商品描述
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.
商品描述(中文翻譯)
疼痛是人類經驗中無處不在的現象。當疼痛在急性傷害修復後或疾病進展中變得持續性慢性時，健康系統面臨著減少疼痛對個別患者生活軌跡的負面影響以及慢性疼痛對公共健康的集體影響的挑戰。《脆弱族群的疼痛管理》呈現了一系列多樣的章節，通過脆弱性的視角來探討這一挑戰。對於被認為在疼痛方面脆弱的患者，在評估和治療以及他們獲得良好護理的可及性方面有特殊考量。醫學實踐雖然越來越多地受到大型數據的循證算法指導，但也變得更加個性化，並根據個別患者的需求量身定制。每個脆弱群體都需要獨特的方法——本書揭示了脆弱患者在疼痛方面的歷史、檢查和治療選擇的細節。
各章節探討了整個生命週期中對疼痛的脆弱性概念模型，從嬰兒期開始，並在特定的臨床族群中進行定義，這些族群根據年齡、性別、性取向、臨床狀況和醫療環境進行劃分。所探討的主題範圍從基因組學到影響護理的社會醫學背景，如醫學倫理、種族差異、不良童年經歷、殘疾和工人賠償、監禁、酷刑、軍事、青少年運動和LGBTQ身份。對於疼痛管理的挑戰在急診室、緩和醫療和臨終關懷、護理之家、監獄、戰場和發展中國家等環境中進行考量。關於如鐮刀型細胞病、物質使用和心理疾病、牙科疾病、肥胖、自殺、HIV、COVID-19和腸胃疾病等疾病的章節，討論了針對每位患者獨特需求的個性化治療計劃。
《脆弱族群的疼痛管理》是疼痛醫師的重要資源，對於初級保健醫師也具有吸引力，因為疼痛是患者尋求初級保健醫師的最常見原因之一。
作者簡介
Dr. Christo is an Associate Professor in the Division of Pain Medicine at the Johns Hopkins University School of Medicine where he directed the Multidisciplinary Pain Fellowship Training Program, and the Blaustein Pain Treatment Center. He lectures internationally, serves on journal editorial boards, teaches, co-edited 4 textbooks on pain, and has published over 100 articles and book chapters. He is the author of "Aches and Gains" A Comprehensive Guide to Overcoming Your Pain, hosts "Aches and Gains" an award-winning, national SIRIUS XM radio talk show on overcoming pain, and is a frequent media contributor on pain and addiction.
Dr. Gallagher's early academic career (family medicine, psychiatry/behavioral medicine, education deanship, epidemiology) informed decades of research, teaching, clinical care and policy work while developing academic pain programs (Vermont, Stony Brook, Drexel, Penn, VA/DOD) focused on studying clinical trajectories of painful conditions and their biopsychosocial team management, documented in government reports, books, over 200 publications, Editor-in-Chief of Pain Medicine(2000-2020), ACGME Pain Fellowship Committee and AAPM Board(1997-2023[President 2009]). Recent positions: National Director, Pain Management, Veterans Administration; Co-Chair Pain Workgroup, VA/DoD HEC(2010-16); Clinical Professor, Psychiatry/Anesthesiology and Director, Pain Policy Research/Primary Care, UPenn (2004-2018); Co-chair, NIH-IPRCC Education/training Committee(2013-14); Chair, Subcommittee 1, HHS Pain Task Force (2018-19).
Dr. Katzman is a neurologist and Professor at the University of New Mexico (UNM). She is Director of the UNM Pain Center and Project ECHO's Public Health programs. In 2008, Dr. Katzman created the Pain and Opioid Management ECHO, which has been replicated by the DoD, the VA, the Indian Health Service, over 145 medical centers, and over 20 countries. She is currently working with the US Centers for Disease Control- Opioid Rapid Response Program. Dr. Katzman's clinical research focuses on the public health benefits of take-home naloxone at both the UNM Pain Center and Addiction and Substance Use Clinic.
Dr. Williams is an Associate Professor of Anesthesiology and Pain Medicine and Vice Chair for System Integration and Population Health in the Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine. He also holds a joint appointment as Associate Professor at the Johns Hopkins Carey Business School. He has authored and co-authored over 50 publications in his area of research interest, including neuropathic pain, neuromodulation, and healthcare operations management. He serves on the National Institutes of Health (NIH) Neurobiology of Pain and Itch study section, and as President of the American Academy of Pain Medicine 2022-2023.
作者簡介(中文翻譯)
克里斯托博士是約翰霍普金斯大學醫學院疼痛醫學部的副教授，曾負責多學科疼痛研究獎學金訓練計畫及布勞斯坦疼痛治療中心。他在國際上講授課程，擔任期刊編輯委員會成員，教授課程，並共同編輯了四本有關疼痛的教科書，發表了超過100篇文章和書籍章節。他是《Aches and Gains: A Comprehensive Guide to Overcoming Your Pain》的作者，主持名為《Aches and Gains》的全國性SIRIUS XM廣播節目，該節目獲獎，專注於克服疼痛，並且經常為媒體提供有關疼痛和成癮的專業意見。
蓋拉赫博士的早期學術生涯（家庭醫學、精神醫學/行為醫學、教育院長、流行病學）為他數十年的研究、教學、臨床護理和政策工作提供了基礎，同時發展了學術疼痛計畫（佛蒙特州、石溪大學、德雷克塞大學、賓夕法尼亞大學、退伍軍人事務部/國防部），專注於研究疼痛狀況的臨床軌跡及其生物心理社會團隊管理，這些成果已在政府報告、書籍及超過200篇出版物中記錄。他曾擔任《Pain Medicine》的主編（2000-2020），並參與ACGME疼痛獎學金委員會及AAPM董事會（1997-2023，2009年擔任會長）。最近的職位包括：退伍軍人事務部疼痛管理全國主任；VA/DoD HEC疼痛工作組共同主席（2010-2016）；賓夕法尼亞大學精神醫學/麻醉學臨床教授及疼痛政策研究/初級護理主任（2004-2018）；NIH-IPRCC教育/訓練委員會共同主席（2013-2014）；HHS疼痛工作小組第1小組主席（2018-2019）。
卡茲曼博士是新墨西哥大學（UNM）的神經科醫生及教授。她是UNM疼痛中心及ECHO公共衛生計畫的主任。2008年，卡茲曼博士創建了疼痛與鴉片類藥物管理ECHO，該計畫已被國防部、退伍軍人事務部、印第安健康服務、超過145家醫療中心及20多個國家複製。她目前正與美國疾病控制與預防中心的鴉片類藥物快速反應計畫合作。卡茲曼博士的臨床研究專注於在UNM疼痛中心及成癮與物質使用診所中，家庭用納洛酮的公共衛生效益。
威廉斯博士是約翰霍普金斯醫學院麻醉學及疼痛醫學的副教授，並擔任麻醉學及重症護理醫學系系統整合與人口健康的副主任。他還在約翰霍普金斯凱瑞商學院擔任副教授。他在神經病理性疼痛、神經調節及醫療運營管理等研究領域發表及共同發表了超過50篇出版物。他是美國國立衛生研究院（NIH）疼痛與癢的神經生物學研究小組成員，並於2022-2023年擔任美國疼痛醫學學會會長。
