Pelvis is stable. The patient is ambulatory and show no restrictions in motion at the hip, knee, ankle, or foot. Examination of the left upper extremity shows a posterior splint. This is removed and shows some mild swelling and ecchymoses in and around the posterior aspect of the elbow and ulnar forearm. Axillary, radial, median, and ulnar nerves are intact to motor and sensory tone.…
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.…
Summary of Case Study Bill is a 34 year old male who is in good health. He likes to work out as well as swim and go scuba diving. Bill began feeling discomfort in his right hip, so he decided to visit the doctor. He was prescribed medicine for his discomfort, but it did very little so he decided to return back to his doctor. He returned with the pain still in his right hip, but also mentioned the pain could now be found in his left hip as well.…
Research In 1903, Robert Osgood, a US orthopedic surgeon, and Carl Schlatter, a Swiss surgeon, concurrently described the disease that now bears their names. They found a pattern in which teenagers who are still growing often experience knee pain and inflammation in the area just below the knee and they called it Osgood-Schlatter disease. Teens experience symptoms of this while doing athletic activities or doing some regular exercise like climbing stairs. They feel pain in their knee, sometimes in both but with one more painful.…
Regarding Norco 10/325 mg #60, CA MTUS Chronic Pain Medical Treatment Guidelines state that there should be documentation of the 4 A's (analgesic, activities of daily living, adverse side effects, and aberrant drug-seeking behaviors). Per ODG Guidelines, when considering on-going opioid management, several factors should be considered, including prescription from a single practitioner; lowest possible dose to improve pain; documentation of pain relief; functional status; appropriate medication use and side effects; documentation of misuse and continuing review of overall situation with regard to non-opioids means of pain control. The medication was within guidelines supported levels. However, there has been no documentation provided regarding…
An person normally experiences anguish, stiffness, swelling, and/or warmness about the joints. When harm is not an underlying rationale, the discomfort can attack one or more joints, which…
Assessment: The patient has developed painful post traumatic arthritis to the left ankle. She has large osteophytes to the anterior ankle joint causing impingement and pain with active range of motion. The left ankle fracture is well healed by x-ray evaluation. The most likely diagnosis is post-traumatic osteoarthritis after an open fracture dislocation of the left ankle 20 years ago. In a fracture dislocation of the ankle, the exposed cartilage can be disrupted and lead to osteoarthritis.…
1. Could Mr Smith’s culture influence his pain assessment? Why? What strategies could you employ to ensure that you are adequately addressing Mr Smith’s pain? A proper Pain assessment helps in preparing an accurate pain treatment plan.…
Health History Questions: Subjective Data A good clinical history is important when making an assessment for new patients. A data needs to be collected that relates to the diagnosis or illness for which the patient is being seen. When gathering data for patients diagnosed with or are at risk for osteoporosis, following five areas of the body that need to be examined for further detailed findings. 1.…
It is hard to handle the feelings when one of the family members is ill and normal to depend on the others in…
Many think this disease only affects the elderly. Unfortunately I know differently at the age of 11 I started experiencing knee pain. Which lead to to 2 years of being undiagnosed. In 2009 at the age of 13 I found my answer at the Blair Batson hospital for children. I was diagnosed with Juvenile Rheumatoid Arthritis also known as JRA.…
Undiagnosed at the time, a disease called spondylitis, caused her such pain she could not move at times, this will affect her for the rest of her long…
Analyzing Chronic Pain as it Pertains to Affecting a Whole Person Chronic Pain is experienced by a large population of individuals and often affects every aspect of one's existence. Kirkham, Smith, and Havsteen-Franklin, in referencing an analysis from the Institute of Medicine, state, "about 100 million adults in the United States suffer from chronic pain" (2015, para. 2). Pain is often hard to describe, making the experience of chronic pain an isolating experience for some individuals. When pain is chronic and affects everyday functioning it can have major implications to one's psychological and social functioning. Chronic pain is a major issue in the United States and may be better handled if the emotional affects, affects to one's view…
Caring in Nursing Compassion and Caring Every individual has his/her own unique perception of caring. There are so many ways to show caring that the possibilities are endless. Nurses are often associated with caring because they support, comfort, and help the patient recover to the best of their ability. Their experiences dealing with different patients that have unique situations on a daily basis help them become better caregivers.…
Hitting rock bottom may be beneficial to you and sometimes horrific. It is a way to help us build from something that we may have lost or sometimes a place to begin at. Rock bottom is as far as it gets which means the only way is up. This can mean losing a job, family, friends, and even losing everything we own. Sometimes a life altering event is what it causes a person to realize what they’ve got and to take it for grant.…