Preoperative Optimization of the Chronic Pain Patient
Enhanced Recovery Before Surgery
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Estimated delivery time: In stock at the publisher, but not at Prospero's office. Delivery time approx. 3-5 weeks.
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Product details:
- Publisher OUP USA
- Date of Publication 10 October 2019
- ISBN 9780190920142
- Binding Paperback
- No. of pages286 pages
- Size 157x236x27 mm
- Weight 567 g
- Language English 0
Categories
Short description:
Preoperative Optimization of the Chronic Pain Patient is a groundbreaking collaborative effort written by medical and psychological experts in the field of pain management with a specific interest in the perioperative arena. This book provides the framework for an evidence-based synthesis of counseling and intervention for preoperative optimization of chronic pain patients.
MoreLong description:
The literature increasingly supports the position that elective surgery on poorly prepared chronic pain patients is not smart and ultimately in no-one's best interest. Just as patients with ischemic heart disease, obstructive lung disease, or diabetes can and need to be optimized prior to surgery, so too should chronic pain patients. The complex dynamics of chronic pain require a priori intervention - targeting enhanced recovery before surgery.
Preoperative Optimization of the Chronic Pain Patient is a groundbreaking collaborative effort written by medical and psychological experts in the field of pain management with a specific interest in the perioperative arena. The modern emphasis on biopsychosocial-spiritual care is as important here as anywhere in medicine as comprehensive mind-body preparation is essential to optimize outcomes. That preparation entails replacing toxic thoughts (e.g., anxiety and pain catastrophizing) and behaviors (e.g., tobacco and opioid dependence; poor sleep, nutrition and exercise patterns) with beneficial ones. Such replacement of maladaptive cognitive-behavioral patterns requires the enhancement of patients' motivation and the cultivation of healthy habits.
This book provides the framework for an evidence-based synthesis of counseling and intervention for preoperative optimization of chronic pain patients. Clinicians will learn to improve health and economic outcomes affecting their patient, health care team, and institution; to identify and target relevant issues, utilizing a holistic yet focused approach to optimization; and to collaborate with the patient and requisite multidisciplinary care team in a streamlined, efficient, and effective manner.
I would recommend this book to all anesthesiologists (and surgeons), and it should become essential reading for all trainees in anesthesia, surgery, and pain medicine.
Table of Contents:
1. Scope of the Problem: Complications and Costs of Perioperative Chronic Pain
2. Rationale and Process Overview for Preoperative Optimization of Chronic Pain
3. The Primacy of Motivation in Preoperative Optimization
4. The Pragmatism of Habit in Preoperative Optimization
5. Pain Catastrophizing and Anxiety
6. Sleep Optimization
7. Preoperative Physical Conditioning
8. Preoperative Nutritional Management
9. Preoperative Management of Tobacco
10. Preoperative Management of Chronic Opioid Therapy
11. Putting It All Together
