Pain Assessment and Pharmacologic Management

1st Edition


  • Betty Rolling Ferrell
  • Chris Pasero
  • Margo McCaffery
  • Key Features

    • Presents best practices and evidence-based guidelines for assessing and managing pain most effectively with the latest medications and drug regimens.
    • Features detailed, step-by-step guidance on effective pain assessment to help nurses appropriately evaluate pain for each patient during routine assessments.
    • Provides reproducible tables, boxes, and figures that can be used in clinical practice.
    • Contains Patient Medication Information forms for the most commonly used medications in each analgesic group, to be copied and given to patients.
    • Offers the authors' world-renowned expertise in five sections:
      1. Underlying Mechanisms of Pain and the Pathophysiology of Neuropathic Pain includes figures that clearly illustrate nociception and classification of pain by inferred pathology.
      2. Assessment includes tools to assess patients who can report their pain as well as those who are nonverbal, such as the cognitively impaired and critically ill patients. Several pain-rating scales are translated in over 20 languages.
      3. Nonnopioids includes indications for using acetaminophen or NSAIDs, and the prevention and treatment of adverse effects.
      4. Opioids includes guidelines for opioid drug selection and routes of administration, and the prevention and treatment of adverse effects.
        1. Adjuvant Analgesics presents different types of adjuvant analgesics for a variety of pain types, including persistent (chronic) pain, acute pain, neuropathic pain, and bone pain. Prevention and treatment of adverse effects is also covered.
      5. Includes helpful Appendices that provide website resources and suggestions for the use of opioid agreements

      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


      No. of pages:
      © 2011
      Print ISBN:
      Electronic ISBN:

      About the authors

      Chris Pasero

      Affiliations and Expertise

      Pain Management Educator and Clinical Consultant

      Margo McCaffery

      Affiliations and Expertise

      Consultant in the Nursing Care of Patients with Pain