Pain Assessment and Pharmacologic Management


  • Betty Rolling Ferrell
  • Chris Pasero, MS, RN-BC, FAAN, Pain Management Educator and Clinical Consultant
  • Margo McCaffery, MS, RN-BC, FAAN, Consultant in the Nursing Care of Patients with Pain

Pain Assessment and Pharmacologic Management, by highly renowned authors Chris Pasero and Margo McCaffery, is destined to become the definitive resource in pain management in adults. It provides numerous reproducible tables, boxes, and figures that can be used in clinical practice, and emphasizes the benefits of a multimodal analgesic approach throughout. In addition, Patient Medication Information forms for the most commonly used medications in each analgesic group can be copied and given to patients. This title is an excellent resource for nurses to become certified in pain management.
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Book information

  • Published: October 2010
  • Imprint: MOSBY
  • ISBN: 978-0-323-09441-2

Table of Contents

Section I: Underlying Mechanisms of Pain
Section II: Assessment
1. Underlying Complexities of Pain Assessment
2. Misconceptions That Hamper Assessment and Treatment of Patients Who Report Pain
3. Assessment Tools for Patients
4. Other Challenges in Pain Assessment
Section III: Nonopioid Analgesics
5. Indications for Administration of Acetaminophen or NSAIDs
6. Adverse Effects of Acetaminophen and NSAIDs
7. Individualizing the Selection of Nonopioid Analgesics
8. Perioperative Nonopioid Use
9. Nonprescription Nonopioids
10. Acute Overdose
Section IV: Opioid Analgesics
11. Physiology and Pharmacology of Opioid Analgesics
12. Key Concepts in Analgesic Therapy
13. Guidelines for Opioid Drug Selection
14. Guidelines for Selection of Routes of Opioid Administration
15. Intraspinal Analgesia (Epidural and Intrathecal)
16. Initiating Opioid Therapy
17. IV Patient-Controlled Analgesia
18. Switching to another Opioid or Route of Administration
19. Management of Opioid-Induced Adverse Effects
20. Unwarranted Withholding of Opioids
Section 5: Adjuvant Analgesics
21. General Considerations in the Use of Adjuvant Analgesics
22. Multipurpose Adjuvant Analgesics
23. Adjuvant Analgesics for Persistent (Chronic) Neuropathic Pain
24. Topical Analgesics for Persistent (Chronic) Pain
25. Adjuvant Analgesics for Musculoskeletal Pain
26. Adjuvant Analgesics for Postoperative and Other Acute Pain
27. Adjuvant Agends for Goal-Directed Sedation in the Critically Ill and Procedural Sedation
28. Local Anesthetics for Procedural Pain
29. Adjuvant Analgesics for Persistent (Chronic) Bone Pain
30. Adjuvant Analgesics for Malignant Bowel Obstruction
31. Adjuvants Less Often Used
Appendix A: Pain Resources on the Internet
Appendix B: Opioid Agreements
Appendix C: Use of Electronic Medical Records in Pain Management
Appendix D: Terminology