This ultra concise guide presents a brief overview of the epidemiology, pathophysiology, and management of postherpetic neuralgia (PHN). Uniquely compact and affordable, this guide covers the use of antivirals and vacines in preventing PHN as well as treatment options once PHN occurs, including both pharmacological and non-pharmacological therapies. In addition, the book provides actual pain assessment tools such as the Short-Form McGill Questionnaire and the Zoster Brief Pain inventory, ready for practical use in the clinical setting.
Postherpetic Neuralgia (PHN) is one of the two most common neuropathic pain disorders (the other is diabetic neuropathy), which in turn is a common type of chronic pain syndrome. The prevalence of neuropathic pain in the United States has been estimated at almost 3.8 million and PHN may account for as many as one million in these cases. PHN is a chronic pain disorder associated wtih skin eruptions due to the varicella zoster virus (VZV), known as shingles or zoster, usually occurring in adults. The primary infection with the VZV, mostly in childhood, produces chicken pox (varicella). Following the initial infection, the virus remains latent in the body until it is reactivated, producing the shingles rash. Shingles is characterized by painful, grouped skin lesions, most commonly on the trunk or face. The eruption is the most distinctive feature, but frequently, the most debilitating symptom is pain. Once the acute phase and its usual rash have healed, lingering or new onset pain can occur and is referred to as postherpetic neuralgia (PHN). Although the duration of pain symptoms in PHN generally does not exceed three months, a significant proportion of patients (up to 20% of those with PHN over the age of 50, and up to 50% in those over age 70) develop chronic pain lasting more than one year. In some patients, the pain may persist indefinitely, if not properly treated. Damage from the VZV can lead to persistent severe neuralgia, facial, or other nerve paralysis, blindness or other visual impairments, and encephalitis. The impact of pain on quality of life may be severe with chronic fatigue, anorexia, weight loss, physical inactivity, insomnia, and depression. Part of the new Oxford American Pocket Notes series, this ultra concise guide presents a brief overview of the epidemiology, pathophysiology, diagnosis, and management of postherpetic neuralgia. Uniquely compact and affordable, the guide covers the use of antivirals and vaccines in preventing PHN, as well as treatment options once PHN occurs, including both pharmacological (oral, parenteral, and topical agents) and non-pharmacological therapies. In addition, the book provides actual pain assessment tools, such as the Short-Form McGill Questionnaire, and the Zoter Brief Pain Inventory, ready for practical use in the clinical setting.
This ultra concise guide presents a brief overview of the epidemiology, pathophysiology, and management of postherpetic neuralgia (PHN). Uniquely compact and affordable, this guide covers the use of antivirals and vacines in preventing PHN as well as treatment options once PHN occurs, including both pharmacological and non-pharmacological therapies. In addition, the book provides actual pain assessment tools such as the Short-Form McGill Questionnaire and the Zoster Brief Pain inventory, ready for practical use in the clinical setting.
In a compact package, the Oxford American Handbook of Ophthalmology gives quick, to-the-point guidance on diagnosis and therapy of ophthalmic disorders.
Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
Fully revised and updated throughout, the fourth edition of the Oxford Handbook of Ophthalmology now includes free access to the ophthalmic online media bank, a selection of high-quality clinical images and videos for a wide breadth of key ophthalmic diseases. Clear, concise, and practical, this handbook provides immediate access to the detailed clinical information you need, in casualty, clinic, theatre, and on the wards. The core of the book comprises a systematic synopsis of ophthalmic disease directed towards diagnosis, interim assessment, and ongoing management. Assessment boxes for common clinical conditions and algorithms for important clinical presentations illustrate this practical approach. The information is easily accessible, presented in a clear format with areas of importance highlighted. Key sections for the trainee include: Clinical Skills, Aids to Diagnosis, Investigations and their Interpretation, Perioperative Care, Theatre Notes and Therapeutics. The wider practise of eye-care is supported by expanded chapters on Refractive Ophthalmology, Vision in Context, Evidence Based Ophthalmology and Resources for Ophthalmologists. Now including newer treatments across a range of specialities such as SMILE, gene-therapy and retinal prostheses, as well as greater emphasis on the evidence underlying current clinical practice and guidelines, this handbook has never been more essential for all those working in eye-care. Whether you want to learn about patient-reported outcomes, identify a surgical instrument, interpret a statistical test, or diagnose and treat ophthalmic emergencies, you will find it here. Whatever your role in caring for patients with eye disease: ophthalmologist, optometrist, orthoptist, ophthalmic nurse, or other health profession - discover for yourself why this handbook has become the 'go-to' resource for tens of thousands of eye-care professionals around the world.
From reviews of Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: "Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches is a major textbook... [I]t should be a part of all departmental libraries and in the reference collection of pain fellows and pain practitioners. In fact, this text could be to pain as Miller is to general anesthesia." Journal of Neurosurgical Anesthesiology Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a soft cover version of the Interventional sections of the acclaimed Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. It is intended as a primary reference for busy clinicians who seek up-to-date and authoritative information about interventional approaches to treating chronic pain. State-of-the-art coverage of full range of techniques: neural blockades, neurolysis blocks, and neurostimulation Review of clinically relevant anatomy and physiology "Key Points" preview contents of each chapter
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.
Over 200 color figures and concise, readable text guide students through the steps to perform a thorough and effective clinical examination and perform basic practical skills.
