- 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:
- Underlying Mechanisms of Pain and the Pathophysiology of Neuropathic Pain includes figures that clearly illustrate nociception and classification of pain by inferred pathology.
- 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.
- Nonnopioids includes indications for using acetaminophen or NSAIDs, and the prevention and treatment of adverse effects.
- Opioids includes guidelines for opioid drug selection and routes of administration, and the prevention and treatment of adverse effects.
- 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.
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