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Have you ever wondered if you calculated your patient’s dosage correctly? Against a backdrop of the growing scrutiny of appropriate dosages, this textbook takes a fresh, new approach to helping health professionals strengthen care to and possibly save the lives of patients living with pain. This easy-to-understand and often humorous book is the most comprehensive to-date on opioid calculations for pain management and palliative care. It carefully walks clinicians through a five-step process for performing opioid conversion calculations in the real-world situations they often see. The book has case examples, simple charts and tables, and practice problems throughout on topics such as:· difficult conversions for methadone, fentanyl, PCA, and neuraxial opioid therapy· conversions between routes and dosage formulations of the same opioids and different opioids· titrating opioid dosages up and down to include dosage change and timing· calculating doses for rescue opioid therapy Written by pain management expert Dr. Mary Lynn McPherson, the book gives helpful tips that practitioners should incorporate into their practices. It is a must for clinicians at all levels: hospice and palliative care physicians, physician’s assistants, nurses, nurse practitioners, and pharmacists. Clinicians will come away with more confidence in doing the calculations, and higher service levels from the improvement in care.
- Sales Rank: #70283 in Books
- Brand: Brand: ASHP
- Published on: 2009-08-24
- Original language: English
- Number of items: 1
- Dimensions: .43" h x 7.08" w x 9.92" l, .83 pounds
- Binding: Paperback
- 208 pages
- Used Book in Good Condition
Review
Reviewer
Dennis K Constan, PharmD (Temple University Health System - Northeastern Hospital) DescriptionWith good tables, patient case scenarios, practice problems, and relevant pearls of practice, this book reinforces the pertinent pharmacological and mathematical knowledge necessary to effectively and safely manage patients'pain regimens. PurposeIt is intended as an ongoing resource for healthcare providers who need to navigate the art and science of pain management in the safest, most effective manner. Through a thorough review of the relevant literature on opioid management, it seeks to distill and present the information and controversy about a challenging subject via a simplified, accessible tool. As the book espouses, good, effective, and safe pain management is a basic human right that practitioners struggle to achieve for their patients, given its complex blend of art and science. To have a resource that brings clarity to the approach and mechanics of opioid dosing is welcome. The book succeeds and its compellingfeature is its pedagogical approach to meet these objectives. AudienceIt is intended as an ongoing resource for healthcare providers who need to navigate the art and science of pain management in the safest, most effective manner. Through a thorough review of the relevant literature on opioid management, it seeks to distill and present the information and controversy about a challenging subject via a simplified, accessible tool. As the book espouses, good, effective, and safe pain management is a basic human right that practitioners struggle to achieve for their patients, given its complex blend of art and science. To have a resource that brings clarity to the approach and mechanics of opioid dosing is welcome. The book succeeds and its compellingfeature is its pedagogical approach to meet these objectives. FeaturesThe book focuses on the important basic mathematical, pharmacokinetic, pharmacodynamic, and patient parameters that a practitioner must understand in order to safely and successfully transition patients between opioid regimens as their pain management needs change. Through tables, patient scenarios, and practice problems with explanations, the book succeeds in helping readers to not only digest and synthesize the information, but most importantly, apply what they are learning. Therapeutic pearls and pitfalls offer the basic information an additional nuance and value. Added features that make the book even more user friendly are statements of learning objectives for each chapter, a basic glossary, and an appendix of the available dosage formulations. If the book could use any enhancement, it would be its physical size. A continually accessible information resource for a practitioner is better when it is more portable, so a pocket-sized version of the book, perhaps with some abridging,would make it an ideal resource. AssessmentThis will undoubtedly be a useful tool for healthcare providers seeking to accurately and safely achieve their patients' pain management goals. What stands out is the high caliber of the quality of the teaching. The patient cases are well conceived, and the practice problems reinforce what is being taught. Because it easily can be referenced and applied to actual patient scenarios, the book is an excellent ongoing useful resource. Weighted Numerical Score: 91 - 4 Stars!
(Dennis K Constan, PharmD MedInfoNow 2010-03-01)
About the Author
Mary Lynn McPherson, Pharm.D., BCPS,CPE, is Professor and Vice Chair in the Department of Pharmacy Practice and Science at the University of Maryland School of Pharmacy in Baltimore. She has maintained a practice in both hospice (local and national) and ambulatory care her entire career. At present, Dr. McPherson is the Director of Pharmacotherapy Services at UniversityCare Waxter in Baltimore. Dr. McPherson teaches extensively in the Pharm.D. curriculum on pain management and end of life care, including didactic and experiential content. She also developed one of the first and few palliative care pharmacy residencies in the U.S. Dr. McPherson serves on the Board of the Hospice Network of Maryland and is also Chairman of the Board of the American Society of Pain Educators. McPherson is a Fellow in the American Society of Health-Systems Pharmacists and the American Pharmacists Association. She has received many honors for her work, including the American Pharmacists Association Distinguished Achievement Award in Specialized Practice, the Maryland Pharmacists Association Innovative Practice Award, and the Maryland Society of Health-Systems Pharmacists W. Purdum Lifetime Achievement Award. She has written four books, and many book chapters and peer-reviewed articles on pain management, palliative care, and other topics.
Most helpful customer reviews
2 of 2 people found the following review helpful.
Learned so much from this
By shorty'smama
This is a great book. I recommend it for all prescribers and nurses who work in pain, palliative care, or hosoice setting. I am almost ashamed about how much I learned considering Inhave been in the field for several years. Written in a clear, understandable, and at times humorous way. I read this book while I was preparing for NP exam for Hospice and Palliatve Care certifiation- on which there were absolutely no drug conversion questions. But I am so glad I read this and it immediately impacted my practice.
5 of 5 people found the following review helpful.
Useful for any physician who needs to treat pain with opioids
By D-Bar
This book is thoughtfully written, and is an easy read. The author emphasizes the use of intelligent clinical reasoning. When you have decided that opiates are appropriate, using the principles in this book can give you confidence that your regimen makes sense and is safe. I use this book in teaching rotating anesthesiology residents in my pain clinic.
2 of 2 people found the following review helpful.
This is the gold standard
By Julie Wiseman (real name)
This book is not only the gold standard, it is also entertaining. About a year ago I agreed to particpate as the hospice/palliative pain managment pharmacist primarily due to the existence of this book. We use it to guide our therapy and conversions and as pharmacists we universally acknowledge it's importance, necessity and thoroughness. I have almost worn out the copy I purchased a year ago. Do not hessitate, purchase this book. I recommend it all the time. Thank you Dr. McPherson for writing this!
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