Improving pain education in the clinical encounter
Conclusion
Chapter 10. Participating in life roles through self-management
Overview
Establishing treatment direction and options
Activity modulation as a self-management treatment for persistent pain
Conclusion
Chapter 11. Exercise therapy
Introduction
Definitions and principles
Example 1: Exercise for persistent nonspecific LBP
Example 2: Exercise for knee pain in older adults
Example 3: Exercise for hand pain in older adults
Exercise adherence
Conclusion
Chapter 12. Psychological management of pain
Introduction
Taking a case-formulation approach to treatment
Could we use online methods to deliver these interventions?
Building an interdisciplinary pain management program based on psychological principles
Conclusion
Chapter 13. Neuropathic pain and complex regional pain syndrome
Overview
Section 1. Neuropathic pain
Section 2. Complex regional pain syndrome
Conclusion
Chapter 14. Manual therapy and influence on pain perception
Introduction
The rationale of manual therapy
Manual therapy in a biopsychosocial context
Mechanisms of pain relief through manual therapy
Manual therapy as an aid to motor control
Effects of manual therapy on local tissue
Nonspecific effects of specific movement/manual therapy
Manual therapy case study
Conclusion
Chapter 15. Pain pharmacology and the pharmacological management of pain
Overview
Major goals for the pharmacological treatment of clinical pain
Pharmacological treatment of pain
Analgesic agents
Opioid analgesics
Adjuvant medications
Invasive procedures
Conclusion
Chapter 16. Transcutaneous electrical nerve stimulation and acupuncture
Part 1: Transcutaneous electrical nerve stimulation (TENS)
Part 2: Acupuncture
Competing interests
Accessing materials
Chapter 17. Workplace rehabilitation
Introduction
Conceptual frameworks
Stakeholders in work rehabilitation
Evidence-based principles
The work rehabilitation process
Conclusion
Section 3. Special issues
Chapter 18. Multidisciplinary and interprofessional working
Overview
Working in a team
Skills for collaborative teamwork
Additional practices to enhance teamwork
Conclusion
Chapter 19. Pain in childhood
Overview
Prevalence of pain in childhood and adolescence
Guiding models for managing pain in children and adolescents
Developmental perspective: body structure and function
Assessment of pain in children and adolescents
Resources for health professionals and families
Conclusion
Chapter 20. Pain in older adults
Overview
The epidemiology of pain across the lifespan
Age differences in pain as a presenting symptom of clinical disease
Summary of epidemiologic studies on age differences in pain
Epidemiology of pain in special older populations
Explaining age differences in pain prevalence and report
Age differences in psychosocial aspects of pain
Age-related changes in neurophysiology
Age differences in pain processing under pathophysiologic conditions
Pain processing in persons with dementia
Managing pain in older persons
Conclusion
Chapter 21. Cancer pain
Overview
Frequency of pain in cancer
Impact of and responses to cancer pain
Assessment and measurement of cancer pain
Principles of pain management
Cancer pain in children
Palliative care pain management
Issues facing practitioners when working with patients with cancer
Conclusion
Chapter 22. Inequities in pain: pain in low- and middle-income countries and among Indigenous peoples
Introduction
Epidemiology and impact of pain in LMIC and among Indigenous populations
Pain determinants and risk factors
Challenges to pain care in LMICs and Indigenous communities
Steps to moving forward
Conclusion
Chapter 23. Chronic pain and psychiatric problems
Introduction
Points of view: pluralist perspective on psychiatry and pain
A point of view: evolutionary perspective
Clinical psychiatric disorders
Psychiatric risk
Conclusion
Chapter 24. Acute pain
Overview
Principles of acute pain management
Systemic pharmacological modalities
Other systemic agents
Systemic opioid analgesics
Regional techniques
Nonpharmacological modalities
The acute pain service (APS)
Conclusion
Chapter 25. Persistent pain and the law: legal aspects of persistent pain management
Introduction
Regulation of healthcare practitioners
Opioid misuse
The pain practitioner as an expert witness
Negligence and consent in multidisciplinary pain management
Duty of care from multidisciplinary teams
Consent and privacy in multidisciplinary care
Conclusion and emerging areas of law and pain medicine
Chapter 26. Conclusions: the future
Index

Life sciences

Physical sciences & Engineering

Social sciences & Humanities

Health