Controlled Substance Management in Chronic Pain : A Balanced Approach
https://libcat.nshealth.ca/en/permalink/provcat40181
Peter S. Staats, Sanford M. Silverman, editors.
--Cham:
Springer
, c2016.
- Available Online
- View e-Book
- Location
- Online
This comprehensive guide covers prescribing controlled substances for patients with acute or chronic pain and provides a balanced discussion on appropriate treatment, addiction, safety and complications. Chapters feature evidence-based strategies and clinical modalities that address diagnostic challenges, treatment guidance, alternatives to opioid management and the significant legal risks within the current regulatory environment. Authored by leaders in pain medicine, physicians and appropriat…
- Available Online
- View e-Book
- Other Authors
- Staats, Peter S
- Silverman, Sanford M
- Responsibility
- Peter S. Staats, Sanford M. Silverman, editors
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2016
- Physical Description
- 1 online resource (xii, 323 p. : 32 illus., 18 illus. in color)
- ISBN
- 9783319309644
- 9783319309620 (print ed.)
- Subjects (MeSH)
- Analgesics, Opioid - therapeutic use
- Chronic Pain - drug therapy
- Controlled Substances - administration & dosage
- Opioid-Related Disorders - prevention & control
- Pain Management
- Abstract
- This comprehensive guide covers prescribing controlled substances for patients with acute or chronic pain and provides a balanced discussion on appropriate treatment, addiction, safety and complications. Chapters feature evidence-based strategies and clinical modalities that address diagnostic challenges, treatment guidance, alternatives to opioid management and the significant legal risks within the current regulatory environment. Authored by leaders in pain medicine, physicians and appropriate health care professionals will find Controlled Substance Management in Chronic Pain to be an indispensable resource.
- Contents
- 1 Scope of the pain problem -- 2 Scope of the problem: Intersection of chronic pain and addiction -- 3 Evidence-based treatment for chronic pain with opioids -- 4 Opioid pharmacology -- 5 Pharmacokinetics -- 6 Benzodiazepines, Alcohol and Stimulant Use in Combination with Opioid Use -- 7 Marijuana and cannabinoids for pain -- 8 Adjuvant agents in chronic pain therapy -- 9 Complications of opioid therapy -- 10 Risk mitigation strategies -- 11 Naloxone Treatment of Opioid Overdose -- 12 From Patient Evaluation to Opioid Overdose Prevention: Ten Steps to Make the Law Work for You and Your Patients -- 13 Treating the difficult patient -- 14 Controlled Substance Management: Exit Strategies for the Pain Practitioner -- 15 Alternatives to opiates in the management of non-cancer related pain -- Appendix A: American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain -- Appendix B: Sample Opioid Agreement/Informed Consent -- Appendix C: Opioid Risk Tool -- Appendix D: Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP’-R) -- Appendix E: McGill Pain Questionnaire -- Appendix F: CDC Recommendations for Prescribing Opioids for Chronic Pain: United States, 2016.
- Format
- e-Book
- Location
- Online
Evaluation and Management of Chronic Pain for Primary Care : A Pocket Guide for the Primary Care Provider
https://libcat.nshealth.ca/en/permalink/provcat45525
Bonnie Huang Hall, editor.
--Cham:
Springer
, c2020.
- Available Online
- View e-Book
- Location
- Online
Primary care physicians are often the first caretakers to whom patients present for chronic pain. The current literature targeted at these providers is sparse, and the existing literature is very broad and large in scope and size. There are no quick pocket guides on this topic that the general practitioner may use as a point of care reference. This first of its kind text provides a practical, hands-on approach to the evaluation and treatment of chronic pain in the family medicine setting. Divid…
- Available Online
- View e-Book
- Other Authors
- Huang Hall, Bonnie
- Responsibility
- Bonnie Huang Hall, editor
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2020
- Physical Description
- 1 online resource (xxi, 279 p.)
- ISBN
- 9783030471170
- 9783030471163 (Print ed.)
- 9783030471187 (Print ed.)
- Subjects (MeSH)
- Analgesics, Opioid - therapeutic use
- Chronic Pain - diagnosis
- Chronic Pain - therapy
- Pain Management - methods
- Patient Care Planning
- Primary Health Care - methods
- Specialty
- General Practice
- Pain Management
- Abstract
- Primary care physicians are often the first caretakers to whom patients present for chronic pain. The current literature targeted at these providers is sparse, and the existing literature is very broad and large in scope and size. There are no quick pocket guides on this topic that the general practitioner may use as a point of care reference. This first of its kind text provides a practical, hands-on approach to the evaluation and treatment of chronic pain in the family medicine setting. Divided into four main sections, the first part focuses on the general approach to any patient suffering from chronic pain. Chapters in this section include the physical exam, formulating a diagnosis, formulating a variety of treatment plans including medication, physical therapy and psychiatric therapy, and specialist referral, among others. The second section focuses on evaluation and management of the chronic pain patient who requires opioid therapy. This section includes useful guidance on how to convert into morphine equivalents, interpretation of urine drug tests, and helpful office procedures for managing refills. It gives practical guidance on how to prescribe opioid reversal agents and opioid tapering regimens. A systems based approach to managing the patient is also discussed. The third section informs the reader of viable alternative and complementary treatment options. Five main treatment types are discussed each with their own separate chapter. These include musculoskeletal-based therapy, medicinal therapies, sense-based therapy, relaxation-based therapy and physical/exercise-based therapy. Given the controversy and limited training primary care physicians have on marijuana and cannabis, one chapter is dedicated specifically to inform the primary care physician on marijuana as a medicinal therapy for chronic pain. The fourth section focuses entirely on myofascial pain and trigger point therapy. The chapters in this section teach the reader how to examine and diagnose myofascial pain and distinguish between fibromyalgia. They also provide general principles of myofascial trigger point therapy and how to practically perform these in sthe clinical setting. Topics discussed include: trigger point massage, cold and stretch, isometric contraction, trigger point injection, and ischemic compression. It also includes general instruction so that the practitioner can teach patients how to perform trigger point therapy easily in their own home. The last chapter details chronic myofascial back pain and how to examine and practically treat with trigger point therapies. Evaluation and Management of Chronic Pain is a first-of-its-kind pocket-guide text specifically designed for primary care providers. It also appeals to residents, medical students and any other professional interested in treating chronic pain.
- Contents
- Part I. General Evaluation and Management of Chronic Noncancer Pain -- 1. History Taking for Chronic Pain -- 2. Physical Examination for Chronic Pain -- 3. Diagnostic Evaluation for Chronic Pain -- 4. Specialist Evaluation for Chronic Pain -- 5. Formulating a Diagnosis for Chronic Pain -- 6. Management of Chronic Pain: Medication -- 7. Management of Chronic Pain: Nonpharmacological and Multidisciplinary approach -- Part II. The Opioid Requiring Patient -- 8. The Opioid Requiring Patient: Evaluation and Management -- 9. The Opioid Requiring Patient: Office Level Management -- 10. The Opioid Requiring Patient: Systems Level Management -- 11. Implementing and Following a Safe and Compassionate Opioid-prescribing Policy -- Part III. Complementary and Alternative Medicine and Chronic Noncancer Pain -- 12. Manipulative Therapies for Chronic Pain -- 13. Energy based Therapies for Chronic Pain -- 14. Medical Marijuana for Chronic Pain -- 15. Medicinal Therapies for Chronic Pain -- 16. Exercise or Movement based Therapies for Chronic Pain -- 17. Mind-based Therapies for Chronic Pain -- Part IV. Chronic Myofascial Pain -- 18. Chronic Myofascial Pain, Fibromylagia, and Myofascial Trigger Points -- 19. Treatment Principles of Myofascial Pain Syndrome -- 20. Example Myofascial Pain Case: Quadratus Lumborum Trigger Point and Chronic Low Back Pain.
- Format
- e-Book
- Location
- Online
Handbook of Methadone Prescribing and Buprenorphine Therapy
https://libcat.nshealth.ca/en/permalink/provcat40736
Ricardo A. Cruciani, Helena Knotkova, editors.
--New York, NY:
Springer
, c2013.
- Available Online
- View e-Book
- Location
- Online
Methadone and buprenorphine are the only two opioids that are indicated for the management of both pain and opioid-related drug addiction. Both present unique challenges to the general practitioner and pain specialist, requiring a separate analysis from the rest of the drugs in the same family. Handbook of Methadone Prescribing and Buprenorphine Therapy is an invaluable guide to the safe use of these opioids. Authored by clinical and academic leaders from a variety of settings and backgrounds, …
- Available Online
- View e-Book
- Other Authors
- Cruciani, Ricardo A
- Knotkova, Helena
- Responsibility
- Ricardo A. Cruciani, Helena Knotkova, editors
- Place of Publication
- New York, NY
- Publisher
- Springer
- Date of Publication
- c2013
- Physical Description
- 1 online resource (xvii, 298 p. : 17 illus., 5 illus. in color)
- ISBN
- 9781461469742
- 9781461469735 (print ed.)
- Subjects (MeSH)
- Analgesics, Opioid - administration & dosage
- Buprenorphine - therapeutic use
- Methadone - therapeutic use
- Opiate Substitution Treatment
- Opioid-Related Disorders - drug therapy
- Pain - drug therapy
- Abstract
- Methadone and buprenorphine are the only two opioids that are indicated for the management of both pain and opioid-related drug addiction. Both present unique challenges to the general practitioner and pain specialist, requiring a separate analysis from the rest of the drugs in the same family. Handbook of Methadone Prescribing and Buprenorphine Therapy is an invaluable guide to the safe use of these opioids. Authored by clinical and academic leaders from a variety of settings and backgrounds, this book includes chapters on pharmacology, adverse effects, safe rotation from other opioids, cardiac toxicity, prescribing, pharmacokinetics, equianalgesic dose, and replacement therapy. This comprehensive text provides clinicians, researchers, policy-makers and academicians a resource for all the relevant points in methadone prescribing and buprenorphine therapy.
- Contents
- 1. Prescribing Methadone Safely -- 2. Use of Methadone in Opioid Maintenance Treatment -- 3. Treating Pain in Patients Receiving Methadone Maintenance for Opioid Dependence -- 4. Methadone Side Effects: Constipation, Respiratory Depression, Sedation, Sleep- Disordered Breathing, and the Endocrine System -- 5. Cardiovascular Effects of Methadone -- 6. Methadone Pharmacodynamics and Pharmacokinetics -- 7. Methadone and Opioid Rotation -- 8. Intravenous Use of Methadone: Efficacy and Safety -- 9. Methadone Hyperalgesia -- 10. Buprenorphine Analgesia in Chronic Pain -- 11. Buprenorphine in Maintenance Therapy -- 12. Buprenorphine Pharmacodynamics and Pharmacokinetics -- 13. Buprenorphine Metabolism and Drug–Drug Interactions -- 14. Buprenorphine: Side Effects and Tolerability -- 15. Buprenorphine and Opioid Rotation -- 16. Methadone and Buprenorphine Use During the Perinatal Period -- 17. Methadone and Buprenorphine Prescribing in the Palliative Care Population -- 18. Methadone Prescribing in the Sickle Cell Patient -- 19. Methadone and Buprenorphine Analgesia in Older Patients.
- Format
- e-Book
- Location
- Online
Managing cancer breakthrough pain
https://libcat.nshealth.ca/en/permalink/provcat33547
Donald R. Taylor.
--London:
Springer Healthcare
, c2013.
- Available Online
- View e-Book
- Location
- Online
Managing Cancer Breakthrough Pain is a comprehensive review of cancer breakthrough pain (cBTP) and rapid-onset opioids (ROO), the only treatment approved for cBTP episodes. The book was originally commissioned due to the current rapid growth of the ROO market and the epidemic of ROO abuse. This book will review the historical background and definitions of cBTP and ROOs, assessment methods to determine types of cBTP, US- and EU-approved ROOs, case studies (which will provide practical applicatio…
- Available Online
- View e-Book
- Author
- Taylor, Donald R
- Responsibility
- Donald R. Taylor
- Place of Publication
- London
- Publisher
- Springer Healthcare
- Date of Publication
- c2013
- Physical Description
- 1 online resource (xii, 98 pages)
- Series Title
- Pocket books for cancer supportive care
- ISBN
- 9781908517838 (electronic bk.)
- 9781908517760
- Subjects (MeSH)
- Analgesics, Opioid - therapeutic use
- Neoplasms - complications
- Pain Management - methods
- Subjects (LCSH)
- Cancer pain - Treatment
- Cancer pain - Chemotherapy
- Cancer - Patients - Rehabilitation
- Abstract
- Managing Cancer Breakthrough Pain is a comprehensive review of cancer breakthrough pain (cBTP) and rapid-onset opioids (ROO), the only treatment approved for cBTP episodes. The book was originally commissioned due to the current rapid growth of the ROO market and the epidemic of ROO abuse. This book will review the historical background and definitions of cBTP and ROOs, assessment methods to determine types of cBTP, US- and EU-approved ROOs, case studies (which will provide practical applications of ROO treatment options), ROO abuse and screening methods, and the FDA-mandated TIRF REMS Access program (Transmucosal Immediate Release Fentanyl Risk Evaluation and Mitigation Strategies Access program). Busy healthcare professionals who have a basic understanding of cancer pain but want to learn more about cBTP and ROOs will benefit from this concise guide that will help them quickly understand the complexities of cBTP episodes and ROOs.
- Contents
- What is cancer breakthrough pain? -- Medications for cancer breakthrough pain -- Practical approach to the management of cancer breakthrough pain -- Abuse, aberrant drug behavior, diversion, and addiction -- TIRF REMS access program -- Summary.
- Format
- e-Book
- Location
- Online
La méthadone pour traiter la douleur chronique
https://libcat.nshealth.ca/en/permalink/chpams37503
Nova Scotia Health Authority. QEII. Pain Management Unit.
Halifax, NS:
Nova Scotia Health Authority
, 2020.
- Pamphlet Number
- 2193
- Available Online
- View Pamphlet
La méthadone est un analgésique opioïde (antidouleur). Elle est souvent utilisée pour gérer la douleur chronique. Ce dépliant explique comment et à quelle fréquence vous devez prendre la méthadone, ce qu’il faut faire si vous manquez une dose, comment conserver ce médicament et les précautions spéciales à prendre. Il décrit les effets secondaires et quand vous devez appeler votre fournisseur de soins primaires ou l’unité de traitement de la douleur. ; This pamphlet is a French translation of th…
- Available Online
- View Pamphlet
- Corporate Author
- Nova Scotia Health Authority. QEII. Pain Management Unit
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2020
- Format
- Pamphlet
- Language
- French
- Physical Description
- 1 electronic document (5 p.) : digital, PDF file
- Subjects (MeSH)
- Methadone
- Analgesics, Opioid
- Pain Management
- Subjects (LCSH)
- Methadone hydrochloride
- Analgesics
- Pain--Treatment
- Abstract
- La méthadone est un analgésique opioïde (antidouleur). Elle est souvent utilisée pour gérer la douleur chronique. Ce dépliant explique comment et à quelle fréquence vous devez prendre la méthadone, ce qu’il faut faire si vous manquez une dose, comment conserver ce médicament et les précautions spéciales à prendre. Il décrit les effets secondaires et quand vous devez appeler votre fournisseur de soins primaires ou l’unité de traitement de la douleur.
- This pamphlet is a French translation of the English pamphlet 0686, "Using Methadone for Chronic Pain". Methadone is an opioid analgesic (painkiller). It is often used to manage chronic pain. This pamphlet explains how to take methadone, when to take it, and what to do if you miss a dose. Special precautions, side effects, storage instructions, and a list of symptoms that require a call to your primary health care provider's office or the Pain Management Unit are provided.
- Responsibility
- Prepared by: Pain Management Unit
- Pamphlet Number
- 2193
Opioid Dependence : A Clinical and Epidemiologic Approach
https://libcat.nshealth.ca/en/permalink/provcat43183
Heath B. McAnally.
--Cham:
Springer
, c2018.
- Available Online
- View e-Book
- Location
- Online
This unique and timely title offers a comprehensive assessment of the previously underappreciated risks and potentially overstated benefits of chronic opioid therapy. It does so by approaching the rampant problem of opioid abuse and addiction—currently labeled an epidemic in the United States -- from a public health/epidemiologic perspective. That is, following a thorough overview in Part 1 that compares (and contrasts) classic infectious disease epidemiology concepts with the epidemic, the boo…
- Available Online
- View e-Book
- Author
- McAnally, Heath B.
- Responsibility
- Heath B. McAnally
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2018
- Physical Description
- 1 online resource (xv, 301 p.) : 22 illus., 16 illus. in color
- ISBN
- 9783319474977
- 9783319474960 (print ed.)
- 9783319474984 (print ed.)
- 9783319837512 (print ed.)
- Subjects (MeSH)
- Addiction Medicine
- Analgesics, Opioid
- Opioid-Related Disorders
- Risk Factors
- Specialty
- Addiction Medicine
- Abstract
- This unique and timely title offers a comprehensive assessment of the previously underappreciated risks and potentially overstated benefits of chronic opioid therapy. It does so by approaching the rampant problem of opioid abuse and addiction—currently labeled an epidemic in the United States -- from a public health/epidemiologic perspective. That is, following a thorough overview in Part 1 that compares (and contrasts) classic infectious disease epidemiology concepts with the epidemic, the book categorizes our current understanding of basic science and best clinical practices in opioid therapy in terms of Agent (opioid), Vector (prescriber) and Host (patient) factors. The majority of the book, which includes a plethora of instructional case studies, is organized according to these three arenas. Opioid Dependence: A Clinical and Epidemiologic Approach is designed to update all clinicians on opioid basic science, current areas of drug improvement research and development, alternatives to opioid therapy, evidence-based indications for opioid therapy, and clinical strategies for preventing and overcoming opioid dependence. Importantly, an overview of clinical practice guidelines from the American Society of Addiction Medicine, with its biopsychosocial-spiritual "multidimensional assessment" focus is provided, along with a discussion of medication-assisted treatment, organized by the three currently FDA-approved pharmacotherapeutics (methadone, buprenorphine and naltrexone). Developed for practitioners at every level, this ground-breaking title offers a fresh and novel approach to improving the care and outcomes of patients receiving opioid therapy.
- Contents
- An epidemiologic perspective -- Understanding the agent, part I : opioid biology and basic pharmacology -- Understanding the agent, part II : adverse effects -- Understanding the agent, part III : specific drugs -- Attenuating the agent : reducing opioid "virulence" -- Best practices education, part I : pain physiology, psychology, and alternatives to opioids -- Best practices education, part II : evidence for and against opioid therapy -- Best practices education, part III : regulatory and advisory issues related to opioid therapy for pain -- Focusing on the host -- Addressing host factors : overview of dependence and addiction -- Opioid dependence risk factors and risk assessment -- Addressing host factors : primary, secondary, and tertiary prevention of opioid dependence.
- Format
- e-Book
- Location
- Online
Opioids for shortness of breath in advanced Chronic Obstructive Pulmonary Disease (COPD)
https://libcat.nshealth.ca/en/permalink/chpams36447
Nova Scotia Health Authority. The INSPIRED COPD Outreach Program™.
Halifax, NS:
Nova Scotia Health Authority
, 2019.
- Pamphlet Number
- 1892
- Available Online
- View Pamphlet
Shortness of breath is the most common symptom for patients with advanced Chronic Obstructive Pulmonary Disease (COPD). Over time, shortness of breath can get harder to control. Sometimes standard COPD treatments do not help with shortness of breath enough to give you relief. This can make life harder for you and your family. Opioids (for example, morphine or similar medications) may help. This pamphlet provides information about causes of shortness of breath, how opioids help, kinds of opioids…
- Available Online
- View Pamphlet
- Corporate Author
- Nova Scotia Health Authority. The INSPIRED COPD Outreach Program™
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2019
- Format
- Pamphlet
- Language
- English
- Physical Description
- 1 electronic document (5 p.) : digital, PDF file
- Subjects (LCSH)
- Lungs--Diseases, Obstructive
- Opioids
- Dyspnea
- Abstract
- Shortness of breath is the most common symptom for patients with advanced Chronic Obstructive Pulmonary Disease (COPD). Over time, shortness of breath can get harder to control. Sometimes standard COPD treatments do not help with shortness of breath enough to give you relief. This can make life harder for you and your family. Opioids (for example, morphine or similar medications) may help. This pamphlet provides information about causes of shortness of breath, how opioids help, kinds of opioids used, safety concerns about opioid use, possible side effects, and concerns regarding anxiety and depression.
- Responsibility
- Prepared by: The INSPIRED COPD Outreach Program™
- Pamphlet Number
- 1892
Opioids in cancer pain
https://libcat.nshealth.ca/en/permalink/provcat24717
Davis, Mellar P.
(2nd ed.)
--Oxford, England:
Oxford University Press
, 2009.
- Call Number
- QV 89 O61 2009
- Location
- Dickson Building
- Call Number
- QV 89 O61 2009
- Author
- Davis, Mellar P
- Edition
- 2nd ed.
- Place of Publication
- Oxford, England
- Publisher
- Oxford University Press
- Date of Publication
- 2009
- Physical Description
- 487 p.
- ISBN
- 9780199236640
- Format
- Book
- Location
- Dickson Building
- Loan Period
- 3 weeks
Opioids in Medicine : A Comprehensive Review on the Mode of Action and the Use of Analgesics in Different Clinical Pain States
https://libcat.nshealth.ca/en/permalink/provcat40616
by Enno Freye ; in collaboration with Joseph Victor Levy.
--Dordrecht:
Springer
, c2008.
- Available Online
- View e-Book
- Location
- Online
The book centers on the treatment of pain using the appropriate opioid and a suitable co-medication whenever necessary. While many physicians or health care providers either subscribe or advocate analgesics in response to a painful situation, their basic knowledge when and how to apply them frequently is scarce. And often there is a lack of sufficient knowledge on their potential side-effects, their mode of action, 2+ their possible interactions with other agents such as ©ƒ-blockers, Ca -antago…
- Available Online
- View e-Book
- Author
- Freye, Enno
- Other Authors
- Levy, Joseph Victor
- Responsibility
- by Enno Freye ; in collaboration with Joseph Victor Levy
- Place of Publication
- Dordrecht
- Publisher
- Springer
- Date of Publication
- c2008
- Physical Description
- 1 online resource (xii, 475 p. : ill.)
- ISBN
- 9781402059476
- 9781402059469 (print ed.)
- Subjects (MeSH)
- Analgesics, Opioid - therapeutic use
- Pain - drug therapy
- Abstract
- The book centers on the treatment of pain using the appropriate opioid and a suitable co-medication whenever necessary. While many physicians or health care providers either subscribe or advocate analgesics in response to a painful situation, their basic knowledge when and how to apply them frequently is scarce. And often there is a lack of sufficient knowledge on their potential side-effects, their mode of action, 2+ their possible interactions with other agents such as ©ƒ-blockers, Ca -antagonists, ACE inhibitors and/or benzodiazepines. In addition, not all analgesics are equivalent or equally proficient at alleviating certain painful ailments. Although there have been many of articles and books written on the subject of effective pain treatment, very few have centered on the rational use of opioids. In fact opiophobia is still around with some caregivers who consider an opioid not to be the first-line drug in severe pain. On the contrary, the myth is still around that an opioid is potentially dangerous even when used in serious painful situations, and although the WHO has stated that opioids are elementary in therapeutic strategy taking into account that they are used by mouth, by the ladder, at fixed time intervals and advocating a time consistent release formulation, they are not available in every country.
- Contents
- Part I. Rational for the Use of Opioids in Nociceptive Transmission -- Part II. Mechanism of Action of Opioids and Clinical Effects -- Part III. Opioids, an Integrative Part in Perioperative Medicine -- Part IV. Use of Potent Opioids for Chronic Pain Management -- Part V. Detection of Illicit Use of Opioids in Primary Care.
- Format
- e-Book
- Location
- Online
Opioid Therapy in Infants, Children, and Adolescents
https://libcat.nshealth.ca/en/permalink/provcat45226
Ravi D. Shah, Santhanam Suresh, editors.
--Cham:
Springer
, c2020.
- Available Online
- View e-Book
- Location
- Online
Opioid analgesics are among the most effective medications for pain management but are associated with serious and increasing public health problems, including abuse, addiction, and death from overdose. Currently, there is an opioid epidemic in the United States with the rate of prescription opioid-related overdose deaths quadrupling over the last 15 years. Pediatric patients are particularly vulnerable to the devastating consequences of opioid misuse. Adolescents who are prescribed opioids are…
- Available Online
- View e-Book
- Other Authors
- Shah, Ravi D.
- Suresh, Santhanam
- Responsibility
- Ravi D. Shah, Santhanam Suresh, editors
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2020
- Physical Description
- 1 online resource (xiii, 354 p.) : 26 illus., 22 illus. in color
- ISBN
- 9783030362874
- 9783030362867 (Print ed.)
- 9783030362881 (Print ed.)
- 9783030362898 (Print ed.)
- Subjects (MeSH)
- Adolescent
- Child
- Infant
- Analgesics, Opioid - therapeutic use
- Inappropriate Prescribing - prevention & control
- Pain Management
- Specialty
- Pain Management
- Pediatrics
- Pharmacology
- Abstract
- Opioid analgesics are among the most effective medications for pain management but are associated with serious and increasing public health problems, including abuse, addiction, and death from overdose. Currently, there is an opioid epidemic in the United States with the rate of prescription opioid-related overdose deaths quadrupling over the last 15 years. Pediatric patients are particularly vulnerable to the devastating consequences of opioid misuse. Adolescents who are prescribed opioids are at a higher risk for abusing illicit drugs later in life. Clinicians managing pediatric pain must account for such issues while still delivering effective analgesia to young patients who suffer from both acute and chronic pain. Opioid Therapy in Children and Adolescents is designed to explore the unique aspects of opioid therapy in pediatric patients. An introductory framework provides historical context and describes the epidemiology of the opioid crisis with focus on pediatric implications. Subsequent chapters focus on pediatric opioid pharmacology, safe opioid prescribing practices, and non-opioid alternatives to managing pediatric pain states, including multimodal analgesic strategies, interdisciplinary approaches, and complementary medicine. Mitigation strategies against pediatric opioid diversion and misuse are addressed to help clinicians develop practice changes that protect pediatric patients from opioid-related morbidity and mortality. Clinical case examples are also utilized throughout the text to provide grounding for each chapter and a context within which to examine pertinent issues. This first of its kind book provides a comprehensive approach that will guide clinicians to appropriately and safely prescribe opioid analgesics to pediatric patients suffering from pain. It is an invaluable resource for pediatricians, family practitioners, anesthesiologists, pediatric oncologists, and other clinicians who manage pediatric pain.
- Contents
- Part I. An Opioid Crisis with Pediatric Implications -- Epidemiology and Public Health Implications of the Opioid Crisis -- The Impact of the Opioid Crisis on Neonates, Children, and Adolescents -- Legal Issues in Pediatric Opioid Therapy -- The Impetus for Recognizing, Preventing and Treating Pain in the Pediatric Population -- Evidence-Based Guidelines for Opioid Therapy in Pediatrics -- Part II. Considerations for Safe Opioid Prescribing in Pediatrics -- Neonatal and Pediatric Pharmacology -- Predicting Opioid Responsiveness in Pediatric Patients -- Emerging Trends in Pediatric Opioid Prescribing Practices -- Improving post-operative prescribing in pediatric patients by surgeons -- Assessing and managing opioid-related side effects in children and adolescents -- Identifying and Treating Opioid Misuse in Pediatric Patients -- Part III. Therapeutic Approaches to Pediatric Acute and Chronic Pain Management -- Pediatric Pain Assessment and Indications for Opioids -- Pharmacologic Approaches to Pediatric Acute Pain States -- Regional Anesthesia for Acute Pain Management -- Opioid Therapy for Pediatric Cancer Pain -- Biopsychosocial Approaches to Pediatric Chronic Pain Management -- Non-Opioid Pharmacotherapy for Treatment of Pediatric Chronic Pain -- Interventional Approaches to Pediatric Chronic Pain Management -- Complementary and Integrative Medicine for Pediatric Chronic Pain.
- Format
- e-Book
- Location
- Online
Principles of analgesic use in the treatment of acute pain and cancer pain
https://libcat.nshealth.ca/en/permalink/provcat21196
American Pain Society.
(5th ed.)
--Glenview, IL:
American Pain Society
, 2003.
- Call Number
- QV 95 P957p 2003
- Location
- Dickson Building
- Call Number
- QV 95 P957p 2003
- Corporate Author
- American Pain Society
- Edition
- 5th ed.
- Place of Publication
- Glenview, IL
- Publisher
- American Pain Society
- Date of Publication
- 2003
- Physical Description
- 74 p.
- Subjects (MeSH)
- Acute Pain - drug therapy - Handbooks
- Analgesics - therapeutic use
- Analgesics, Opioid - therapeutic use
- Format
- Book
- Location
- Dickson Building
- Copies
- 2
- Loan Period
- 3 weeks
Using methadone for chronic pain
https://libcat.nshealth.ca/en/permalink/chpams34543
Nova Scotia Health Authority. QEII. Pain Management Unit.
Halifax, NS:
Nova Scotia Health Authority
, 2020.
- Pamphlet Number
- 0686
- Available Online
- View Pamphlet
Methadone is an opioid analgesic (painkiller). It is often used to manage chronic pain. This pamphlet explains how to take methadone, when to take it, and what to do if you miss a dose. Special precautions, side effects, storage instructions, and a list of symptoms that require a call to your primary health care provider's office or the Pain Management Unit are provided. The French version of this pamphlet 2193, "La méthadone pour traiter la douleur chronique," is also available.
- Available Online
- View Pamphlet
- Corporate Author
- Nova Scotia Health Authority. QEII. Pain Management Unit
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2020
- Format
- Pamphlet
- Language
- English
- Physical Description
- 1 electronic document (5 p.) : digital, PDF file
- Subjects (MeSH)
- Methadone
- Analgesics, Opioid
- Pain Management
- Subjects (LCSH)
- Methadone hydrochloride
- Analgesics
- Pain--Treatment
- Abstract
- Methadone is an opioid analgesic (painkiller). It is often used to manage chronic pain. This pamphlet explains how to take methadone, when to take it, and what to do if you miss a dose. Special precautions, side effects, storage instructions, and a list of symptoms that require a call to your primary health care provider's office or the Pain Management Unit are provided. The French version of this pamphlet 2193, "La méthadone pour traiter la douleur chronique," is also available.
- Responsibility
- Prepared by: Pain Management Unit
- Pamphlet Number
- 0686
Using opioids for chronic pain
https://libcat.nshealth.ca/en/permalink/chpams34839
Nova Scotia Health Authority. Central Zone. Pain Management Unit.
Halifax, NS:
Nova Scotia Health Authority
, 2020.
- Pamphlet Number
- 0061
- Available Online
- View Pamphlet
Opioid medications are analgesics (painkillers), commonly known as narcotics. They are used to manage severe pain. This pamphlet explains when to take them, what to do if you miss a dose, special precautions, common side effects, and a list of symptoms that require immediate medical attention. Common concerns about tolerance, dependence, and addiction are explained. Instructions for storing opioids are given.
- Available Online
- View Pamphlet
- Corporate Author
- Nova Scotia Health Authority. Central Zone. Pain Management Unit
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2020
- Format
- Pamphlet
- Language
- English
- Physical Description
- 1 electronic document (8 p.) : digital, PDF file
- Subjects (MeSH)
- Analgesics, Opioid
- Pain Management
- Subjects (LCSH)
- Analgesics
- Pain--Treatment
- Abstract
- Opioid medications are analgesics (painkillers), commonly known as narcotics. They are used to manage severe pain. This pamphlet explains when to take them, what to do if you miss a dose, special precautions, common side effects, and a list of symptoms that require immediate medical attention. Common concerns about tolerance, dependence, and addiction are explained. Instructions for storing opioids are given.
- Responsibility
- Prepared by: Pain Management Unit
- Pamphlet Number
- 0061
