Pain Management in Vulnerable Populations [Paperback]

Pain Management in Vulnerable Populationsaddresses the clinical problem of pain in vulnerable populations in our society. Their vulnerability is related to the challenging nature of their clinical conditions, for which standard therapies are often ineffective, or social factors, structural to the nation's health system, that limit access to the personalized, multidisciplinary specialty and integrative care that is needed. Each vulnerable group demands a unique approach - this book reveals the details behind the history, examination, and therapeutic options.to remediate vulnerability and achieve quality care in these populations.Pain is ubiquitous to human experience. When pain becomes chronically persistent after acute injuries are repaired or as diseases progress, health systems are challenged to reduce pain's negative impact on an individual patient's life trajectory and chronic pain's collective impact on public health.Pain Management in Vulnerable Populationspresents a diverse set of chapters that examine this challenge through the lens of vulnerability. There are special considerations for patients who are considered pain-vulnerable with respect to assessment and treatment and the variability of their access to good care. Medicine's practices, while increasingly being guided by evidence-based algorithms from large data, are also becoming more personalized and tailored to individual patient needs. Each vulnerable group demands a unique approach - this book reveals the details behind the history, examination, and therapeutic options for vulnerable patients in pain.Individual chapters explore conceptual models of vulnerability to pain across the lifespan, beginning in infancy, and in specific clinical populations defined by age, gender, sexual orientation, clinical condition, and healthcare setting. Topics examined range from genomics to sociomedical contexts affecting care such as medical ethics, racial disparities, adverse childhood experiencesl3.