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This title is directed primarily towards health care professionals outside of the United States. It deals specifically with the management of potentially chronic l pain, how to assess patients with pain, the factors involved in the development of chronic pain and the setting up and running of a pain management programme. The main focus is on musculoskeletal and fibromyalgic type pain. Cancer pain is not addressed. The authors address not only what is recommended in the management of pain but also whether and why it is done, thereby covering not only the content of interdisciplinary pain management but also the processes involved.
• Provides extensive background material and covers broad issues which other books lack
• Focuses on not only what is done with the management of pain but whether and why it is done
• Includes the nuts and bolts of setting up and running a pain management programme
• Addresses the application of pain management programmes in a wide range of fields
• Has a multidisciplinary approach and therefore appeals to a multidisciplinary market
• Two new co-authors: Kay Greasley and Bengt Sjolund.
• Major restructuring of chapters and rewriting of content with new authors for many of them.
• Greatly increased discussion of biopsychosocial management in individual clinical practice.
• Addresses the needs of the individual practitioners as well as those working in specialised pain management units.
• Includes more on primary care and secondary pain prevention.
• Expanded discussion of the clinical-occupational interfaces.
• Particular emphasis on the identification and targeting of modifiable risk factors for chronic pain and prolonged disability.
• The following topics stregthened throughout: communication, the nature of groups, medication and iatrogenics.
• Potential of an evidence-based biopsychosocial approach to pain management highlighted.
Foreword Michael Bond vii
Foreword Chris C Spanswick ix
Section 1 Models and mechanisms
Chapter 1 Models of pain and disability 3
Chapter 2 Psychological mechanisms 29
Chapter 3 The psychological impact of pain and disability 57
Chapter 4 Cultural and social influences on pain and disability 73
Chapter 5 Risk identification and screening 97
Appendix 5.1 Modified Somatic Perception Questionnaire
Appendix 5.2 Modified Zung Depression Index
Appendix 5.3 Örebro Screening Questionnaire for Pain: Content
Appendix 5.4 Örebro Screening Questionnaire for Pain: Layout and Scoring
Section 2 Assessment
Chapter 6 Bengt H Sjölund 135
Biomedical and pain assessment in secondary-and tertiary-care settings
Appendix 6.1 Nomenclature of pain terms
Chapter 7 The assessment of pain and function 145
Appendix 7.1 A brief review based on the observations of Price and Harkins
Chapter 8 Psychological assessment 169
Appendix 8.1 The assessment of psychiatric disorder
Section 3 Psychosocial interventions
Chapter 9 The nature of psychosocial interventions 197
Chapter 10 Intervention models and techniques 219
Section 4 Tertiary pain management programmes
Chapter 11 Tertiary pain management programmes 241
Part 1 Introduction
Appendix 11.1.1 Key criteria for pain management programmes and related pain treatment services
Part 2 Setting the scene: introduction to the PMP
Part 3 Medical component
Part 4 Physiotherapy component
Appendix 11.4.1 Goal-setting charts and exercise programme for Mr B.
Part 5 Psychological component
Part 6 The nature of therapeutic groups
Part 7 Maintenance and management of flare-ups
Part 8 Conclusions
Appendix 11.8.1 Record of achievements, plans and barriers
Section 5 Occupational perspectives
Chapter 12 Economic and medicolegal influences on pain and disability 323
Chapter 13 Psychological perspectives on work 343
Chapter 14 Pain and work: individually focused interventions 355
Chapter 15 With Kay Greasley 369
Pain and work: organisational perspectives
Section 6 Conclusions
Chapter 16 Conclusions 395