Assessment and Multimodal Management of Pain

Assessment and Multimodal Management of Pain

An Integrative Approach

1st Edition - October 31, 2020

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  • Authors: Maureen Cooney, Ann Quinlan-Colwell
  • eBook ISBN: 9780323530781
  • Paperback ISBN: 9780323530798

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Description

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 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.

Key Features

  • 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.

Table of Contents

  • 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

Product details

  • No. of pages: 864
  • Language: English
  • Copyright: © Elsevier 2020
  • Published: October 31, 2020
  • Imprint: Elsevier
  • eBook ISBN: 9780323530781
  • Paperback ISBN: 9780323530798

About the Authors

Maureen Cooney

Ann Quinlan-Colwell

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