04365nam 22006854a 450 991082475880332120230721005901.00-19-770627-40-19-970913-01-282-54365-297866125436540-19-974946-9(CKB)2550000000010668(EBL)3053635(OCoLC)922969953(SSID)ssj0000415825(PQKBManifestationID)11264683(PQKBTitleCode)TC0000415825(PQKBWorkID)10420155(PQKB)11457016(Au-PeEL)EBL3053635(CaPaEBR)ebr10375129(CaONFJC)MIL254365(Au-PeEL)EBL2012713(OCoLC)958508988(MiAaPQ)EBC3053635(EXLCZ)99255000000001066820070928d2008 uy 0engur|n|---|||||txtccrThe diagnosis and treatment of breakthrough pain[electronic resource] /Perry G. Fine ; with contributions by Andrew N. Davies, Scott M. FishmanOxford ;New York Oxford University Press20081 online resource (139 p.)Oxford American pain libraryDescription based upon print version of record.0-19-536904-1 0-19-536903-3 Includes bibliographical references and index.Incidence, prevalence, and characteristics -- Clinical features -- Assessment -- Principles of management -- Oral opioid analgesics -- Oral transmucosal opioid analgesics -- Opioid analgesics via other routes -- Nonopioid pharmacotherapy -- Nonpharmacologic interventions -- Risk assessment and management in long-term opioid therapy.Breakthrough pain (BTP) is episodic pain that emerges through the treatment of otherwise well-managed chronic background pain. Often called pain flare or transient pain, BTP negatively affects the function and quality of life of the patient and often results in a number of other physical, psychological and social problems. Breakthrough pain is a common occurrence affecting approximately two-thirds of the estimated 50 to 100 million chronic pain sufferers in the US. It can have multiple causes with various pathophysiologies, and can present with numerous clinical features and complications. The clinical features vary from individual to individual, and may vary within an individual over time. The successful management of breakthrough pain depends on proper assessment, treatment, and reassessment. Inadequate assessment can lead to ineffective or inappropriate treatment. Similarly, inadequate reassessment may lead to continuance of ineffective or even harmful treatment. In recent years, the need to educate physicians about pain management has been garnering increased attention from prominent medical associations and the media. Despite ongoing efforts to improve pain treatment, however, the need persists for evidence-based educational materials for physicians in the area of pain diagnosis and management. Part of the Oxford American Pain Library, this highly practical guide covers current approaches and new developments in the assessment and management of Breakthrough Pain, including both cancer-related pain and non-cancer chronic pain. It addresses the roles of opioid and non-opioid pharmacotherapy and presents non-pharmacologic interventions, as well. This concise yet comprehensive reference on Breakthrough Pain is ideal for palliative care doctors, anesthesiologists, pain medicine specialists and oncologists, as well as for primary care physiciansand internists on the frontlines of care.Oxford American pain library.PainDiagnosisHandbooks, manuals, etcPainTreatmentHandbooks, manuals, etcPainDiagnosisPainTreatment616/.0472Fine P. G(Perry G.)1190911Davies Andrew1963-1694212Fishman Scott1959-1636644MiAaPQMiAaPQMiAaPQBOOK9910824758803321The diagnosis and treatment of breakthrough pain4114771UNINA