Description
Pain is ubiquitous to human experience. When pain becomes chronically persistent after acute injuries are repaired or as diseases progress, health systems are challenged to reduce pain's negative impact on an individual patient's life trajectory and chronic pain's collective impact on public health. Pain Management in Vulnerable Populations presents a diverse set of chapters that examine this challenge through the lens of vulnerability. There are special considerations for patients who are considered pain-vulnerable with respect to assessment and treatment and the variability of their access to good care. Medicine's practices, while increasingly being guided by evidence-based algorithms from large data, are also becoming more personalized and tailored to individual patient needs. Each vulnerable group demands a unique approach - this book reveals the details behind the history, examination, and therapeutic options for vulnerable patients in pain.Individual chapters explore conceptual models of vulnerability to pain across the lifespan, beginning in infancy, and in specific clinical populations defined by age, gender, sexual orientation, clinical condition, and healthcare setting. Topics examined range from genomics to sociomedical contexts affecting care such as medical ethics, racial disparities, adverse childhood experiences, disability and workers' compensation, incarceration, torture, military, youth sport, and LGBTQ identity. Challenges to the management of the trajectory of pain are considered in settings ranging from emergency room, palliative and end-of-life care, and nursing homes, prisons, the battlefield, and developing nations. Chapters on illnesses such as sickle cell disease, substance use and mental illness, dental disease, obesity, suicide, HIV, COVID-19, and GI disease discuss personalized treatment plans for each patient's unique needs.Pain Management in Vulnerable Populations serves as an invaluable resource for pain physicians and will also appeal to primary care physicians as pain is one of the most frequently stated reasons for seeing a primary care physician.
Table of Contents
Section 1: What is a Vulnerable Patient?Chapter 1: Model of Pain in Vulnerable Populations. What is a Vulnerable Chronic Pain Patient? Social Determinants of HealthChapter 2: Ethical Considerations in the Context of the Biopsychosocial ModelChapter 3: Pain Genomics-Defining the Vulnerable PatientSection 2: The Vulnerable Patient: Pain Throughout the LifespanChapter 4: The Vulnerable Patient: Pain Throughout the LifespanChapter 5: Pain in Infants and ChildrenChapter 6: Pain in Older AdultsChapter 7: Pain in WomenChapter 8: Pain in LGBTQChapter 9: Pain in the Disabled (and in Worker's Compensation)Chapter 10: Pain in Patients with Cognitive Impairment (Dementia, Brain Injury, and Developmental Delay)Chapter 11: Pain among Military PersonnelChapter 12: Pain at the End-of-LifeSection 3: The Vulnerable Patient: Social Determinants of PainChapter 13: Pain and Adverse Childhood ExperiencesChapter 14: Racial Disparities and Pain- Black, Native American, LatinoChapter 15: Pain in Patients living in Congregant Settings (Nursing Home, Incarceration, Migrant and Border Settings)Chapter 16: Pain and Torture: War's Civilian Survivors and RefugeesChapter 17: Pain in Extreme Situations: The Battlefield and DisastersChapter 18: Pain in Developing NationsSection 4: The Vulnerable Patient: Pain Related to Substance Use, Mental Health, and SuicideChapter 19: Pain in Patients with Substance Use DisordersChapter 20: Pain and Mental Health (Depression and Anxiety Disorders)Chapter 21: Pain and SuicideChapter 22: Pain in the Seriously Mentally IllSection 5: The Vulnerable Patient: Pain Related to Medical ConditionsChapter 23: Cancer PainChapter 24: Pain in Sickle Cell DiseaseChapter 25: Pain in Chronic GI Disease: Irritable Bowel and Regional EnteritisChapter 26: Pain in Patients with HIVChapter 27: Pain Related to Thoracic Outlet SyndromeChapter 28: Pain Related to ObesityChapter 29: Pain and Covid-19Section 6: The Vulnerable Patient: Management of Pain in Special CircumstancesChapter 30: Pain and Youth SportsChapter 31: Managing Pain in Patients on Long Term Opioids (Surgery and Outpatient)Chapter 32: Risk of Chronic Pain during Acute, ICU, and Postsurgical PainChapter 33: Pain in ER patientsChapter 34: Facial and Dental Pain
