Road of 10,000 Pains by Otto J. Lehrack demonstrates what it means to be an American soldier and fight for our country. In the beginning months of 1967, the military forces started a new tactic that was called “Search and Destroy” (Vietnam in HD.) This new tactic was going to be to be known for winning the war by body count and not land taken. Chapter 16 of Otto J. Lehrack’s book gives information on some of the men that served and survived the battle. Within the chapter it gives detailed accounts of several men and what the battle was like for them.…
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.…
The painful condition of joint affliction happens when one or more joints are affected by an underlying purpose that makes everyday life fairly insufferable at times. In these days, a huge range of causes is connected to joint agony, where an array of cure choices can ease some or all the signs. When developed, the outcome of joint pain is rather hard to are living with, as easy tasks like strolling throughout the room or washing the dishes can create an unbearable moment. The symptoms of Joint affliction Joint ache is really visible when it strikes.…
Treatment Guidelines For Complex Regional Pain Syndrome The paper will describe treatment recommendations for a 43-year-old white male diagnosed with Complex Regional Pain Syndrome (CRPS). The paper will have three different decision points, and at each decision point, the psychiatric mental health nurse practitioner (PMHNP) will have to choose one of the treatment options available and explain the rationale of each choice that was preferred. The paper will describe why starting with Amitriptyline is a better option than Savella or Neurontin. Next, the paper will explain why the PMHNP chose to continue therapy with Amitriptyline and continue towards reaching the daily dose of 200 mg per day instead of reducing the dose or adding other medications…
Why We Hurt: The Natural History of Pain is written by neurosurgeon, Dr. Frank Vertosick, who transforms the vast subject of pain into an exciting and enlightening discussion that is highly engaging. Dr. Vertosick examines many types of pain including migraines, phantom limb pain, tic douloureux, ruptured discs, rheumatoid arthritis, carpal tunnel syndrome, angina pains, and cancer. Each chapter presents a clinical case, the different ways in which cultures viewed the disorder and the biology related to the disorder. The clinical cases of each patient give a personal touch and depicts just how these disorders can affect patients not only physically, but emotionally and spiritually as well. Dr. Vertosick introduces his response to pain by challenging C.S. Lewis’ statements involving the inseparability of religion and pain and how God intended for the pain of individuals as to create a way in which he was worshiped and looked upon to end suffering.…
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,…
This article focuses on phantom pains. People with amputated limbs wonder if they are actually feeling something touch them or if it is just a figment of their imagination. In this article researchers gave their opinions on why this happens and they explained why it is possible. It talks about the primary somatosensory cortex, primary visual cortex, and the motor cortex function before and after the limb has been amputated. The researchers use an illusion called cutaneous rabbit illusion, which consist of electrodes and an fMRI machine to try and better understand how tactile illusions act in the brain.…
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.…
Is the pain constant or does it come and go? 4. When you belch does it relieve the stomach symptoms? 5. Are you able to point to the pain or is it generalized pain?…
There are numerous discrepancies in the subjective data collected by the student nurse. In the HP, is documented that the patient’s mother reported abdominal pain for 3 days with decreased appetite and no nausea or vomiting. The pain is also described as “ it comes and goes”. However, in the pain assessment the pain is charted as constant and in the ROS, is documented abdominal pain (without time frame), decreased appetite and with nausea and vomiting.…
Statement of the Problem Health care facilities are consistently looking for new ways to improve patient satisfaction in all aspects of the hospital experience (Gebremedhn, Chekol, Amberbir, & Flatie, 2015). Patient satisfaction is important for both improving patient recovery and for improving hospital ratings and overall atmosphere of the facility (Gebremedhn et al., 2015). Because of this, hospital staffs are considering different ways to ameliorate the experience of patients, especially in the aspect of pain relief in anesthesiology. Anesthesiology is the practice of medicine dedicated to pain relief. Health care professionals are currently studying further the role of anesthesiology in improving patient satisfaction.…
agreement between rater 1 and 2 were average with 0.89percentage of 60 items on the scale. The Pearson correlation coeffient score (0.83) demonstrated a strong inter rater reliability of PACSLAC (p<0.00) of the Doloplus-2 scale after 1 year demonstrated a notable decrease in symptoms of pain. This study marked the importance of pain management by using an observational pain assessment tool for the patients with advanced dementia who are unable to self-report. The study results emphasised that the Doloplus-2 scale is strong enough to identify pain in patients with severe cognitive impairment. The nurses reported that this scale is handy to use in daily practice, but may be more suitable for people in care homes.…
Chronic pain defined as pain that lasts longer than six months. Chronic pain can be mild or excruciating, episodic or continuous, merely inconvenient or totally incapacitating. Due to the trouble of categorizing a patient with chronic pain, I would complete comprehensive health history assessment. This will provide subjective and objective data from the patient along with the examination of the patient.…
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…
1. Identify which author and theory you are using: I am going to use a middle-range theory of acute pain by Marion Good Ph.D, RN. After reading your chosen articles on nursing theory, write a paper that answers the following points/questions: 2. Describe the theory and its components?…