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1

Pölkki, Tarja. Postoperative pain management in hospitalized children: Focus on non-pharmacological pain relieving methods from the viewpoints of nurses, parents and children. Kuopion yliopisto, 2002.

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2

Mandeville, Anna L. Non-pharmacological methods of acute pain management. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199234721.003.0003.

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Psychological factors are a key part of pain perception as articulated in the neuromatrix model of pain. Psychoeducational interventions are of significant value in acute pain management and have reduced pain severity, distress, and length of hospital stay. Mood, beliefs about pain and illness, previous experience of pain, and the behaviour of health care professionals all influence pain perception and response to pain. Helping patients reappraise the threat value of pain through tailored information giving and where needed cognitive behavioural interventions are practical strategies. Attentio
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3

Przekop, Peter. Professionally Directed Non-Pharmacological Management of Chronic Pain (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0016.

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This chapter is a complement to Chapter 15, concentrating on the non-pharmacological approaches to chronic pain. It features a discussion on the utility of mind-body therapies, psychosocial treatments, and technology-based therapies in the context of recovery through 12-Step programs and other mutual support groups. Such settings are commonly poorly receptive to medication management of either pain or addiction; the availability of other approaches can bridge the gap, leading to effective management of both. The therapies discussed include “movement” therapies, such as internal qi gong, tai ch
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4

Colameco, Stephen. Self-Directed Non-Pharmacological Management of Chronic Pain (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0017.

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This chapter supplements Chapter 16 by emphasizing non-medication pain management techniques that have no need of a facilitator or intercessor beyond education and initiation. The successful management of chronic pain most often requires comprehensive approaches that include self-care and psychological, functional-restorative, and alternative-integrative approaches to complement medical treatments. Many patients with chronic pain lack access to integrated multidisciplinary care; under these circumstances, patient education and pain self-management may play a critical role in recovery, especial
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5

Passalent, Laura, and Salih Ozgocmen. Non-pharmacological management in axial spondyloarthritis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198734444.003.0019.

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The ASAS/EULAR panel recommends a multidisciplinary and patient-centred approach that includes a combination of pharmacological and non-pharmacological treatment modalities. These updated recommendations describe a number of non-pharmacological interventions as the cornerstone of treatment in patients with ankylosing spondylitis (AS). The aims of such treatment are to: (1) reduce pain and discomfort; (2) maintain or improve muscle strength, endurance, flexibility, mobility, balance, physical fitness, and social participation; and (3) prevent spinal abnormalities, joint contractures, and deform
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6

McClune, Grace, and David Hill. Non-pharmacological methods of pain relief and systemic analgesia in labour. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0013.

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Pain in labour is an issue common to women the world over. Healthcare professionals have an important role in helping women to understand this pain and to make informed choices regarding its management. Pain relief for labour comes in many forms. This chapter explores the theory behind labour pain and then discusses the use of non-pharmacological methods of pain relief (complementary therapies) or systemic analgesia in labour. The non-pharmacological methods described include those that aim to reduce painful stimuli and those that modulate pain sensation by the activation of peripheral sensory
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7

Weaver, Michael F. Non-Pharmacological Therapies for Substance Use Disorders (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0020.

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In conjunction with chapters 16 and 17, which described non-pharmacological approaches to pain management, this chapter reviews the available non-pharmacological approaches to substance use disorders (SUD). Specific subtopics include 12-Step programs and facilitation, motivational enhancement therapy, cognitive behavioral therapy, individual and group psychotherapies, contingency management, community reinforcement, family therapy, relapse management, and the terminal consideration of all therapies, termination (what is the duration of treatment)? Each subtopic is addressed in abstract rather
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8

Davies, Andrew. Cancer-related Breakthrough Pain. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198840480.001.0001.

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This volume contains chapters detailing strategies for the assessment, management, and treatment of breakthrough pain. The use of opioids for the treatment of breakthrough pain is thoroughly explored, with material covering oral, nasal, and other routes for opioid administration. Furthermore, the book includes chapters on non-opioid pharmacological treatments, as well as non-pharmacological interventions.
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9

Prout, Jeremy, Tanya Jones, and Daniel Martin. Pain medicine. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199609956.003.0026.

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This chapter summarizes the assessment and management of acute and chronic pain for FRCA. Pain pathways and physiological consequences of pain are considered along with sites of action and the pharmacology of common analgesics. Assessment of pain for different patient groups and settings is explained. Pain management strategies, pharmacological, non-interventional and interventional techniques are described, including multidisciplinary management of chronic pain. Specific management of some common chronic pain conditions, such as trigeminal neuralgia, are discussed in more detail.
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10

Chasen, Martin, and Gordon Giddings. Management issues in chronic pain following cancer therapy. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0135.

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With improved surveillance, diagnoses, and treatment of patients with cancer, an increased life expectancy, and specifically an increased number of ‘cancer cured’ patients, is noted. However, the long-term effects of the disease and treatment have a bearing on obtaining optimal physical, psychological, and cognitive functioning for cancer survivors. Pain impacts on all dimensions of quality of life and is one of the most distressing symptoms for patients. Patients often under-recognize pain and are unsure if optimum pain control is achievable. In addition, members of the interdisciplinary team
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11

Wenham, Claire Y. J., and Philip G. Conaghan. Osteoarthritis—management. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0140.

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Osteoarthritis (OA) is a common condition which often causes pain and functional limitation, significantly impacting on a person's quality of life. A comprehensive assessment of the impact of OA should be performed before selecting therapies and treatment goals. Current recommended therapies include a combination of pharmacological and non-pharmacological therapies, which should be considered for all people with OA, regardless of anatomical site of involvement. Non-pharmacological treatments include education, muscle strengthening and aerobic exercises, weight loss if appropriate, splints and
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12

Welechew, Edward. Treatment of pain in burns patients. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199234721.003.0009.

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Pain from burns has three components: background, breakthrough, and procedural pain. Central sensitization is an important component of the ongoing pain. Early management of pain, prior to the arrival at hospital is essential. Multimodal treatment including opiates will be necessary and psychological support is key. Procedural pain is of high intensity and short duration, and will require a combination of pharmacological and non-pharmacological methods of analgesia. Central sensitization and opiate tolerance are common problems in burns patients.
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13

Muchowski, Karen. Pain and Addiction in Patients with Fibromyalgia (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0028.

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The opening passages in this discussion of the interface between fibromyalgia, a chronic pain syndrome, and addiction describe background pathophysiology. Typical patients are discussed in terms of their historic and physical findings, leading to a review of the non-pharmacological and pharmacological managements available for this syndrome. While the diagnosis of fibromyalgia is commonly mischaracterized as attention-seeking behavior or feigned helplessness, many of the behaviors seen in fibromyalgia also are present in other, more accepted chronic disorders, from diabetes to HIV disease. Pro
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14

Felquer, Laura Acosta, and Enrique R. Soriano. Approach to management and symptomatic (including non-pharmacologic) management of psoriatic arthritis. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198737582.003.0027.

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Psoriatic arthritis (PsA) is a heterogenous disease with multiple manifestations and comorbidities, and requires a collaborative management with other specialists. The major symptoms bordering patients are pain stiffness, and swelling, but fatigue, depression, embarrassment and fear are frequent and not always assessed by treating physicians. Non-steroidal anti-inflammatory drugs and local glucocorticosteroid injections remain important treatment options that should be used, although with caution, in the appropriate patient. Since the pre-biologic era, physical therapy has been part of non-pha
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15

Pickering, Gisèle. Pain in later life. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198785750.003.0040.

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The population of Europe is ageing, caused by fewer births and increased longevity. Increasingly the demand for pain assessment and treatment will change and the patients requesting help will present with more complex demands. In this chapter of European Pain Management we focus on the need for translational research, evidence-based randomized clinical trials, and non-pharmacological approaches in older persons, to assess the real-life risk/benefit ratio of recommendations in a context of multiple medication, co-morbidity, cognitive impairment, and frailty. It is essential to study the cogniti
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16

Nguyen, Christelle, and François Rannou. Addressing adverse mechanical factors. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199668847.003.0024.

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Non-pharmacological approaches are widely and consistently recommended for the management of osteoarthritis (OA). This recommendation is based on biomechanical observations and emphasizes the therapeutic interest of biomechanical interventions able to modulate adverse mechanical factors affecting the symptomatic OA joint. Therapeutic approaches include braces, orthoses, insoles, joint protection, joint-preserving surgical procedures, walking sticks, and other aids. Overall, biomechanical interventions aim to modulate joint biomechanics, in order to improve joint mechanosensitivity, decrease me
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17

Cuevas-Trisan, Ramon, ed. Painful Conditions of the Upper Limb. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190066376.001.0001.

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This volume is part of the “What Do I Do Now” Pain Management series, presenting clinical scenarios related to painful syndromes affecting the upper limb. The emphasis is on common presenting symptoms and associated conditions but the chapters expand to more complex syndromes requiring extensive diagnostic evaluation, more comprehensive approaches, and complex management strategies. Upper limb pain can be complex to evaluate and manage given the multiple potential etiologies, complex anatomical structures, and pain referral patterns. The multitude of cumulative trauma disorders and their resul
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18

Knape, Hans. The roles and responsibilities of the anaesthesiologist. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0032.

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Anaesthesia, being a relatively young medical specialty, has undergone a process of metamorphosis in the last 60 years. Modern principles of pathophysiology, technical developments, and new pharmacological principles have enhanced the potential of anaesthesia in the operating room, causing several subspecialties to develop. These subspecialties have enabled anaesthesiologists to better serve groups of patients with particular challenges and specific demands. The competences of anaesthesiologists in the pathophysiology of pain, pharmacology, and regional anaesthesia techniques enabled them to t
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19

Lambert, David G. Mechanisms and determinants of anaesthetic drug action. Edited by Michel M. R. F. Struys. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0013.

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This chapter is broken into two main sections: a general description of the principles of ligand receptor interaction and a discussion of the main groups of ‘targets’; and explanation of some common pharmacological interactions in anaesthesia, critical care, and pain management. Agonists bind to and activate receptors while antagonists bind to receptors and block the effects of agonists. Antagonists can be competitive (most common) or non-competitive/irreversible. The main classes of drug target are enzymes, carriers, ion channels, and receptors with examples of anaesthetic relevance interacti
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