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Pain, 3rd Edition. A textbook for health professionals

ISBN: 9780323870337
ISBN: 9780323870337
Διαστάσεις 24 × 19 cm



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Pain: A textbook for health professionals provides a comprehensive guide to pain and pain management with a focus on interprofessional practice.

Written by internationally acclaimed authors and fully updated to reflect latest evidence and understanding, this book bridges the gap between theoretical underpinning and practice for assessment and management of patients with persistent pain – all in clear and accessible language.

Now in its third edition, the text emphasises personal aspects of pain and the therapeutic alliance, as well as social and cultural aspects of pain, pain education for patients, and multidisciplinary and interdisciplinary working. It will provide both students and clinicians with a new lens through which to understand a person’s pain experience, as well as tools for effective management.

New to this edition
    • New chapters on communication, the language of pain, pain education for patients, multidisciplinary and interdisciplinary working, and inequities in pain including pain in low- and middle-income countries and amongst indigenous peoples
    • Updated chapters with new information about the psychology of pain
    • Now with full colour artworks and page design
Key Features
    • Comprehensive information about all aspects of pain and pain management
    • Relevant to a wide audience – suitable for physiotherapists, occupational therapists, social workers, nurses and GPs, as well as undergraduate students
    • Factual and informative for clinicians in everyday practice
    • Includes information on acute as well as chronic pain
Author Information
Edited by Hubert van Griensven, PhD, MSc(Pain), MCSP, BSc, DipAc , Institute of Medical and Biomedical Education, St George’s, University of London, Cranmer Terrace, London and Jenny Strong, PhD, MOccThy and BOccThy, Emeritus Professor, Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia


  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Foreword to the first edition
  • Foreword to the second edition
  • Foreword to the third edition
  • Preface
  • Contributors
  • Chapter 1. Introduction to pain
  • What is pain?
  • Issues in pain—about this book
  • Chapter 2. The patient’s voice
  • Overview
  • The experience of living with chronic pain
  • The search for restoration
  • Loss
  • Stigma
  • The value of the patient’s voice
  • Shared voices: the value of peer support
  • Conclusion
  • Chapter 3. Developing your communication toolkit: a practical guide for healthcare professionals
  • Introduction
  • Reflecting on communication problems: why might we sometimes get it wrong?
  • Exploring communication solutions: what can happen when we get it right?
  • Evidence-based communication strategies
  • Conclusion
  • Chapter 4. Social determinants of pain
  • Overview
  • The social communication model of pain
  • Sources of pain: opportunities for prevention
  • The experience of pain
  • How pain is communicated to others
  • How others recognise, interpret and respond to the person’s pain
  • Social policy and healthcare delivery
  • Conclusion
  • Section 1. Overview: what is pain?
  • Chapter 5. The psychology of pain: implications for the assessment and management of people in pain
  • Overview
  • Significance of the gate control theory of pain
  • Introduction of biopsychosocial models of illness and pain
  • Biopsychosocial model of pain in International Classification of Diseases—ICD-11 vs ICD-10
  • How might psychological and environmental factors influence pain outcomes?
  • Hypothetical case example
  • Conclusion
  • Chapter 6. Neuroanatomy of the nociceptive system
  • Overview
  • Structure and function of peripheral nociceptors
  • Nonneuronal cells
  • Anatomy of referred pain
  • Dorsal root ganglion cells
  • Primary afferents
  • The dorsal horn
  • Somatotopic organisation of dorsal horn
  • Terminations of afferent fibres in the dorsal horn
  • Trigeminal system
  • Sympathetic nervous system
  • Spinal cord transmission pathways
  • Areas of the brain involved in the perception, integration and response to nociception
  • Conclusion
  • Chapter 7. Neurophysiology of pain
  • Introduction
  • Mechanisms of nociception
  • Nociceptive processing in the dorsal horn
  • CS in clinical care
  • Descending inhibition and facilitation
  • Conclusion
  • Section 2. Assessment and management of pain
  • Chapter 8. Assessing pain
  • Overview
  • Recent history of pain measurement
  • Types of pain measures
  • Contemporary consensus pain outcome measurement frameworks
  • Conclusion
  • Resources for health professionals
  • Chapter 9. Pain education for patients
  • Introduction
  • Current pain education for patients
  • Challenges
  • Solutions
  • Improving pain education in the clinical encounter
  • Conclusion
  • Chapter 10. Participating in life roles through self-management
  • Overview
  • Establishing treatment direction and options
  • Activity modulation as a self-management treatment for persistent pain
  • Conclusion
  • Chapter 11. Exercise therapy
  • Introduction
  • Definitions and principles
  • Example 1: Exercise for persistent nonspecific LBP
  • Example 2: Exercise for knee pain in older adults
  • Example 3: Exercise for hand pain in older adults
  • Exercise adherence
  • Conclusion
  • Chapter 12. Psychological management of pain
  • Introduction
  • Taking a case-formulation approach to treatment
  • Could we use online methods to deliver these interventions?
  • Building an interdisciplinary pain management program based on psychological principles
  • Conclusion
  • Chapter 13. Neuropathic pain and complex regional pain syndrome
  • Overview
  • Section 1. Neuropathic pain
  • Section 2. Complex regional pain syndrome
  • Conclusion
  • Chapter 14. Manual therapy and influence on pain perception
  • Introduction
  • The rationale of manual therapy
  • Manual therapy in a biopsychosocial context
  • Mechanisms of pain relief through manual therapy
  • Manual therapy as an aid to motor control
  • Effects of manual therapy on local tissue
  • Nonspecific effects of specific movement/manual therapy
  • Manual therapy case study
  • Conclusion
  • Chapter 15. Pain pharmacology and the pharmacological management of pain
  • Overview
  • Major goals for the pharmacological treatment of clinical pain
  • Pharmacological treatment of pain
  • Analgesic agents
  • Opioid analgesics
  • Adjuvant medications
  • Invasive procedures
  • Conclusion
  • Chapter 16. Transcutaneous electrical nerve stimulation and acupuncture
  • Part 1: Transcutaneous electrical nerve stimulation (TENS)
  • Part 2: Acupuncture
  • Competing interests
  • Accessing materials
  • Chapter 17. Workplace rehabilitation
  • Introduction
  • Conceptual frameworks
  • Stakeholders in work rehabilitation
  • Evidence-based principles
  • The work rehabilitation process
  • Conclusion
  • Section 3. Special issues
  • Chapter 18. Multidisciplinary and interprofessional working
  • Overview
  • Working in a team
  • Skills for collaborative teamwork
  • Additional practices to enhance teamwork
  • Conclusion
  • Chapter 19. Pain in childhood
  • Overview
  • Prevalence of pain in childhood and adolescence
  • Guiding models for managing pain in children and adolescents
  • Developmental perspective: body structure and function
  • Assessment of pain in children and adolescents
  • Resources for health professionals and families
  • Conclusion
  • Chapter 20. Pain in older adults
  • Overview
  • The epidemiology of pain across the lifespan
  • Age differences in pain as a presenting symptom of clinical disease
  • Summary of epidemiologic studies on age differences in pain
  • Epidemiology of pain in special older populations
  • Explaining age differences in pain prevalence and report
  • Age differences in psychosocial aspects of pain
  • Age-related changes in neurophysiology
  • Age differences in pain processing under pathophysiologic conditions
  • Pain processing in persons with dementia
  • Managing pain in older persons
  • Conclusion
  • Chapter 21. Cancer pain
  • Overview
  • Frequency of pain in cancer
  • Impact of and responses to cancer pain
  • Assessment and measurement of cancer pain
  • Principles of pain management
  • Cancer pain in children
  • Palliative care pain management
  • Issues facing practitioners when working with patients with cancer
  • Conclusion
  • Chapter 22. Inequities in pain: pain in low- and middle-income countries and among Indigenous peoples
  • Introduction
  • Epidemiology and impact of pain in LMIC and among Indigenous populations
  • Pain determinants and risk factors
  • Challenges to pain care in LMICs and Indigenous communities
  • Steps to moving forward
  • Conclusion
  • Chapter 23. Chronic pain and psychiatric problems
  • Introduction
  • Points of view: pluralist perspective on psychiatry and pain
  • A point of view: evolutionary perspective
  • Clinical psychiatric disorders
  • Psychiatric risk
  • Conclusion
  • Chapter 24. Acute pain
  • Overview
  • Principles of acute pain management
  • Systemic pharmacological modalities
  • Other systemic agents
  • Systemic opioid analgesics
  • Regional techniques
  • Nonpharmacological modalities
  • The acute pain service (APS)
  • Conclusion
  • Chapter 25. Persistent pain and the law: legal aspects of persistent pain management
  • Introduction
  • Regulation of healthcare practitioners
  • Opioid misuse
  • The pain practitioner as an expert witness
  • Negligence and consent in multidisciplinary pain management
  • Duty of care from multidisciplinary teams
  • Consent and privacy in multidisciplinary care
  • Conclusion and emerging areas of law and pain medicine
  • Chapter 26. Conclusions: the future
  • Index