Opioid Therapy in the 21st Century 2nd Edition by Howard S Smith ISBN 0190236752 9780190236755

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ISBN 10: 0190236752 
ISBN 13: 9780190236755
Author: Howard S Smith

Over the last thirty years, the concern of Pain Medicine practitioners about the potential for their patients to develop a dependence on opioids has left opioid therapy as a largely underutilized treatment. While there is no simple answer to chronic pain, opioids remain the only class of drugs capable of providing relief to patients experiencing serious pain. Opioid Therapy in the 21st Century, Second Edition fills a dearth of clinical knowledge about analgesics to aid practitioners in weighing the risks versus the benefits of opioid therapy for their chronic pain patients. This second edition provides updated information on recently approved opioids as well as approved indications for older opioids and clinical trials.Part of the Oxford American Pain Library, this concise guide serves as a practical, accessible reference for physicians across the range of primary care and medical specialties. It includes an overview of appropriate clinical applications of opioids, covering such topics as opioid pharmacology, route selection, and individualization of therapy, as well as strategies for managing and mitigating the risk of abuse, addiction, and diversion. There are also special sections dedicated to the unique needs of pediatric, geriatric, and palliative care patient populations.

Opioid Therapy in the 21st Century 2nd Table of contents:

1 Introduction to Opioids
2 Overview of Opioid-Related Terminology
3 Diagnosis and Assessment of Pain
4 Opioid Pharmacology
5 Optimizing Pharmacologic Outcomes
5a.Optimizing Pharmacologic Outcomes: Drug Selection
5b. Optimizing Pharmacologic Outcomes: Route Selection
5c. Optimizing Pharmacologic Outcomes: Assessing and Managing Opioid Side Effects
5d. Optimizing Pharmacologic Outcomes: Opioid-Induced Hyperalgesia
5e. Optimizing Pharmacologic Outcomes: Principles of Opioid Rotation
5f. Optimizing Pharmacologic Outcomes: Individualization of Therapy
6 Opioid Therapy for Cancer Pain
7 Evidence for the Use of Long-Term Opioid Therapy in Persistent Noncancer Pain
8 Pre-Opioid Prescribing Period
9 Identifying Patients at Risk for Pain Medication Misuse
10 Potential Documentation Tools in Long-Term Opioid Therapy
11 Managing the Risk of Abuse, Addiction, and Diversion
12 Special Populations
12a. Special Populations: Pediatric
12b. Special Populations: Geriatric
12c. Special Populations: Palliative care
13 Patients with a History of Substance Abuse
14 Resources
Appendix 1. Sample AAPM Consent for Chronic Opioid Therapy
Appendix 2. Sample AAPM Agreement for Long-Term Controlled Substance Therapy for Chronic Pain
Appendix 3. Numerical Opioid Side Effect (NOSE) Assessment Tool
Appendix 4. Translational Analgesia Score (TAS)
Appendix 5. Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain: Op

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Howard S Smith,Opioid Therapy