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Selected Resources on Pain

Federal Guidelines On Pain

Resources contain federal medical practice guidelines written by a panel of experts. Available at no charge from the Agency for Health Care Policy and Research (AHCPR) (renamed the Agency for Healthcare Research and Quality [AHRQ]) Publications, PO Box 8527, Silver Spring, MD 20907; 800-358-9295; Website:ahcpr.gov.

*Also available from Purdue Pharma L.P., One Stamford Forum, Stamford, CT 06901-3431; 800-733-1333 or 203-853-0123, ext. 7378 or 7314; Website: partnersagainstpain.com.

Other Professional Organizations' Guidelines

AHCPR Guidelines of pain: nursing implications. Booklet and 2 audiotapes describing the development and clinical applications of the guidelines. From American Pain Society (see below).

Definitions Related to the Use of Opioids for the Treatment of Pain. A consensus statement from the American Academy of Pain Medicine, the American Pain Society, and the American Society of Addiction Medicine (2001); asam.org/ppol/paindef.htm.

Principles of analgesic use in the treatment of acute pain and cancer pain, ed. 4, 1999. Booklet describing consensus guidelines for treating pain. From American Pain Society, 4700 W. Lake Ave., Glenview, IL 60025-1485; 847-375-4715; Fax: 847-375-6315; Email: info@ampainsoc.org; Website: ampainsoc.org.

Management of acute pain: a practical guide. Book describing effective pain management strategies. Available from the International Association for the Study of Pain (IASP), 909 NE 43rd St., Suite 306, Seattle, WA 98105-6020; 206-547-6409; Email: iaspdesk@juno.com; Website: iasp-pain.org.

Cancer Pain Relief and Palliative Care in Children, (In English; French and Spanish in preparation). World Health Organization in conjunction with IASP. 1998, ISBN 92-4-154512-7, 76 pp, Sw.fr.18-. Order from: WHO Distribution & Sales, 1211 Geneva 27, Switzerland. Price in developing countries: Sw.fr.12.60. In the US: $16.20 + $5 shipping and handling: Order no. 1150459, WHO Publications Center USA, 49 Sheridan Ave., Albany, NY 12210, USA; 518-436-9686; Fax: 518-436-7433; Email: QCORP@compuserve.com.

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has established pain assessment and management standards and a toll free hot line (800-994-6610) to encourage patients, their families, caregivers and others to share concerns regarding quality of care issues at accredited health care organizations. Complaints (may be anonymous) may be sent by email to complaint@jcaho.org; faxes to the office of Quality Monitoring at 630-792-5636; mail to the Office of Quality Monitoring, Joint Commission, One Renaissance Blvd, Oakbrook Terrace, IL, 60181. The pain standards are available from jcaho.org/standard/pm_hap.html. A reference book, Pain Assessment and Management: An Organizational Approach, and an interactive CD-ROM for clinical staff development, Pain Management, are also available from the Joint Commission.

Guideline for the management of pain in osteoarthritis, rheumatoid arthritis, and juvenile chronic arthritis (2002). Book reviews types, assessment, and treatment of pain in children and adults with arthritis, including use of opioids for chronic pain. Available from American Pain Society, ampainsoc.org.

Guideline for the management of acute and chronic pain in sickle-cell disease (1999). Book reviews types, assessment, and treatment of pain in children and adults with SCD. Available from American Pain Society, ampainsoc.org.

The use of opioids for the treatment of chronic pain. A consensus statement from the American Academy of Pain Medicine and the American Pain Society. From Clinical Journal of Pain 13(1):6-8, 1997. Opioids and chronic pain (editorial), Wilson, PR, Clinical Journal of Pain 13(1):1-2, 1997.

Legal Implications and State/Federal Regulations

Pain management on trial, Cushing M, American Journal of Nursing 92(2):21-22, 1992. nursingcenter.com.

Must we make the courts our last resort? Lipman AG, (editorial), Journal of Pharmaceutical Care in Pain & Symptom Control, 5(1):1-3, 1997.

Pain management: legal risks and ethical responsibilities, Rich BA, Journal of Pharmaceutical Care in Pain & Symptom Control, 5(1):5-20,1997.

The undertreatment of pain: are providers accountable for it? Pasero CL: American Journal of Nursing 101(11):62-63, 2001. nursingcenter.com.

2001 Annual Review of State Pain Policies: A question of Balance. Joranson, D.E. and others, Pain & Policy Studies Group, U of Wisconsin Comprehensive Cancer Center. Madison, WI (Feb. 2002); www.medsch.wisc.edu/painpolicy/publicat/01annrev/.

Achieving Balance in Federal and State Pain Policy: A Guide to Evaluation. Joranson, D.E., and others. The Pain & Policy Studies Group. U of Wisconsin Comprehensive Care Center. Madison, WI (July 2000); www.medsch.wisc.edu/painpolicy/eguide2000/.

Model Guidelines for the Use of Controlled Substances for the Treatment of Pain (May 1998). Federation of State Medical Boards of the United States, Inc; www.medsch.wisc.edu/painpolicy/domestic/model.htm or fsmb.org.

Position of the Federation of State Medical Boards in Support of Adoption of Pain Management Guidelines (Feb 2000). Federation of State medical Boards of the United States, Inc; www.medsch.wisc.edu/painpolicy/domestic/FSMBwp.htm.

Promoting Pain Relief and Preventing Abuse of Pain Medications: A Critical Balancing Act. Last Acts, Drug Enforcement Administration, Pain & Policy Studies Group, et al. A joint statement from 21 health organizations and the Drug Enforcement Administration (Oct 2001); deadiversion.usdoj.gov/pubs/pressrel/consensus.pdf. or www.medsch.wisc.edu/painpolicy/dea01.htm.

Resource Guide: Information about Regulatory Issues in Pain Management. Pain & Policy Studies Group, U of Wisconsin Comprehensive Cancer Center. Madison, WI (1998); www.medsch.wisc.edu/painpolicy/domestic/resource.htm.

Selected Resources On Pediatric/Adult Pain

A Child in Pain: How to Help, What to do. Book written for consumers that focuses on the effects, assessment, and treatment of pain in children. From Hartley & Marks, PO Box 147, Pt. Roberts, WA 98281; 800-277-5887; Fax: 800-707-5887.

Adolescent Pediatric Pain Tool (APPT).Assessment includes use of human figure drawing, Word-Graphic Rating Scale, and choice of descriptive words. From Pediatric Pain Study, UCFS School of Nursing, Dept. of Family Health Care Nursing, 2 Kirkham St., Box 0606, San Francisco, CA 94143-0606; Email: savedra@linex.com

American Cancer Society's Guide to Pain Control. Book written for consumers that focuses on numerous aspects of management of cancer pain, but would be valuable for any person with pain. Available from American Cancer Society, Health Content Products, 1599 Clifton Road NE, Atlanta, GA 30329; 800-ACS-2345; Website: cancer.org.

Building an Institutional Commitment to Pain Management: The Wisconsin Resource Manual, ed. 2, 2000. An excellent compilation of resource material to promote institutional support of pain management; all of the sample resource tools are available on a disc. Available from American Alliance of Cancer Pain Initiatives, 1300 University Avenue, Madison, WI 53706; 608-265-4013, Fax: 608-265-4014; Website: aacpi.org.

Children's cancer pain can be relieved: a guide for parents and families and Jeff asks about cancer pain. Booklets provide parents and older children with facts about pain and its management in pediatric cancer. Handbook of cancer pain management. Booklets provide parents and older children with facts about pain and its management in pediatric cancer. Available from American Alliance of Cancer Pain Initiatives, 1300 University Avenue, Madison, WI 53706; 608-265-4013, Fax: 608-265-4014; Email: aacpi@aacpi.org; Website: aacpi.org.

Circumcision: Information for Parents. Pamphlet describes the benefits and risks of the procedure and the importance of providing analgesia for the infants. Available from the American Academy of Pediatrics, Division of Pediatrics, 141 Northwest Point Blvd., PO Box 747, Elk Grove Village, IL 60009-0747; Phone: 800-433-9016; Fax: 847-228-1281; Website: aap.org.

Circumcision policy statement, Task Force on Circumcision of the American Academy of Pediatrics: Pediatrics, 103(3), 686-693, 1999; Website: aap.org.

City of Hope Pain/Palliative Care Resource Center.Serves as a clearinghouse to disseminate information and resources to improve the quality of pain management. From City of Hope Pain/Palliative Care Resource Center, 1500 East Duarte Road, Duarte, CA 91010; 626-359-8111, ext. 3829; Fax: 626-301-8941; Email: mayday_pain@smtplink.coh.org; Website: mayday.coh.org.

Clinical Reference Guide For Health Care Providers; Sickle Cell Related Pain: Assessment And Management Conference Proceedings; Sickle Cell Related Pain: Assessment And Management - A Guide For Patients And Parents. An excellent compilation of resource material to promote pain management in people with SCD. Available from the New England Regional Genetics Groups (NERGG), #28 Clarendon St., Newton, MA 02460, or Mary Aten 617-243-3033; Email: maryaten@mediaone.net; Website: acadia.net/NERGG/.

Compounding Specialist. For information about specially compounded medications, such as Tetracaine 1% Sucker (80 mg), contact Deril J. Lees, R. Ph., THE APOTHECARY SHOPPE, 3707 East 51st St. Tulsa, OK 74135, 800-610-2003 in U.S. or 918-665-2003, Fax: 918-665-8283. See also Professional Compounding Centers of America (PCCA), 9901 S Wilcrest, Houston, TX 77099; 800-331-2498; Fax: 800-874-5760; Website: pccarx.com.

End-of-Life Care for Children, by Texas Children's Cancer Center, Texas Children's Hospital, Houston, Texas. Published by the Texas Cancer Council, Austin, Texas, 2000. Book provides guidelines for care of children and their families during the transition from aggressive treatment to quality palliative care at the end of life. For additional booklets or information, see childendoflifecare.org

Epidural analgesia for acute pain management: a self-directed learning program and pre & post tests/answers and explanations, by Chris Pasero, MS, RN. The objectives for the program are to identify the nurse's role in assessing and managing acute pain of adult patients and to identify how to care for adult patients who are receiving epidural analgesia. Available from American Society of Pain Management Nurses (ASPMN), 7794 Grow Drive, Pensacola, FL 32514-7022; 888-34ASPMN or 888-342-7766; Fax: 805-484-7862; Email: aspmn@puetzamc.com; Website: aspm.org.

Guidelines for Treatment of Cancer Pain: The Pocket Edition of the Final Report of the Texas Cancer Council's Workgroup on Pain Control in Cancer Patients by C. Stratton Hill, Jr, MD, (1997). Available free from Texas Cancer Council, PO Box 12097, Austin, TX 78711, 512-463-3190; Fax: 512-475-2563; Website: ttc.state.tx.us.

Managing pain before it manages you by Margaret A Caudill, MD, PhD, 1995; Available from The Guilford Press, A Division of Guilford Publications, Inc., 72 Spring Street, New York, NY 10012.

McCaffery: Contemporary issues in pain management. Four videotapes focus on Pain management in the elderly; Improving the quality of pain management; Epidural analgesia for chronic pain; and Preventing and managing opioid-induced respiratory depression. McCaffery on Pain: Nursing assessment and pharmacological intervention in adults. Four videotapes focus on Nursing assessment of the patient with pain; The three analgesic groups: practical considerations; Use of opioid analgesic; and Undertreatment of pain. A resource manual also accompanies the video tapes. Available for purchase from Lippincott, Williams & Wilkins, 800-527-5597; Website: llw.com.

No more crying: reducing distress during venipuncture. Videotape describes distraction, limit setting, and positive reinforcement to reduce the distress associated with procedures. Rental or purchase from leomedia.net; 217-337-0700.

No fears, no tears: children with cancer coping with pain. Videotape demonstrates the use of distraction and imagery to reduce distress from various procedures. Available from Canadian Cancer Society, 604-872-4400; Fax: 604-879-4533. For information on No fears, no tears — 13 years later, contact Leora Kuttner, PhD, Work: 604-736-8801; Fax: 604-294-9986; Email: leora_kuttner@sfu.ca (Vancouver, Canada) or order directly from burnessc.com/nofears/.

Nurse's guide to breakthrough cancer pain by Betty Ferrell, RN, PhD, FAAN with contributions by Michelle Rhiner, RN, MSN, NP, 2001. Book provides guidelines for treating breakthrough cancer pain. Available free from Triplei, 295 North Street, Teterboro, NJ 07608; 201-727-9300; Fax: 201-727-0099.

Pain management in children with cancer by Marilyn Hockenberry-Eaton, PhD, RN-CS, PNP, CPON, FAAN, and others, published by Texas Cancer Council, 1999. Book provides information on treating pain in children with cancer but provides guidelines that apply generally to acute pain management as well. For additional information, see childcancerpain.org.

Pain Relief Electro Membrane (PREM) is a high technology electron reservoir membrane that on contact with skin releases the electrons in the form of micro-current impulses. PREM relieves acute or chronic musculoskeletal pain, including soft tissue injuries, sports injuries, arthritis, back pain, fibromyalgia, neurogenic pain, and myofacial pain. Available from Helio Medical Supplies, Inc., 606 Charcot Ave., San Jose, CA 95131; 888-paintem; Fax: 408-433-5566; Email: eileen@heliomed.com.

Pain relief: how to say no to acute, chronic, & cancer pain! (Jane Cowles, 1997). Book written for consumers that focuses on the prevention, assessment, and individualized treatment of pain in children and adults. From MasterMedia Publishing, PO Box 1117, Sandy, OR 97055; 800-334-8232; Fax: 503-668-0494.

Palliative care for children, Committee on Bioethics and Committee on Hospital Care of the American Academy of Pediatrics, Pediatrics 106(2):351-356, August 2000; Website: aap.org.

Perioperative analgesia approaching the 21th century. Study guide and audiocassette reviews current and emerging approaches, such as preemptive analgesia, for surgery. From American Pain Society, 4700 W Lake Dr, Glenview, IL 60025; 847-375-4715; Fax: 847-375-6315; Email: info@ampainsoc.org; Website: ampainsoc.org.

Pediatric Pain Letter by Patrick J McGrath, PhD, and G Allen Finley, MD, FRCPC. The Pediatric Pain Letter is a quarterly review of the literature on pain in infants, children and adolescents that presents series of structured abstracts accompanied by critical commentaries. Questions and subscriptions may be addressed to Julie Goodman, Managing Editor, Pediatric Pain Letter, Psychology Department, Dalhousie University, Halifax, Nova Scotia, B3H 4J1; Email: jgoodman@is2.dal.ca

Prevention and management of pain and stress in the neonate. American Academy of Pediatrics Committee on Drugs, Section on Anesthesiology, and Section on Surgery and Canadian Paediatric Society Fetus and Newborn Committee. This statement is intended for health care professionals caring for neonates (preterm to 1 month of age): Pediatrics 105(2):454-461, 2000, aap.org.

Quality of mercy: a case for better pain management. Videotape highlights problems in infant pain control and cancer and burn pain. Rental or purchase from Filmakers Library, 124 East 40th St., NY, NY 10016; 212-808-4980; Fax: 212-808-4983; Email: info@filmakers.com; Website: filmakers.com.

Reducing the anxiety and pain of injections, 1998, is a guide based on a composite of research data, clinical studies, and expert opinion. It is available from Becton Dickinson Media Center, 800-ALL-MEDIA, Fax: 201-847-4862; Website: bd.com (reorder number BDM#01). Another excellent article is: Reis EC and others: Taking the sting out of shots: control of vaccination-associated pain and adverse reactions, Pediatric Annals 27(6):376-386, 1998.

Whaley and Wong's Pediatric Pain Assessment and Management by Donna Wong, PhD, RN. Videotape focuses on process of QUESTT for pain assessment and Six Rights for pharmacologic pain relief. Available from Mosby, 11830 Westline Industrial Drive, St. Louis, MO 63146; 800-426-4545; Fax: 800-535-9935.

Wong-Baker FACES Pain Rating Scale Reference Manual describing development and research of the scale is available from the City of Hope National Medical Center, Pain/Palliative Care Resource Center, 1500 East Duarte Road, Duarte, CA 91010; 626-359-8111, ext. 3829; Fax: 626-301-8941; Email: mayday_pain@smtplink.coh.org; Website: mayday.coh.org. To obtain permission to use the scale, contact: Elsevier, Inc., 1600 John F. Kennedy Blvd., Ste 1800, Philadelphia, PA 19103-2899; 800-523-1649, ext. 8302; Fax: 215-238-2239 online form.

Wong-Baker FACES Pain Rating Scale Pins. The cost for 1 to 99 pins is $5.00 U.S. each. U.S. postage and handling for up to 50 pins is $5.00; postage for 51 to 99 pins is $8. The cost for orders of 100 or more is $4.00 each. Postage and handling is $10.00 for 100 pins, and for each additional set of 50 is $5. Pins may be purchased in gold, red, or blue and with coding of 0 - 5 for all colors and 0 - 10 for red only. Please specify color and coding or one will be chosen. Orders can be sent to Linda Toth, Post Office Box 2984, Sanford, NC 27331; Phone: 919-498-1158 or Fax: 919-498-3993. Make check payable to Linda Toth.

Other Excellent and Practical Texts

McCaffery M and Pasero C: Pain: clinical manual, 2nd edition, St Louis, Mosby, 1999.

Yaster M and others: Pediatric pain management and sedation handbook, St Louis, Mosby, 1997.

Additional Information

February, 2003

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