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260 result(s) for "Douleur."
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Acceptance and Commitment Therapy to manage pain and opioid use after major surgery: Preliminary outcomes from the Toronto General Hospital Transitional Pain Service
Background: Chronic postsurgical pain (CPSP) and associated long-term opioid use are major public health concerns. Aims: The Toronto General Hospital Transitional Pain Service (TPS) is a multidisciplinary, hospital-integrated program developed to prevent and manage CPSP and support opioid tapering. This clinical practice-based study reports on preliminary outcomes of the TPS psychology program, which provides acceptance and commitment therapy (ACT) to patients at risk for CPSP and persistent opioid use. Methods: Ninety-one patients received ACT, whereas 252 patients did not (no ACT group). Patient outcomes were compared for the two groups at first and last TPS visits. Pain, pain interference, sensitivity to pain traumatization, pain catastrophizing, anxiety, depression, and opioid use were analyzed using two-way (Group [ACT, no ACT] × Time [first, last visit]) analyses of variance (ANOVAs). Results: Patients referred to ACT were more likely to report a mental health condition preoperatively (P < 0.001), had higher opioid use (P < 0.001) at the first postsurgical visit, and reported higher sensitivity to pain traumatization (P < 0.05) and anxiety (P < 0.05) than the no ACT group at both time points. Both groups showed reductions in pain, pain interference, pain catastrophizing, anxiety, and opioid use by the last TPS visit (P < 0.05). The ACT group demonstrated greater reductions in opioid use and pain interference and showed reductions in depressed mood (P = 0.001) by the end of treatment compared to the no ACT group. Conclusion: Preliminary outcomes suggest that ACT was effective in reducing opioid use while pain interference and mood improved.
Neuroscience for Dentistry
A practical, reader-friendly guide for dental students on the neuroscience of the orofacial region Understanding neural mechanisms that control orofacial pain, proper masticatory function, taste, speech, swallowing, and proprioceptive input to the temporomandibular joint and teeth is an important facet of dentistry. Neuroscience of Dentistry by renowned educators Barbara J. O'Kane and Laura C. Barritt provides foundational knowledge on these topics. The text integrates fundamental concepts of general neuroscience with vital information on neural mechanisms of the orofacial region and associated pain pathways. The book is organized in two parts covering basic neuroscience and orofacial neuroscience. Part one is subdivided into four units on the central nervous system, brain and spinal cord gross anatomy, sensory systems, and motor systems. Part two features three units focused on orofacial structures and tissues, dental structures, and orofacial pain and anesthesia. Each generously illustrated, succinctly written, and consistently formatted chapter includes an introductory overview and learning objectives. Key Highlights * Throughout the book, relevant clinical correlations emphasize the relationship between basic neuroscience and clinical practice * Concise, high-yield illustrations, schematics, charts, and tables enhance understanding of general and orofacial neuroanatomy concepts * Helpful overviews at the beginning of each chapter highlight key concepts * National board style questions at the end of each chapter emphasize board-relevant information that enables self-study This is a must-have resource for dental students taking neuroscience during their first or second year of dental school. It will also benefit other health science and dental hygiene students, as well as oral and maxillofacial surgery residents.
Relieving Pain in America
Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Pain : a political history
Pain touches sensitive nerves in American liberalism, conservatism, and political life. In this history of American political culture, Keith Wailoo examines how pain has defined the line between liberals and conservatives from just after World War II to the present. From disabling pain to end-of-life pain to fetal pain, the battle over whose pain is real and who deserves relief has created stark ideological divisions at the bedside, in politics, and in the courts. Beginning with the return of soldiers after World War II and fierce medical and political disagreements about whether pain constitutes a true disability, Wailoo explores the 1960s rise of an expansive liberal pain standard along with the emerging conviction that subjective pain was real, disabling, and compensable. These concepts were attacked during the Reagan era, when a conservative backlash led to diminished disability aid and an expanding role of courts as arbiters in the politicized struggle to define pain. New fronts in pain politics opened nationwide as advocates for death with dignity insisted that end-of-life pain warranted full relief, while the religious right mobilized around fetal pain. The book ends with the 2003 OxyContin arrest of conservative talk show host Rush Limbaugh, a cautionary tale about deregulation and the widening gaps between the overmedicated and the undertreated.
Neurobiological Studies of Addiction in Chronic Pain States
Using rodent models, this volume explores the basic neurobiology of the relationship among chronic pain, opioid pharmacology, and addiction.
Suffering and Sentiment
Suffering and Sentimentexamines the cultural and personal experiences of chronic and acute pain sufferers in a richly described account of everyday beliefs, values, and practices on the island of Yap (Waqab), Federated States of Micronesia. C. Jason Throop provides a vivid sense of Yapese life as he explores the local systems of knowledge, morality, and practice that pertain to experiencing and expressing pain. In so doing, Throop investigates the ways in which sensory experiences like pain can be given meaningful coherence in the context of an individual's culturally constituted existence. In addition to examining the extent to which local understandings of pain's characteristics are personalized by individual sufferers, the book sheds important new light on how pain is implicated in the fashioning of particular Yapese understandings of ethical subjectivity and right action.
Chronic pain management
Chronic pain is a silent epidemic — it is estimated to affect 20-30% of the population. A good understanding of the disease, diagnosis and management are imperative in providing patient-centred care. A broad range of practitioners will frequently encounter patients with chronic pain. This book covers important topics in chronic pain relevant to many clinicians including, but not limited to, anaesthetists, intensive care professionals, surgical and nursing staff, junior doctors, operating department practitioners, general practitioners and medical students. It makes essential reading for healthcare workers and is also an invaluable first reference for physiotherapists, healthcare managers, psychologists and researchers with a need for an overview of the key aspects of this topic. This book will not only be an invaluable resource for trainee anaesthetists but also for practising anaesthetists with an interest in teaching the basics of chronic pain; it is also a succinct aid for clinical practice. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool. Subjects discussed range from the comprehensive assessment of chronic pain to the multimodal management of chronic pain. It is written in a simple and consistent style that can be easily understood and applied to day-to-day clinical practice.This material will be an important tool for professional exams. It is an ideal companion for candidates who are preparing for their final exams that include the topic of chronic pain and will help to assess their preparation and guide appropriate revision. Questions on chronic pain appear in written and structured oral examinations. This book will be handy for candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), The College of Anaesthesiologists of Ireland (FCAI), the European Society of Anaesthesiology (EDAIC), the European Society of Intensive Care Medicine (EDIC), the Australian and New Zealand College of Anaesthetists (FANZCA), the National Board of Examinations of India (Dip NB), and the American and Canadian board exams, as well as other competitive exams across the globe. Candidates appearing for advanced pain examinations will find this book useful to refresh their knowledge on pain medicine. The authors are consultants in pain medicine with clinical and teaching experience in university hospitals across the UK. They regularly conduct successful pain education courses which consistently attract good feedback. They conduct regular final FRCA and FFPMRCA exam courses attended by candidates from all over the country.
Trends in opioid prescribing for adolescents and young adults in ambulatory care settings
In this analysis of nationally representative ambulatory care visits, we define trends and practices in opioid prescribing for adolescents and young adults.