1. The 48 years old Native American women presenting to the Indian Hospital is taking Lisinopril because of hypertension as one of the conditions documented in her past medical history. Hypertension is supported by the current measurements of the blood pressure readings of 165/100. Lisinopril is an angiotensin –converting enzyme inhibitor (ACE) considered as one of the first line treatment option for hypertension. The pharmacological mechanism of action for Lisinopril is to inhibit the action of angiotensin- converting enzyme by preventing conversion of angiotensin I to angiotensin II which will result in decreased vasoconstriction of the vessels and water reabsorption.…
This report allows me to compare and contrast the different measures besides pharmacological interventions for efficacy. By including this research into my article I can provide increase validity in providing recommendations for the treatment of pain by providers. There is potential for bias in the selection process of research to include, while the author did provide inclusion and exclusion criteria, some research was not included simply because it was…
What are some of your concerns based on the medication regimen the patient report? (4 pt) Some concerns based on the patient’s medication regimen would be how intense and sever her pain is. It is so severe that it is waking her up in the middle of the night making her take more medication. The pain is only being relieved by 25% so a consideration of different medications or alternative pain management would need to be addressed. Depending on how many milligrams the acetaminophen she is taking with the hydrocortisone, she could be at risk of damaging her liver with…
and Ultracet 37.5/325 mg #60, Norco 5/325mg #130 and Butrans Patch 120mcg #20, CA MTUS Chronic Pain Medical Treatment Guidelines do not support ongoing opioid treatment unless prescriptions are from a single practitioner and are taken as directed; are prescribed at the lowest possible dose; and unless there is an ongoing review and documentation of pain…
If the Bay Area Medical Practice wants to respond to the baby boomer population that is on the verge of retiring soon, they will need to take a look at the four P’s in order complete this analysis. The four P’s, as it pertains to marketing consist of product, price, place and promotion. The first P is product and will attempt to answer the questions; what does the customer want, what features does it have to meet these needs, how and where will the customers use it, what does it look like, what sizes or colors should it be, how is it branded and how is it differentiated against similar products. Technological advances will increase the health care options available to baby boomers as they will constitute the largest group of patients with…
Complex regional pain syndrome (CRPS) is a chronic (lasting greater than six months) pain condition that most often affects one limb (arm, leg, hand, or foot). CRPS is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems. CRPS is divided into two types: CRPS-I and CRPS-II. Individuals without a confirmed nerve injury are classified as having CRPS-I (previously known as reflex sympathetic dystrophy syndrome). CRPS-II (previously known as causalgia) is when there is an associated, confirmed nerve injury.…
Fibromyalgia or Fibrositis is a type of Chronic pain disorder that causes widespread pain throughout the entire body. Fibromyalgia in English means, pain in the muscles, tendons, and ligaments. For every eight women who suffer from the disorder there are two men, thus making Fibromyalgia more common in women. Not only does this disorder affect people physically, but it also affects them socially and mentally.…
Nature's Inflammation Response formula contains highly concentrated proteolytic enzymes for augmenting the body's anti-inflammatory systems. This formula is very helpful in providing nutritional support in conditions of stress and pain. The ingredients in Inflammation Response help break down undigested protein, cellular debris and toxins in the blood, break up waste protein occurring in an area of injury, provide a buffering system to prevent persistence of acid waste, help with inflammation and circulation problems, and help the body fight muscle spasm. Excellent for athletic injury and severe of chronic pain Beneficial for PMS symptoms and circulatory problems Ideal for people who are highly active and have a diet high in protein foods…
The Pros and Cons of Joint Injuries, Joint Trauma, and Joint Conditions Treated with Cortisone Should osteoarthritis, tendinitis, bursitis and other joint conditions be treated with cortisone, and to what extent should treatment take place? Skeletal problems are intertwined in treatment before cortisone treatments are administered. There are several treatments besides cortisone, such as massage, chiropractic, physical therapy, and natural remedies. One can measure quality by how safe it is for patients, whether it is effective, how efficient care and services are, and how timely treatment is administered. One also looks at how quality service revolve around the patient, and lastly, equitable treatment available to all.…
DOI: 02/01/1990. The patient is a 75-year old male route sales employee who sustained a work-related injury to his back due to overexertion in lifting objects. As per OMNI, he was initially diagnosed with strain of the lower back and left hip. Controlled Substance Utilization Review and Evaluation System report on 10/6/2015 showed appropriate findings. Urine drug screen dated 10/13/2015 showed positive findings for methadone, Dilaudid, and oxazepam.…
Advil and Ibuprofen has been around since the early 1960’s, and you probably take it more than you think. Have you ever had a tooth ache or head ache and taken medicine to stop the pain? You most likely took Advil or Ibuprofen, but have you ever stopped and wondered what the difference between the two were? What are the side effects of taking these types of medicines? How do they work in the body?…
I live with my Mom and my Grandmother. My mom has CRPS, which is Complex Regional Pain Syndrome. It could affect anywhere in the body. It affects her in her heart, shoulder blades, lower back, hips, legs/knees and her ankles. With this condition your body swells anywhere.…
These main concepts include multimodal intervention, focused pain management, and patient involvement as a contribution to the balance between analgesia and their side effects (Good, 1998). Multimodal intervention outlines managing a balance between the usages of many types of pain relief in order to decrease the likelihood of unwanted side effects. Pharmacologic methods are used with non-pharmacologic methods to achieve holistic intervention. Attentive care encompasses regular pain assessments in conjunction with monitoring for side effects. This allows for the identification of the impact of the pain relief method and whether or not it was adequately successful.…
Green Synthesis of Ibuprofen Green Chemistry is a new approach and perspective of chemistry that can improve human lives and maximize efficiency. It is a branch in chemistry that explores and examines techniques to reduce and eliminate hazardous and harmful substances. These harmful substances effect humans and the environment in multiple ways, the twelve principles of Green Chemistry can help minimize them. The twelve principles include prevention of waste, the design of less hazardous chemical syntheses, use of less toxic solvents and renewable feedstock, and design chemicals and products to degrade after use. These principles are seen in the making of synthetic organic chemical substances.…
According to Medsafe, when administering ibuprofen nurses should be considerate that elderly patients are more prone to adverse effects and should be cautious with patients that have renal impairment or impaired liver function. Ibuprofen should not be given to patients who take aspirin and other non-steroidal anti-inflammatory medication to stimulate signs of asthma, rhinitis or urticaria. Some adverse effects include nausea, heartburn, constipation and many more (medsafe,…