Status - uncontrolled Drug therapy problem - safety: dose too high - LS's pain medication dose is too high and at risk for opioid overdose. Drug therapy problem - indication: needs additional drug therapy - LS is at high risk for opioids overdose, a rescue medication for opioids overdose is recommended; LS needs optimal pain medications to control her symptom. Drug therapy problem - compliance: noncompliance - LS is not compliance with taking her MS Contin tablet and oxycodone IR tablet. Rationale:…
Administer Opioids and/or non-narcotics medications as prescribed by a physician. Rationale: Pain can be devastating; affecting someone's life at different levels. Especially in a patient like mine from scenario two fighting terminal cancer, who is subject to chronic severe pain, controlling her pain is making her daily life more worth living; it is providing her the comfort she deserves. b. Monitor the patient for any possible opioids side effects and/or adverse reactions like constipation, nausea/vomiting and administer stool…
She is currently taking hydrocodone/acetaminophen, 2 tablets every 4 hours (12 tablets - 60 mg hydrocodone ≈ 60 mg morphine). She frequently awakens and takes the medications during the night. She states (with help of the translator) that the medicines relieve the pain by approximately 25%. 9c.…
Andrew Rider of Insurance Company referred this file for medical case management. Instructions were given to meet with Karen Hartman and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 11/9/16 I met Ms. Hartman at the office of Dr. McPherson. Ms. Hartman works at this medical office so she was already at work.…
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…
Majority of doctors have taken the Scope of Pain certification course. Several doctors will not prescribe opioids to patients who are taking antihistamines and muscle relaxants. The consensus is that both combination should be avoided. The combination has been linked to an increase in emergency room visits especially for older…
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.…
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.…
"Pros: It will reduces the pain in muscles by gentle massage. It is also very good for infection and allergies. It will help to reduce pigmentation on skin. I had some marks on my leg which was not going for any treatment and any creams but this oil slowly removed this all marks. Cons: It is very oily."…
In "Worlds Of Pain/ Life in the Working-Class Family", Lillian Rubin observes that "the family as an institution is both oppressive and protective and, depending on the issue, is experienced sometimes one way, sometimes the other -- often in some mix of the two -- by most people who live in families." ( Rubin, Worlds of Pain, p. 6 ) It is my assessment that in working-class families the institution functions in both ways, but is more often oppressive than it is protective. The basis of this oppression in the working-class is the increased saliency of cultural "reproduction" when compared to other classes, and those misguided ideas that were intended to protect; often end up limiting social mobility. It is the individuals that break away from…
Patients Are Turning to Medical Cannabis to Get off Opioids The opioid epidemic in North America is a growing public health crisis, causing devastating effects on communities across Canada and the U.S. Canada is the world’s second biggest consumer of pharmaceutical opioids, and in 2016, there were approximately 2,458 apparent opioid-related deaths in the country. What’s being done to counter this deadly health crisis? Learn why more doctors and patients are turning to medical cannabis.…
As a trauma nurse, I frequently encounter patients who are in agonizing acute pain. Many times it is the first time in their lives they have faced such pain. The health care team strives to manage their pain properly, but a careful balance is required while considering the effects of long-term opioid use. Health care providers must be considerate of the weaning process and monitoring patients to make sure addiction does not occur, especially in patients with a history of substance abuse. Unfortunately, opioid abuse and related deaths are at an all-time high, so pain management is a much more challenging facet of the care of these patients.…
Morphine is in the drug class of opiates, which can be taken to alleviate moderate to severe pain. Common side effects of Morphine are dizziness, fatigue, and headaches. Adverse effects of morphine can be serious and include seizures, extreme shortness of breath, hallucinations, rash, and nausea/vomiting. If morphine is taken to an extent beyond what is prescribed, signs of an overdose are loss of consciousness, severe fatigue/sleepiness, decreased heart rate, and irregular breathing.…
Sara Lin Guided Reflection Questions Opening Questions How did the simulated experience of Sara Lin’s case make you feel? Pain is an elusive and complex phenomenon. However, the simulation of Sara Lin’s help me understand the patient’s responses and factors affecting the pain experience.…
Due to the fact that there is a strong tendency of globalization, many companies decide to export their products. For this purpose they need to choose carefully the market to enter and a certain entry strategy for this market. Companies can face many different obstacles during the process of internationalization like difficulty of choice of an appropriate entry mode. Bestmedical is planning to export its products to the USA because it believes to be the most important market for them. Furthermore they want to enhance its market share, turnover and boost its position among competitors in the American market.…