Chronic Pain Management Guidelines for Multidisciplinary Program Management pdf

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Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E Schatman and Alexandra Campbell pdf

Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E Schatman and Alexandra Campbell pdf free download. Chronic pain of benign origin results in staggering costs, to society as a whole as well as to the individual sufferer. Although it is impossible to accurately determine the total economic cost of chronic pain to society, its combined direct and indirect annual cost in the United States was estimated in 2001 to be almost $300 billion (1). A huge proportion of the economic cost associated with chronic pain consists of fees for treatments which have not been found to be particularly efficacious. These were estimated in 2001 to be about $125 billion annually (2). It should be noted that both of these figures are conservative, as neither has been adjusted for inflation.

Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E Schatman and Alexandra Campbell pdf

Of greater moral importance, however, is the overwhelming non-economic cost of chronic pain to the people that it afflicts. Those affected include not only the person who experiences the pain directly, but loved ones as well. Losses experienced by patients with chronic pain include not only the physical, but vocational, financial, social, sexual, recreational, emotional, and spiritual. A recent qualitative study found that in addition to socioeconomic losses and financial hardships, people with chronic pain experienced decreases in self-worth, positive expectations for the future, and hope (3). Other studies (4)–(8) have identified increases in feelings of despair, loss of meaning of life, losses of freedom/independence, threat to integrity, role loss, and disorganization of the patient’s “being in the world” as the worst consequences of chronic pain conditions.

Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E Schatman and Alexandra Campbell pdf

Chronic pain is clearly a disease of the person, not simply of the body. Despite the fact that traditional medical approaches to treating chronic pain such as surgery, medications and other invasive interventions, do little, if anything, to restore the chronic pain sufferer’s overall quality of life, these traditional approaches continue to be considered the first line of offense against chronic pain.

Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E Schatman and Alexandra Campbell pdf

This is particularly disheartening given the lack of empirical support for the clinical efficacy of these approaches in terms of long-term pain relief, much less for their ability to impact the myriad indirect negative effects of the chronic pain experience. The good news is that for many years, pain practitioners have possessed a treatment model that can help people with chronic pain restore their lives.

Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E Schatman and Alexandra Campbell pdf

The bad news is that the health insurance industry, as a whole, is becoming progressively less willing to fund this treatment approach. As is discussed throughout this textbook, comprehensive multidisciplinary chronic pain management has been empirically demonstrated, beyond a doubt, to be a clinically effective and cost-efficient approach to the treatment of chronic pain of benign origin. The ethical failure of the insurance industry, however, has led to a dramatic decrease in the availability of such programs over the past decade.

Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E Schatman and Alexandra Campbell pdf

Chronic Pain Management Guidelines for Multidisciplinary Program Management by Michael E. Schatman and Alexandra Campbell pdf

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