CLINCAL SUBJECTS

Principles and Practice of Pain Medicine Latest 3rd edition Ebook PDF download

Principles and Practice of Pain Medicine Latest 3rd edition Ebook PDF download

Principles and Practice  of Pain Medicine Latest 3rd edition Ebook PDF download

Principles and Practice of Pain Medicine Latest 3rd edition Ebook PDF download he alleviation of pain has been central to the humane practice of medi-
cine since its ancient beginnings. How this essential mission has been
carried out, however, has evolved exponentially with time, driven by the
expansion of medical knowledge, the invention of new treatments, and
ongoing changes in the practice of medicine itself. Today, this evolution
is unfolding in the United States against the backdrop of radical changes
in the way in which healthcare is practiced and financed.
The rapid pace of change in the knowledge and care of pain has moti-
vated this revised and expanded third edition of Principles and Practice
of Pain Medicine. Since the previous edition was published in 2004, new
treatments and treatment modalities have been created; a major para-
digm shift has occurred in the use of opioid analgesics; and substantial
progress has been made in how pain is studied, taught, and treated.
What has not changed is the demand for pain relief. If anything, the
tide of patients in pain has swelled: the Institute of Medicine (IOM)
reported in 2011 that about 100 million American adults suffer from
chronic pain, more than those suffering from diabetes, heart disease,
and cancer combined.1
The annual direct and indirect cost is estimated to exceed $600 billion annually;1and these estimates do not include the burdens of acute pain, pain in pediatric populations, cancer-related
pain, or pain at the end of life. Opioid analgesics, which have been
widely deployed in the past decade against this onslaught of chronic
pain, continue to be associated with efficacy data that is weak to inad-
equate. In addition, these agents have proven to pose substantial risks
and to require greater caution than was widely recognized prior to
publication of the second edition. Since then, data have convincingly
shown a trend toward the excessive prescribing of opioids, as well as the
dramatic scope of the U.S. epidemic of prescription drug abuse, which
only recently has shown signs of easing.2
Viewing the IOM findings of high prevalence and costs of pain, in
the light of both the epidemic of prescription opioid abuse and the fact
that the U.S. presently consumes the vast majority of the world supply
of prescription opioids, strongly suggests that many patients are being
inadequately treated for their pain. It has become clear that inadequate
treatment may result from too much as well as too little treatment.

Principles and Practice of Pain Medicine Latest 3rd edition Ebook PDF download We are reminded that the enthusiasm for the benefits of analgesic therapies
must be tempered by a clear-eyed appreciation for their risks. This is
just one of the important attitudinal shifts that have been reflected in the
revisions of this third edition—shifts that may also apply to procedural
and psychosocial options for pain management.

Principles and Practice of Pain Medicine Latest 3rd edition Ebook PDF download

Tags
Show More
Close