Two pt verifier confirmed. Pt c/o worsening abomen pain x1 year. He states that he has been seen in the clinic multiple times for the same issue. Pt states that he recently completed a CT scan and cyst was noted to his kidney. Howvever, he is very concern because he in the last several weeks he's had a decrease in appetitie, loss weight, and constant has mid gastrric pain.…
A study by Ramsay (2000) suggests that inadequate management of pain could increase the morbidity as well as mortality rate. Patient Controlled Analgesia (PCA) is typically provided to a patient who is…
Great post, you explained very well and I liked the concise and clear statement about the brain map. Unfortunately, the brain is the most complex part of the human body. For centuries, scientists have been fascinated by the brain, but until recently they viewed the brain as nearly incomprehensible. Scientists believe that the brain is the greatest mysteries.…
Although, the symptoms of phantom pain cause more physical distress, phantom sensation can equally cause emotional distress in the patient. It is evident that chances of experiencing pain in the phantom limb increase if the individual experienced pain prior to the amputation (Flor, 2002). For example, if an individual has a melanoma in their leg and after several operations, doctors have failed to completely cut it out, the patient may decide to amputate the leg before the cancer can spread. It is therefore, suggested that the patient’s chances of experiencing chronic phantom pain increases as they would have experienced continuous pain after a few prior operations. However, when people that are born without a limb report similar phantom sensation,…
On 10/19/17 the Administrative Officer for the PM&R Service Glenn Butorac contacted Mr. Tressel (9738) regarding a “White House Complaint” (Exec VA64276). Mr. Tressel stated that he is upset in regards to his "pain management care" and the attitude of his provider Dr. Lipton. Mr. Tressel stated that his concerns started back several years and has regressed with each appointment since. The undersigned expressed sympathy and explained to Mr. Tressel that his concerns will be addressed and presented to Dr. Lipton's supervisor.…
DFQ #A. Explain in your own words everything you have learned about pain starting out with a definition. Pain is an unpleasant sensory and emotional experience caused by intense stimuli. Pain can range from dull, to extremely sharp, and even emotional. Pain can helps us survive by warning our bodies of potential danger, or can be an indicator that something is wrong.…
The way we go here is that pain management cannot be determined by doctors is it however the patients feel that we must go by. Drug companies drug representatives have convinced Doctors that opiates such as Vicodin, OxyContin are not addictive drugs. Back in the days according to Dreamland by Quinones, Doctors try to refrain from giving narcotics pain medications to patients because they know how addictive these drugs can be. It is better for patients to abstain from those medications because patients can become dependent on these drugs. Opiates, Vicodin, narco, hydrocodone, oxycodone, Percocet and heroin, morphine, hydromorphine, are all made from the opium plants.…
Sciatic nerve pain is a common occurrence that happens in many people between the ages of 30 to 50 with the United States. The pain can be debilitating and so excruciating that it even hurts to move so you just sit and only move when necessary. Doctors have concluded that sciatic pain often occurs just from wear and tear on the body. “Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body.…
An acute condition is severe and has a sudden onset. An acute condion only lasts a short time, a few days to a few weeks. Acute condtions are often caused by an injury, a virus, an infection, or by misuse of medications or drugs. Acute condtions have distinct symptoms that require short-term care and get better after being treated. Some examples of acute conditons include strep throat, flu, common cold, pneumonia, and broken bone.…
A nurse can use several pain assessment tools that include initial pain assessment, the brief pain inventory, the short- form McGill Pain Questionnaire, PQRST method of pain assessment, pain-rating scales, numeric rating scales, verbal descriptor scale, visual analogue scale, and the descriptor scale. Then for a infants a nurse would depend on the patient's behavioral and physiologic cues, and when assessing a two year old the nurse would be able to rely on the patient to point to the location of the pain and report that they are having pain. When a child has reached the age of four to five years of age a nurse can use the Faces Pain Scale-Revised (FPS-R) or Oucher Scale. Some considerations a nurse should be aware of are age and verbalizations…
Chronic pain has a multidimensional effect on a person’s life and ultimately changes life completely. Pain that is chronic and debilitating can cause stress & anxiety, sleeping problems, family/relationship worries, financial stress, and can lead to unemployment. Chronic pain is defined as, “any pain that lasts for more than three months. The pain can become progressively worse and reoccur intermittently, outlasting the usual healing process. After injured tissue heals, pain is expected to stop once the underlying cause is treated, per conventional ideas of pain”.…
Nociceptive pain is a result of nociceptor stimulated by noxious stimuli or potentially harmful which stimulated specific sensory receptors or nociceptors in somatic or visceral structures. This serves as an “alarm” and protective system against noxious stimuli which cause of pain in the example on Table 3.2. 37-38 Then the signal or nerve impulse travel to spinal cord and generate to pain perception in central nervous system (CNS). The symptoms shown rapid pain perception or withdrawal…
Pain Pain is something nobody wants to endure, whether it is physical, mental, or emotional pain, they are all never fun to go through. Even though pain is no fun, without our body’s telling us we are experiencing pain, worse consequences can occur. For instance, if you roll over your ankle and end up spraining it, without our body's sending a message to our brain that we need to take care of our ankle, our sprained ankle will gradually get worse and not heal. With this being said, I completely agree that it is important you know when you are in pain, so the pain doesn’t get worse and it can be treated. Obviously there are difference cases of pain, from minor to extreme, like falling off your bike and getting a scrape on your leg to being in…
Imagine being able to relax and live a pain-free life. When you suffer from chronic pan, it seems like nothing you do helps. You cannot focus on anything that you enjoy because you are constantly distracted by pain. If you suffer from chronic pain, you may wonder: “Why won't my pain go away?” “Do I have to take pain killers to treat my pain?”…
Every patient is very unique in many shapes and forms meaning that their necessities may also vary between every individual. What makes a good treatment plan for an individual may not be good for another individual. It is difficult to know what is best for a person physically, mentally, and medically due to a great variety of symptoms, history of disease, or injuries. Not everyone's body can or will react the same therefore, it is hard to also be able to identify what “normal” is. Not knowing what exactly is normal makes it hard to make a general medical treatment that everyone can benefit from.…