Chronic Pain: A Primary Care Guide to Practical Management by Dawn A. Marcus

By Dawn A. Marcus

Sufferers with continual ache current a distinct set of demanding situations to the first care clinician. In power ache: a chief Care advisor to functional administration, moment variation, major soreness professional sunrise A. Marcus, MD, back deals functional, transparent, and succinct evidence-based techniques to the prognosis and remedy of the myriad painful stipulations clinicians see of their workplaces on a daily basis, corresponding to headache, again soreness, arthritis, fibromyalgia, and belly discomfort. Sections addressing discomfort administration in kids, pregnant ladies, and seniors also are integrated. This re-creation is designed to supply a practical method of assessing and treating the advanced concerns and features of persistent soreness sufferers. New chapters extend upon the evidence-based thoughts and functional place of work instruments formerly supplied, with the addition of recent chapters addressing danger administration; soreness syndromes within the shoulder, top extremity, and reduce extremity; and melanoma and end-of-life discomfort. persistent soreness: a chief Care advisor to functional administration, moment version offers innovations and methods which are designed to enhance the boldness with which the first care health care professional can strategy sufferers with complicated ache court cases, lessen employees tension, and increase sufferer good fortune.

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By Dawn A. Marcus

Sufferers with continual ache current a distinct set of demanding situations to the first care clinician. In power ache: a chief Care advisor to functional administration, moment variation, major soreness professional sunrise A. Marcus, MD, back deals functional, transparent, and succinct evidence-based techniques to the prognosis and remedy of the myriad painful stipulations clinicians see of their workplaces on a daily basis, corresponding to headache, again soreness, arthritis, fibromyalgia, and belly discomfort. Sections addressing discomfort administration in kids, pregnant ladies, and seniors also are integrated. This re-creation is designed to supply a practical method of assessing and treating the advanced concerns and features of persistent soreness sufferers. New chapters extend upon the evidence-based thoughts and functional place of work instruments formerly supplied, with the addition of recent chapters addressing danger administration; soreness syndromes within the shoulder, top extremity, and reduce extremity; and melanoma and end-of-life discomfort. persistent soreness: a chief Care advisor to functional administration, moment version offers innovations and methods which are designed to enhance the boldness with which the first care health care professional can strategy sufferers with complicated ache court cases, lessen employees tension, and increase sufferer good fortune.

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Extra info for Chronic Pain: A Primary Care Guide to Practical Management (2nd Edition)

Sample text

He asked the primary care physician (PCP) for a note to continue staying home from work. Mr. Thompson was advised to begin his exercise program and return to work part time. A follow-up appointment was made in 3 months. Six months after surgery, Mr. Thompson continued to report persistent pain, as well as irritability and frustration over continued pain and disability. He remained sedentary throughout the day and had not returned to work. Mr. Thompson came to the appointment with a disability form and a request for handicapped parking.

D. First Second after marijuana Third after marijuana and cocaine Fourth after marijuana, cocaine, and heroin 3. Which of the following guidelines are recommended by the Federation of State Medical Boards when treating pain patients: a. b. c. d. e. Document a complete history and physical examination Document a treatment plan Periodically re-evaluate prescribed treatment Document treatment compliance All of the above 34 3 Risk Management in Chronic Pain Practice 4. According to the Joint Commission on Accreditation of Healthcare Organizations, which patients should be asked about experiencing pain: a.

Patients with “legitimate” pain typically want to get better and will, therefore, cooperate with examinations. Some patients will seem to exaggerate the severity of their symptoms, although this may be in anticipation of a painful examination or their perception that the doctor does not believe the pain is real. If a patient cannot be adequately cooperative during an examination to allow the clinician to establish a diagnosis, the clinician should explain that his or her ability to select an effective treatment is contingent on establishing a diagnosis; if necessary, a second appointment should be made at a time when the patient is more likely to be cooperative.

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