Chronic Pain Management for the Hospitalized Patient

Chronic Pain Management for the Hospitalized Patient

Richard W. Rosenquist, Dmitri Souzdalnitski, and Richard D. Urman

Print publication date: Feb 2016

ISBN: 9780199349302

Publisher: Oxford University Press


This book describes basic principles and specific clinical situations commonly encountered during the care of patients with coexisting chronic pain in hospital settings. As background to this discussion, the epidemiology of chronic pain as well as its mechanisms, physiology, and general management are summarized. Pain assessment scales, clinical tools, and an overview of both opioids and non-opioid medications are also provided. Management of chronic pain in selected settings is covered, including the emergency department, the intensive care unit, the labor and delivery unit, pediatric and geriatric units, palliative care, nursing homes, long-term care facilities, and prisons. The book also discusses the roles of nursing, pharmacy specialists, and other hospital services in the management of patients' chronic pain. Specific medical conditions in chronic pain patients are addressed, as are neurological disorders. Some patients with chronic pain may also have a history of substance abuse; the book provides guidance in care of these patients. It also addresses management of pain in patients with spinal cord stimulators and intrathecal pumps. Given that many patients with chronic pain undergo surgical procedures, the book addresses perioperative chronic pain management, including both preoperative and postoperative pain management and the roles of general and regional anesthesia. Finally, the book discusses patient satisfaction and quality management of hospitalized chronic pain patients, including strategies for improving patient safety and satisfaction.

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