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This clinical guideline has been created to consistently improve health care services for injured workers by outlining the appropriate evaluation and treatment processes for the management of chronic pain which has been determined to be work related. The guideline should be used as a tool to guide health care providers of different professional disciplines to provide quality care to injured workers. The guideline is not intended to be a substitute for appropriate medical judgment, and is written to be broad enough to allow for a wide range of diagnostic and treatment modalities, and to purposely allow for philosophical and practice differences among professional disciplines of health care practitioners who provide care to injured workers with chronic pain. It is expected that approximately 10% of cases may fall outside of this guideline and may be reviewed and approved on a case by case basis. If objective clinical improvement is delayed or slower than expected, the treating provider must justify the necessity of continued care with a valid clinical rationale, with supporting, objective clinical findings. Timeframes for specific interventions commence once treatments have been initiated, not on the date of injury.

Specifically designed to address the needs of all specialists involved in the care of chronic pain patients, this source clarifies the ethical and legal issues associated with the diagnosis, assessment, and care of patients suffering from long-term pain. Divided into five comprehensive sections, this source covers a variety of topics to help the chronic pain clinician gain perspective on the interaction between ethics, the law, and the provision of medical services

This paper presents an initial analysis of the medicalization of chronic pain, focusing on the definitions and treatment of chronic pain in recent decades. We identify several factors that contributed to this medicalization including the emergence of the gate control theory of pain, medical advocates for pain treatment and speciality training, the development of multidisciplinary pain clinics, the emergence of professional pain associations, extended medical treatments, and governmental decisions and support. The increased attention to chronic pain as a discrete medical category and innovations in chronic pain treatment have contributed to the medicalization of chronic pain in ways that suggest there may be benefits to society and pain sufferers, in contrast to many other cases of medicalization.

Prescription opioids such as oxycodone and hydrocodone are highly effective for treating chronic pain, but they also have severe side effects, including significant potential for abuse. The misuse and abuse of prescription painkillers has become a serious global problem, affecting the health and economic welfare of societies worldwide. Fueling the problem of prescription opioid abuse are pill mills medical operations run by unethical or untrained physicians or pharmacists that over-prescribe narcotics or dispense them for illegal purposes. Although governments have implemented measures to crack down on prescription painkiller abuse, the problem continues to spread. This book explores the issue of chronic pain and the development of opioids. It examines the marketing and promotion of opioids by pharmaceutical companies, as well as other drivers of the opioid epidemic. It evaluates the steps taken by legislative bodies to balance the problem of chronic pain and prescription opioid abuse, and discusses how prescription opioids can be used safely. Each title in this series includes color photos throughout, and back matter including: an index and further reading lists for books and internet resources. Key Icons appear throughout the books in this series in an effort to encourage library readers to build knowledge, gain awareness, explore possibilities and expand their viewpoints through our content rich non-fiction books. Key Icons in this series are as follows: Words to Understand are shown at the front of each chapter with definitions. These words are set in boldfaced type in that chapter, so that readers are able to reference back to the definitions--building their vocabulary and enhancing their reading comprehension. Sidebars are highlighted graphics with content rich material within that allows readers to build knowledge and broaden their perspectives by weaving together additional information to provide realistic and holistic perspectives. Educational Videos are offered in chapters through the use of a QR code, that, when scanned, takes the student to an online video showing a moment in history, a speech, or an instructional video. This gives the readers additional content to supplement the text. Text-Dependent Questions are placed at the end of each chapter. They challenge the reader s comprehension of the chapter they have just read, while sending the reader back to the text for more careful attention to the evidence presented there. Research Projects a ...

This essay is a reflection on my professional norms when I do pain research, treat pain patients, and communicate with the social system. Being both a medical doctorand a clinical researcher, I daily have to combine what I see as arbitrary rationalities in my approach to pain. The reason is that pain research is often conducted within a theoretical framework that mainly understands pain as a physical or biomedical phenomenon even though a broader and more precise perspective on pain exists - and is often used when physicians treat patients. It is of interest to see how easily doctors use different concepts of pain when they conduct biomedical research with advanced equipment and standardized tools with one hand, and with the other hand talk to patients, trying to focus on their needs and helping them cope with their pain using a very broad perceptive of pain. This dilemma of acting both as a researcher and a clinical doctor is not often discussed or reflected upon by doctors. An explanation could be the focus on productivity and efficiency that rules the everyday life of most doctors as opposed to a focus on reflection, concepts, and values in pain medicine. The focus of this essay is therefore to describe,reflect, and elaborate on the differences of pain as an object of research, treatment, and decision-making. In other words, to reflect upon the ambiguous practice doctors engage in when doing pain research and treating chronic pain patients. Furthermore, this essay may contribute to our understanding of why decisions on eligibility in the social system are made without adequate documentation of patients' chronic pain conditions.

"This book is a critical disability studies examination of the lived experience of chronic pain, engaging with and making a significant contribution to crip theory and the concept of 'crip time'. Exploring experiences of pain and fatigue for people who live with chronic pain and based on narratives told through in-depth detailed interviews interwoven with theory at the cutting edge of critical disability studies, it demonstrates that our knowledge and understanding of chronic pain is incomplete without a critical disability studies approach. Through conceptualizing the concept of 'crip time' via participants' narratives of living with chronic pain, chronic fatigue, and variable disabilities, this book demonstrates how thinking about chronic pain and fatigue with 'crip time' exposes normative, ableist, assumptions underlying both how pain and the ideas of cure and recovery are understood. It will be of interest to all academics and students working in the fields of disability studies, critical disability studies, crip theory, medical sociology, sexuality, and studies of embodiment, corporeality and temporality more generally"--

Camp Pain: Talking with Chronic Pain Patients. Jean E. Jackson. Philadelphia: University of Pennsylvania Press, 2000. 281 pp.

Chronic pain has an important impact on peoples' lives and is a fundamental dimension of wellbeing. At the individual level, it is associated with a series of negative outcomes including depression, job loss, reduced quality of life, and impairment of function. At the societal level, it imposes considerable costs on the health care system and the economy. In this paper, I exploit newly available information collected in the Survey of Health, Ageing and Retirement in Europe (SHARE) to study the prevalence of chronic pain in the elderly population across Europe and investigate the extent to which chronic pain is associated with education and social exclusion.