Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control.Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult.The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.

Part I: Chronic pain as a disease, and challenges of chronic pain management in hospital settingsChapter 1: Epidemiology of Chronic Pain and Opioid Use and Challenges of Chronic Pain Management in Hospital Settings and Barriers to Adequate Pain Control Jiang Wu and Jiang ChengChapter 2: Molecular and Physiological Markers and Mechanisms of Chronic Pain Haibin Wang and Edward GarayChapter 3: Psychological and Social Markers of Chronic Pain Jill MushkatChapter 4: Pain Assessment Scales, Clinical Tools and Techniques Ankit Maheshwari and Richard UrmanChapter 5: Opioids, Overview Daniel J. Leizman, Alparslan Turan, Shahbaz QaviChapter 6: Non-Opioid Medications Karina Gritsenko, Adam Canter, Vijay BabuChapter 7: How/when to Get a Pain Medicine Consult? What to Ask of your Consultant? Establishing Treatment Goals Ellen Rosenquist and Abdul KanuPart II: Management of chronic pain in selected settingsChapter 8: Management of Chronic Pain in the Emergency Department Waleed Shah, Dajie Wang, David CustodioChapter 9: Chronic Pain Management in the Intensive Care Unit Pavan Tankha and Marisa LomantoChapter 10: Chronic Pain Patient on Labor and Delivery Floor Dmitri Souzdalnitski, Syed Ali, Denis SnegovskikhChapter 11: Management of Chronic Pain Patient on the Pediatric Floor Orvil Louis Ayala and Alexandra SzabovaChapter 12: Chronic Pain Management on the Geriatric Floor Bruce Vrooman and Kathy TravnicekChapter 13: Management of Chronic Pain on the Palliative Care Floor Jennifer Drost, Danielle Ingram, Melissa SoltisChapter 14: Management of Chronic Pain in Nursing Home, in Rehabilitation Facility, on the Psychiatric Floor and in Long-term Facilities, and in Institutionalized Patients Karina Gritsenko, Michael Lubrano, Yury Khelemsky, and Todd IvanPart III: Role of nursing, pharmacy specialist and other hospital services in management of chronic pain patientChapter 15: Nursing Considerations Kimberly Berger and Christine WierzbowskiChapter 16: Role of the Pharmacist in Management of Patient with Chronic Pain in the Hospital Setting Glenn R. Rech and Pamela S. MooreChapter 17: Role of Clinical Psychologist Rod MyerscoughChapter 18: Physical Medicine and Rehabilitation Consultation of the Inpatient with Chronic Pain Danielle Sarno, Stefan C. Muzin, Joseph Walker, and Susan LudwigChapter 19: Integrative Medicine in Treatment of Inpatient Chronic Pain Patients Joseph Walker, Andree Maureen Leroy, Seelye, Richard RynaksiPart IV: Management of chronic pain in selected patient categoriesChapter 20: Chronic Pain in Hospitalized Patients with Selected Medical Conditions Tim SableChapter 21: Management of Chronic Pain in Neurological Disorders Alexander FeoktistovChapter 22: Management of Chronic Pain with History of Substance Abuse in the Hospital Setting Eman Nada, Nicole Labor, and Dmitri SouzdalnitskiChapter 23: Management of the Patients with Spinal Cord Stimulators and Intrathecal Pumps Samuel W. Samuel and Khodadad NamiranianPart V: Perioperative chronic pain managementChapter 24: Pre-operative Chronic Pain Management; Coordination of Surgical and Anesthesiology Services in Preparation for Surgery Sherif Zaky, Steven Rosenblatt, and Salim HayekChapter 25: General and Regional Anesthesia for Patients with Pre-existing Chronic Pain Dmitri Souzdalnitski, M. Smith, Y. Huang, M. GuirgisChapter 26: Postoperative Pain Management Dmitri Souzdalnitski, Imanuel R. Lerman, Samer NarouzePart VI: Patient satisfaction and quality management in hospitalized chronic pain patientChapter 27: Prevention of Chronic Pain After Hospitalization. Prevention of Chronic Postoperative Pain: Myth or Reality? Harsha Shanthanna, Hari Kalagara, and Loran Mounir SolimanChapter 28: Patient Satisfaction Dmitri Souzdalnitski, Richard W. Hohan, Carmen V. Natale, and Beth MinzterChapter 29: Criteria for Discharge from the Hospital from the Pain Perspective Ankit Maheshwari and Richard UrmanAppendix A: Opioid Conversion Table