***** PAIN TREATMENT TOPICS—e-NOTIFICATION *****

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*** News/Research UPDATES This Week ***
<> A Better Way to Diagnose Fibromyalgia Proposed
The American College of Rheumatology (ACR) has proposed new diagnostic criteria for fibromyalgia that include common symptoms such as fatigue, sleep disturbances, and cognitive problems, as well as pain. This could mean saying goodbye to counting tender points and facilitate more appropriate diagnoses.
## Read about this at:
http://updates.pain-topics.org/2010/06/better-way-to-diagnose-fibromyalgia.html

<> Older Patients Denied Adequate Pain Relief
Persons older than 65 years of age are less likely to receive strong analgesics for moderate to severe pain than younger patients complaining of comparable pain, according to researchers at the 2010 Annual Meeting of the American Geriatrics Society (AGS). Specific reasons for this are as yet undetermined.
## Learn more and comment:
http://updates.pain-topics.org/2010/06/older-patients-denied-adequate-pain.html

<> Tai Chi May Offer Benefits for Chronic Pain
Tai Chi, a low-impact martial art, has been associated with significant improvements in balance, strength, flexibility, cardiovascular and respiratory function, as well as pain reduction and improved quality of life. Researchers conducted a systematic review demonstrating that Tai Chi also benefits psychological health.
## See details:
http://updates.pain-topics.org/2010/06/tai-chi-may-offer-benefits-for-chronic.html

<> June 2010 – Pain Product Announcements & Warnings
Featured Items: intranasal ketorolac tromethamine (Sprix Nasal Spray) approval; milnacipran HCl (Savella) safety warning; tramadol-related suicide warning (Ultram and Ultracet); proton pump inhibitor (PPI) class-wide safety notice.
## Read details at:
http://updates.pain-topics.org/2010/06/june2010-pain-product-announcements.html

<> Previously Noted UPDATES of Interest…
> Which Patients With Pain Are Likely Drug Abusers? (with comments)
http://updates.pain-topics.org/2010/05/which-patients-with-pain-are-likely.html
> Grapefruit Juice Alters Oxycodone Concentration
http://updates.pain-topics.org/2010/05/grapefruit-juice-alters-oxycodone.html
> Coping Skills Essential for Managing Chronic Pain
http://updates.pain-topics.org/2010/05/coping-skills-essential-for-managing.html
> Vitamin D: Does Too Much Incur Worse Pain? (with comments)
http://updates.pain-topics.org/2010/05/vitamin-d-does-too-much-incur-worse.html
> Do Men & Women Differ in Opioid-Abuse Risks? (with comments)
http://updates.pain-topics.org/2010/05/do-men-women-differ-in-opioid-abuse.html
* You can see ALL present/past UPDATES indexed with links at:
http://pain-topics.org/news_research_updates/
 
*** New Guidelines Posted ***
<> Evidence Based Guidelines for CRPS Type 1 (RSD)
A multidisciplinary task force examined the literature relating to Chronic Regional Pain Syndrome (CRPS-1) — formerly known as reflex sympathetic dystrophy (RSD) — and provides recommendations for general pain treatment, neuropathic pain, inflammatory symptoms, promoting peripheral blood flow, and decreasing functional limitations. The prevention of primary and secondary CRPS-1 also is discussed.
## Details at: http://pain-topics.org/guidelines_reports/current_guidelines2.php#CRPS2010

<> Sedation in Terminally Ill Patients
> NHPCO Statement on Palliative Sedation in Terminally Ill Patients
This guidance document clarifies the position of NHPCO on the use of palliative sedation for patients at the end of life, and recommends questions and issues to be addressed in each case for which palliative sedation is being considered.
## Details at: http://pain-topics.org/guidelines_reports/current_guidelines2.php#NHPCOpallsedation
> EAPC Framework for the Use of Sedation in Palliative Care
This document provides procedural guidelines from the EAPC to help educate medical providers and set standards for best practice. Sedation is considered to be an important and necessary therapy in the care of selected palliative care patients with otherwise refractory distress; however, its prudent application and certain cautions are necessary.
## Details at: http://pain-topics.org/guidelines_reports/current_guidelines2.php#EAPCpallsedation
 
*** AAPM Conference—September 21-24, 2010 ***
Registration for the AAPM (American Academy of Pain Management) 21st Annual Clinical Meeting in Las Vegas, NV, is now available online. This is the only educational conference that truly addresses multimodal and integrative approaches for pain management and attracts healthcare professionals representing diverse disciplines. It is a genuinely unique learning and networking opportunity.
## Get the scoop at: http://pain-topics.org/newsroom.php#affiliates
 
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Your feedback & comments are always appreciated…
Stewart B. Leavitt, MA, PhD; Executive Director
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http://Pain-Topics.org