Intrathecal Drug Therapy for Spasticity and Pain: Practical Patient Management

ISBN-13: 9780387945521 / Angielski / Miękka / 1995 / 218 str.

Janet M. Gianino; Michelle M. York; Judith A. Paice

Opis

INTRATHECAL DRUG THERAPY FOR SPASTICITY AND PAIN is a practical manual for nurses and physician assistants who use Intrathecal Drug Infusion for treating patients suffering from spasticity and chronic pain. This book supplies users of this new technology with the information they need to utilize it effectively, including pump mechanics and the pharmacology of drug delivery. No other book of its kind exists, and its users at the over 100 facilities that use implanted drug delivery have relied solely on the pump manufacturer's manuals. The authors are from a leading center for research and applied use of these pumps and, working with Dr. Richard Penn, have spent years developing the skills necessary to utilize this system efficiently. Dr. Penn, who writes the Foreword, has personally implanted over 3000 pumps.

Spis treści

1 Introduction.- 2 Spinal Cord Anatomy.- 3 Implantable Delivery Systems.- 4 The Operative Course.- 5 Pharmacology of Baclofen and Morphine.- 6 Intrathecal Baclofen for Spasticity.- Spasticity.- Current methods of treatment.- Benefits of reduced spasticity.- Patient selection.- Screening procedures.- Patient management.- Tolerance.- 7 Intraspinal Morphine for Pain.- Physiology of pain.- Intrathecal drug dosing.- Supplemental opioids.- Adverse intraspinal drug effects.- Patient education.- Case study.- 8 Mechanical System Complications.- 9 Starting Up a Program.- 10 Current Controversies and Future Applications.- References.- Appendixes.- 1 Baclofen Patient Teaching Booklet.- 2 Intrathecal Baclofen and Morphine: Policy and Procedure (Rush-Presbyterian-St. Luke’s Medical Center, Chicago, IL).- 3 Resources for Spasticity.- 3.1 Patient Resources: Spasticity.- 3.2 Professional Resources: Spasticity.- 3.3 Patient Resources: Travel Assistance for the Disabled.- 4 Resources for Pain.- 4.1 Patient Resources: Pain.- 4.2 Professional Resources: Pain.- 5 Research Organizations.- 6 Electronic Support Groups.