Reviews

Pain Comorbidities: Understanding and Treating the Complex Patient

This book's authors are all experts in their fields. It describes how the occurrence of multiple concomitant medical conditions in the same patient is common in clinical settings, and is becoming increasingly frequent with an ageing population. Multiple-morbidity in older people ranges from about 55% to 98%, according to the text

This book's authors are all experts in their fields. It describes how the occurrence of multiple concomitant medical conditions in the same patient is common in clinical settings, and is becoming increasingly frequent with an ageing population. Multiple-morbidity in older people ranges from about 55% to 98%, according to the text.

My experience from clinical practice is that patients with more than one concurrent condition will have more than one source of pain.

Diagnosis and treatment planning for patients in pain with complex symptoms can sometimes be difficult, often requiring a multi- or interdisciplinary approach.

One of the dilemmas facing any clinician treating patients in pain is comorbidities. This book emphasises the importance of treating the patient ‘in the round’, rather than focusing on a single element of treatment.

This book, while a rather challenging read, would be useful to anyone trying to understand patients with complex healthcare needs in more depth, and to ensure that any treatment recommended is appropriate for all their conditions and symptoms.

A lengthy and expensive tome, it would be a useful addition to any library, but its cost probably precludes individual ownership.

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