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Beskrivning
This is a practical manual for nurses and physician assistants who use Intrathecal Drug Infusion for treating patients suffering from spasticity and chronic pain. The book supplies users of this technology with the information they need to utilize it effectively, including pump mechanics and the pharmacology of drug delivery.
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.