Περιγραφή
Sickle cell disease is a group of inherited red blood cell disorders, named for the C-shaped “sickle” appearance of a patient’s red blood cells. SCD affects millions of people throughout the world and is particularly common among those whose ancestors came from Sub-Saharan Africa, Spanish-speaking regions in the Western Hemisphere, Saudi Arabia, India, and Mediterranean countries such as Turkey, Greece, and Italy. Approximately 100,000 people in the US suffer from SCD, where SCD appears in one of 365 African-American births. When the sickle-shaped cells travel through small blood vessels, they get stuck and clog the blood flow, causing pain which can be a first indicator of other serious problems such as infection, acute chest syndrome, and stroke.
Managing acute and chronic pain and understanding how pain relates to the disease and its related health problems is consequently an important but thorny concern for pain physicians, hematologists, pediatricians, and primary care clinicians. The sixth volume in the “What Do I Do Now? Pain Medicine” series, Sickle Cell Pain Management provides 26 case-based, clinically useful chapters with guidance for managing acute and chronic pain in pediatric and adult sickle cell patients.
- Part of the “What Do I Do Now” series which utilizes a case-based approach and a conversational tone
- Both an engaging collection of thought-provoking cases and a self-assessment tool
- Provides a series of case studies on managing acute and chronic pain in pediatric and adult sickle cell patients
Περιεχόμενα
1. How can I lessen the interference of my patient’s pain with their schoolwork?
2. Why is my adolescent’s pain continually getting worse?
3. How do I manage my adolescent who wants to go back to the pediatrician for pain management?
4. How do I manage my new patient who has been erratically managed with opioids?
5. Does my adult patient on de facto chronic opioid therapy need it?
6. Why is my young adult patient increasing Emergency Department visits and opioid use?
7. How do I manage my adult patient at home in a vaso-occlusive crisis?
8. How do I manage my adult patient in the Emergency Department or infusion center in a vaso-occlusive crisis?
9. How do I manage my adult patient in the hospital in a vaso-occlusive crisis?
10. How do I manage my patient in the hospital with intractable pain?
11. How do I respond when my patient complains about their pain management by others?
12. How do I manage my patient’s depression and/or anxiety?
13. How do I manage my sickle cell pain patient’s sleep problems?
14. How do I reduce my patient’s constant reliance on the Emergency Department?
15. How do I reduce my patient’s psychic trauma and social disruption?
16. What do I do when my patient with anxiety self-medicates with marijuana?
17. How do I respond when my patient comes to the clinic asking for more opioids than usual?
18. Why are chronic opioids not working for my patient’s pain?
19. How do I manage my patient on high doses of chronic opioids who continues high Emergency Department use?
20. What do I do when my patient is accused of selling their opioids?
21. How do I manage my patient on chronic opioid therapy and benzodiazepines?
22. How do I manage my patient using cannabis for pain?
23. How do I manage my patient with severe pain from acute, recurrent priapism?
24. How do I manage my patient with disabling pain in the hip and leg?
25. How do I manage my patient with a painful leg ulcer?
26. How do I manage my patients’ constant need for prior authorizations, or out of pocket medication costs?
