Overview
Elective surgery on poorly prepared patients suffering with chronic pain and comorbid substance dependence is increasingly shown to confer suboptimal outcomes - both clinical and economic. Achieving biopsychosocial 'fitness for surgery' for these patients often requires a process similar to preoperative optimization of cardiac and other chronic diseases, with modification / elimination of risk factors (in many cases shared with those diseases.) These risk factors are not so much genetic or uncontrollable, but rather behavioral, and comprise toxic thoughts and toxic habits. The preoperative optimization program for chronic pain patients, presented in this book focuses on high-yield modifiable targets that are supported by the literature and the authors' clinical experience. These comprise tobacco cessation, preoperative opioid reduction or elimination, slow-wave sleep enhancement, nutritional and exercise prehabilitation", and reduction of anxiety and pain catastrophization Preoperative Optimization, Chronic pain, Risk Factors, Enhanced Recovery, Ambulatory Surgery, Elective Surgery, Biopsychosocial, Motivation, Habit, Motivational Interviewing, Motivational Enhancement, Prehabilitation"--
- | Author: Heath B. McAnally, Beth Darnall
- | Publisher: Oxford University Press
- | Publication Date: Sep 23, 2019
- | Number of Pages: 286 pages
- | Language: English
- | Binding: Paperback
- | ISBN-10: 0190920149
- | ISBN-13: 9780190920142
