Guide to Pain Management in Low-Resource Settings

Editors: Andreas Kopf, MD, and Nilesh B. Patel, PhD

Guide to Pain Management in Low-Resource Settings is intended to support health care providers in low-resource settings. Chapters were written by a multidisciplinary and multinational team of authors. Practitioners in settings with limited resources will benefit from easy-to-read information about simple and cost-effective approaches that can provide maximum effects in managing pain in their patients.

Topics range from the physiology and psychology of pain and principles of palliative care to management of patients with specific pain problems including various types of cancer, AIDS, sickle cell anemia, neuropathic pain, back pain, and visceral pain. Case reports provide illustrations of typical cases in the low-resource (often rural) setting in developing countries.

World-renowned experts provide chapters on setting up a pain management program, accessing resources for ensuring opioid availability, and setting up guidelines for local requirements. Authors with extensive clinical experience consider the integration of traditional medicines, modern pharmacotherapy (with consideration of the most cost-effective and readily available options), and techniques such as nerve blocks and radiation therapy.

 The editors would value your feedback on the Guide. Please visit www.surveymonkey.com/s/LowResourceGuide to answer a short survey!

Download This Book

As part of its educational mission, IASP has made this book freely available for educational purposes. A print version is not available, but the book (or individual chapters) may be downloaded and printed to be used or distributed as needed free of charge (not for sale).

Download Now
 

Download individual chapters by clicking on the chapter title in the Table of Contents below.

Table of Contents

Basics

1. History, Definitions, and Contemporary Viewpoints
   Wilfried Witte and Christoph Stein
2. Obstacles to Pain Management in Low-Resource Settings
   Olaitan A Soyannwo
3. Physiology of Pain
   Nilesh B. Patel
4. Psychological Factors in Chronic Pain
   Harald C. Traue, Lucia Jerg-Bretzke, Michael Pfingsten, and Vladimir Hrabal
5. Ethnocultural and Sex Influences in Pain
   Angela Mailis-Gagnon
6. Pharmacology of Analgesics (Excluding Opioids)
   Kay Brune
7. Opioids in Pain Medicine
   Michael Schäfer
8. Principles of Palliative Care
   Lukas Radbruch and Julia Downing
9. Complementary Therapies for Pain Management
   Barrie Cassileth and Jyothirmai Gubili

Physical and Psychological Patient Evaluation

10. Pain History and Pain Assessment
    Richard A. Powell, Julia Downing, Henry Ddungu, and Faith N. Mwangi-Powell
11. Physical Examination: Neurology
    Paul Kioy and Andreas Kopf
12. Physical Examination: Orthopedics
    Richard Fisher
13. Psychological Evaluation of the Patient with Chronic Pain
    Claudia Schulz-Gibbins

Management of Acute Pain

14. Pain Management after Major Surgery
    Frank Boni
15. Acute Trauma and Preoperative Pain
    O. Aisuodionoe-Shadrach
16. Pain Management in Ambulatory/Day Surgery
    Andrew Amata
17. Pharmacological Management of Pain in Obstetrics
    Katarina Jankovic

Management of Cancer Pain

18. Abdominal Cancer, Constipation, and Anorexia
    Andreas Kopf
19. Osseous Metastasis with Incident Pain
    M. Omar Tawfik
20. Lung Cancer with Plexopathy
    Rainer Sabatowski and Hans J. Gerbershagen
21. Lung Cancer with Breathing Problems
    Thomas Jehser
22. Hematologic Cancer with Nausea and Vomiting
    Justin Baker, Paul Ribeiro, and Javier Kane

Management of Neuropathic Pain

23. Painful Diabetic Neuropathy
    Gaman Mohammed
24. Management of Postherpetic Neuralgia
    Maged El-Ansary
25. Central Neuropathic Pain
    Maija Haanpää and Aki Hietaharju
26. The Management of Pain in Adults and Children Living with HIV/AIDS
    Glenda E. Gray, Fatima Laher, and Erica Lazarus

Management of Chronic Noncancer Pain

27. Chronic Nonspecific Back Pain
    Mathew O.B. Olaogun and Andreas Kopf
28. Headache
    Arnaud Fumal and Jean Schoenen
29. Rheumatic Pain
    Ferydoun Davatchi

Difficult Therapeutic Situations and Techniques

30. Dysmenorrhea, Pelvic Pain, and Endometriosis
    Susan Evans
31. Pain Management Considerations in Pregnancy and Breastfeeding
    Michael Paech
32. Pain in Sickle Cell Disease
    Paula Tanabe and Knox H. Todd
33. Complex Regional Pain Syndrome
    Andreas Schwarzer and Christoph Maier
34. Pain Management in Children
    Dilip Pawar and Lars Garten
35. Pain in Old Age and Dementia
    Andreas Kopf
36. Breakthrough Pain, the Pain Emergency, and Incident Pain
    Gona Ali and Andreas Kopf
37. Pain Management in the Intensive Care Unit
    Josephine M. Thorp and Sabu James
38. Diagnostic and Prognostic Nerve Blocks
    Steven D. Waldman
39. Post-Dural Puncture Headache
    Winfried Meissner
40. Cytoreductive Radiation Therapy
    Lutz Moser
41. The Role of Acupuncture in Pain Management
    Natalia Samoilova and Andreas Kopf

Planning and Organizing Pain Management

42. Setting up a Pain Management Program
    M.R. Rajagopal
43. Resources for Ensuring Opioid Availability
    David E. Joranson
44. Setting up Guidelines for Local Requirements
    Uriah Guevara-Lopez and Alfredo Covarrubias-Gomez

Pearls of Wisdom

45. Techniques for Commonly Used Nerve Blocks
    Corrie Avenant
46. Psychological Principles in Pain Management
    Claudia Schulz-Gibbins
47. Insights from Clinical Physiology
    Rolf-Detlef Treede
48. Herbal and Other Supplements
    Joel Gagnier
49. Profiles, Doses, and Side Effects of Drugs Used in Pain Management
    Barbara Schlisio

Appendix: Glossary
Andreas Kopf