Brook Peter - Oxford Handbook of Pain Management
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The prevalence of pain in the population is high and management may often be deficient, achieving an unsatisfactory outcome in terms of both inadequate pain relief and adverse events. Basic scientists have developed a wealth of knowledge of pain mechanisms and possible modalities that may modify these to achieve relief of pain. However, it remains frustrating that translation from laboratory experimentation to human therapy leaves many potential treatments wanting.
In part, the relative failure of putative treatments results from the complex biopsychosocial aetiology of pain, of suffering and of interpersonal response differences in humans. Thus effective clinical management of pain requires skilled assessment of each patient, often by a multidisciplinary team, good communication, evidence based knowledge and experience.
Papers reporting scientific advances and results of therapeutic trials, as well as systematic reviews, provide tools for management of pain. These tools require skilled application by a broad range of experienced practitioners to achieve optimal results for patients. An essential resource is an up to date textbook written by experienced scientists and clinicians which may also be used as a bench book. To be effective, such a volume must be broad ranging, clearly written and offer excellent indexing and bibliography. The Oxford Handbook of Pain Management provides just such a resource.
Robert W. Johnson, MD.,FRCA.,FFPMRCA.
University of Bristol, UK.
Pain remains an all too common feature of our lives and its alleviation represents a Grand challenge for healthcare practitioners. Although we have limited diagnostic tools, imperfect treatment options and flawed structures for their delivery there is much that can be achieved through multidisciplinary and holistic practices which can achieve the best outcomes in the treatment of both acute and chronic pain. This book stemmed from our mutual perception that too few people working in healthcare were privy to the broad range of approaches that were useful in the management of pain.
There will never be enough pain specialists and practitioners to meet the needs of all the patients who suffer in this way, thus for this knowledge to be effective it must be disseminated beyond centres of excellence down to the shopfloor. As we have noted, effective pain management often requires a multidisciplinary approach yet the time spent learning about pain in medical school and nursing, physiotherapy, and clinical psychology training is limited and is often limited to a narrow perspective. So it seemed appropriate that we should attempt to collect and share current knowledge about the management of pain from a broad range of viewpoints to support new clinicians, and other colleagues across the world.
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