Pain Management and the Opioid Epidemic
Pain Management and the Opioid Epidemic

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-09-28

Total Pages: 483

ISBN-13: 0309459575

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Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Walk with Ease
Walk with Ease

Author: Arthritis Foundation

Publisher:

Published: 2002

Total Pages: 162

ISBN-13: 9780912423340

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A basic easy guide to creating your own walking fitness plan, including how to get started and stay motivated.

Integrative Medicine in Veterinary Practice
Integrative Medicine in Veterinary Practice

Author: Lisa P. McFaddin

Publisher: John Wiley & Sons

Published: 2024-04-02

Total Pages: 917

ISBN-13: 1119879566

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Integrative Medicine in Veterinary Practice Enables the entire veterinary team to seamlessly incorporate integrative medicine into everyday practice Integrative Medicine in Veterinary Practice is a unique resource designed to introduce the basic concepts of ten different integrative modalities to all members of the hospital team to establish a baseline of knowledge: explaining how patients will benefit from their use, discussing return on investment, informing veterinarians of available courses and suggested reading materials, walking managers through staff training, and providing client education materials. Supplemental web-based documents and presentations increase the ease with which staff are trained and clients are educated. Integrative medicine is not an all-or-nothing concept. This umbrella term encompasses a wide spectrum of treatment modalities. Therapies can be used individually or in combination, as part of a multimodal approach, and applied easily to every patient or used in select cases. Sample topics covered in Integrative Medicine in Veterinary Practice include: Photobiomodulation, covering light, laser specifics, mechanisms of action, supplies and equipment, and techniques Veterinary Spinal Manipulation Therapy (VSMT), covering pain in veterinary patients, mechanisms of action, adjustment vs. manipulation vs. mobilization, techniques, and post-adjustment recommendations Acupuncture, covering acupuncture point selection using traditional Chinese veterinary medicine (TCVM) and Western medicine techniques, mechanisms of action, safety, and practical applications. Chinese Herbal Medicine (CHM), covering TCVM fundamentals as it applies to herbal classification and selection, herb production, safety, and formulation, and CHM applications. Integrative Medicine in Veterinary Practice is a valuable resource for all veterinary hospital team members, from customer service representatives to veterinary assistants/technicians, practice managers, and veterinarians. The text is also helpful to veterinary students interested in integrative medicine, or those taking introductory integrative medicine courses.

Relieving Pain in America
Relieving Pain in America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-10-26

Total Pages: 383

ISBN-13: 030921484X

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Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

Complementary and Alternative Medicine in the United States
Complementary and Alternative Medicine in the United States

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2005-04-13

Total Pages: 360

ISBN-13: 0309133424

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Integration of complementary and alternative medicine therapies (CAM) with conventional medicine is occurring in hospitals and physicians offices, health maintenance organizations (HMOs) are covering CAM therapies, insurance coverage for CAM is increasing, and integrative medicine centers and clinics are being established, many with close ties to medical schools and teaching hospitals. In determining what care to provide, the goal should be comprehensive care that uses the best scientific evidence available regarding benefits and harm, encourages a focus on healing, recognizes the importance of compassion and caring, emphasizes the centrality of relationship-based care, encourages patients to share in decision making about therapeutic options, and promotes choices in care that can include complementary therapies where appropriate. Numerous approaches to delivering integrative medicine have evolved. Complementary and Alternative Medicine in the United States identifies an urgent need for health systems research that focuses on identifying the elements of these models, the outcomes of care delivered in these models, and whether these models are cost-effective when compared to conventional practice settings. It outlines areas of research in convention and CAM therapies, ways of integrating these therapies, development of curriculum that provides further education to health professionals, and an amendment of the Dietary Supplement Health and Education Act to improve quality, accurate labeling, research into use of supplements, incentives for privately funded research into their efficacy, and consumer protection against all potential hazards.