Resources for Clinicians

MGH Pain Resources page
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Pain Resources on the Web
Guidelines
Equianalgesic dosing
Pain Relief Connection Archives
Pain Relief Champions Course
The Intersection of Pain Management and Addictive Illness


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MGH Pain Links

The Center for Shingles and Postherpetic Neuralgia
Most people have had chicken pox as children. The virus that causes chicken pox, varicella-zoster virus (VZV), stays in the body after the illness has passed and the blisters have healed. A decline in immune system function, brought on by aging or illness (e.g., HIV, cancer treatment), leads to reactivation of VZV. The reactivation results in a painful rash with blisters that affects a well-defined region of the body, a condition commonly termed shingles. Unless shingles is treated promptly with anti-viral drugs, there is a significant risk of moderate to severe pain or itching that persist long after the blisters heal. The Center for Shingles and Postherpetic Neuralgia at Massachusetts General Hospital specializes in research and treatment of people with shingles and the persistent pain of postherpetic neuralgia.

Helping Your Child Cope with Pain
This is a guide for parents provided by MassGeneral Hospital for Children. It explains the nature of pain and how children communicate and respond to pain at various developmental ages. It also describes common treatments for pain and suggests ways that parents can help their children understand and cope with experiences that cause pain. A booklet form of this resource is available on the pediatric units.

MGH Pain Center
The Pain Center is made up of several services and clinics that care for people with acute and chronic pain and cancer-related pain. Patients are seen both in the hospital and in outpatient clinics. The physicians and nurses in the Pain Center are skilled in assessment, diagnosis, and treatment of pain. Many interventions are available, from standard oral medications, to high-tech procedures, to acupuncture.

MGH Palliative Care Service
The MGH Palliative Care Service is a team of professionals that provides care and support to patients and families facing a serious or life-threatening illness. The service provides care in the hospital and in the patient's home. An important part of the care provided is treatment of pain and other symptoms.

The Patient and Family Learning Center
The Maxwell & Eleanor Blum Patient and Family Learning Center helps patients and families learn about health and illness. Volunteers, nurses, and a health librarian are on-hand to help visitor to the center find easy-to-read pamphlets, magazines, audio tapes, videos, CD-ROMs, web sites and both medical and consumer health books.

What You Need to Know about Pain: A Guide for Patients and Families
Using a question and answer format, this guide looks at the most common questions and concerns that people have about pain and its treatment. The guide emphasizes that most pain can be treated and that patients need to keep their nurses and doctors informed about progress in treating the pain. The Guide is also available in booklet format on many patient care units. [order from Standard Register 0084023]

Pain Resources on the Web

The American Pain Foundation is an information and advocacy group for people with any kind of pain. The site contains links to information on many types of pain. It also contains the "Pain Care Bill of Rights" (similar to MGH's Pledge to Patients) in English, Spanish, and Chinese. APF also has other publications, including a monthly e-mail newsletter.

American Pain Society
The American Pain Society is the national chapter of the International Society for the Study of Pain. It is an advocacy and educational organization that frequently works in concert with other professional groups to promote guidelines and reduce barriers to adequate pain management. It's influential publication "Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain" is now in its 4th edition.

American Society for Pain Management Nursing
The American Society for Pain Management Nursing is an organization of professional nurses dedicated to promoting and providing optimal care of patients with pain, including the management of its sequelae. This is accomplished through education, standards, advocacy, and research. Draft standards for nursing care of patients in pain are posted on the site.

AnestCadiz
AnestCadiz is a Spanish-language web site (with an English-language version) for an international audience of anesthesia and pain management professionals. Features include extensive lists of pain and palliative care journals and a helpful list of (mostly) international organizations devoted to pain control.

Cancer-Pain.org
A majority of cancer patients experience pain and are generally less satisfied with their pain treatment than doctors think they are. Although adequate relief can be achieved with available therapies, studies show that cancer pain remains underreported and under treated, due to misconceptions and lack of information. This site offers in-depth information to assist in pain management decision-making and interactive discussion groups to help patients determine what will work for them.

Cancer Pain Release
Cancer Pain Release is the publication of the World Health Organization global communications program to improve cancer pain control and palliative and supportive care. Cancer Pain Release is dedicated to keeping a worldwide and multidisciplinary audience in the health professions and government abreast of relevant information and developments in clinical medicine, education and policy.

City of Hope Pain/Palliative Care Resource Center
The purpose of the COHPPRC is to serve as a clearinghouse to disseminate information and resources to assist others in improving the quality of pain management and end of life care. The COHPPRC, established in 1995, is a central source for collecting a variety of materials including pain assessment tools, patient education materials, quality assurance materials, end of life resources, research instruments and other resources.

The International Center for the Control of Pain in Children and Adults
This site, from the University of Iowa School of Nursing, provides pain-related information for professionals and patients. The pediatric pain page is quite extensive and useful.
[this site is temporarily unavailable]

The National Pain Foundation
The National Pain Foundation is a non-profit organization that provides online education and support resources for people in pain, their families, and health care providers. Their web site provides information about several types of painful conditions and pain treatments. News, interviews, and articles are posted frequently, and all medical information is peer reviewed. Online discussion groups are a feature of this site.

NCCN Cancer Pain Treatment Guidelines
The National Comprehensive Cancer Network (NCCN) is a consortium of major US cancer centers. One of their most important roles is to develop and distribute evidence-based guidelines for the diagnosis and treatment of cancer and related symptoms and side effects. Current Guidelines include Adult Cancer Pain, Pediatric Cancer Pain, and Palliative Care.

NCCN Cancer Pain Treatment Guidelines for Patients
The National Comprehensive Cancer Network (NCCN) and the American Cancer Society developed this patient version of the same guidelines that are used by the prestigious cancer centers that are members of the NCCN. The guidelines are also available in booklet form from the American Cancer Society. The Guidelines are also available in Spanish: El dolor asociado con el cáncer Guías de tratamiento para los pacientes.

Pediatric Pain
Dalhousie University in Halifax, Nova Scotia, Canada, provides this very good site. It contains educational materials for parents and children as well as professionals. The e-mail discussion board ("Listserv") is an excellent networking resource. Subscriptions to the Pediatric Pain Letter, a quarterly e-mail newsletter, are also available.

The Resource Center for the Alliance of State Pain Initiatives
The Alliance of State Pain initiatives (formerly American Alliance of Cancer Pain Initiatives) produces eduational materials for professionals and patients.

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Page last updated 18 June 2007

 

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