CHIEF COMPLAINT: Left elbow pain. HISTORY OF PRESENT ILLNESS: Makayla is a very pleasant 4-year-old right-hand dominant female who presented to the emergency department yesterday after sustaining a fall while playing with another young family member. She fell onto an outstretched left arm and had pain in and around the left elbow. She was seen in the emergency department, where clinical and radiographic evaluations demonstrated the presences of a fracture through the left proximal ulna. The nurse practitioner who saw the patient asked that I evaluate the x-rays at that time.…
The sciatic nerve used for the experiment was removed from a bullfrog that had been double-pithed. This means that the connection between the frog’s spinal cord and brain was severed. The result being that the frog could no longer feel the sensation of pain and that its muscle reflexes no longer functions. The frog’s skin was cut and pulled all the way down its body from the abdomen and removed from the legs. Its thigh muscles were then separated in order to expose the nerve.…
The tingling follows the feeling of being weak and being numb. However, as the tingling, numbness, and weakness get worse the paralysis sets in and beings to takeover. David Kantor, with the credentials of being a medical doctor “muscle weakness or loss of muscle function affects both sides of the body. In most cases, the muscle weakness starts in the legs and spreads to the arms. This is called ascending paralysis”(Kantor 2).…
An amputation is a procedure that surgically removes all or part of a limb on the body. People who have had amputations usually use a prosthetic, which is an artificial body part, to replace that part of the body which has been removed (Spoor and Lackey). There are almost two-million people in the United States that have had amputations done (Castillo). In addition to people that have had amputations, some can experience symptoms such as having phantom sensations, pain, tingling, itching, or numbness (Haggerty and Sherk).…
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.…
performed a prospective, randomized, double-blind clinical trial to investigate the use of perioperative analgesia to reduce PLP post-amputation. In Karanikolas et al. study, 65 patients underwent lower limb amputation and were divided into five groups; the first group received perioperative epidural analgesia and epidural anesthesia (Epi/Epi/Epi group), the second group received perioperative intravenous patient-controlled analgesia (PCA), postoperative epidural analgesia, and epidural anesthesia (PCA/Epi/Epi group), the third group received perioperative intravenous PCA and epidural anesthesia (PCA/Epi/PCA group), the fourth group received perioperative intravenous PCA and general anesthesia (PCA/GA/PCA group), and the control group of the study received conventional analgesia and GA (Karanikolas et al., 2011, p. 1144). Groups that were given a perioperative type of analgesia were administered it 48 hours prior to surgery and continued infusion 48 hours post…
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,…
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.…
The author believes that these methods are affective for dealing with phantom pains. The strongest feature of this argument is the use of the two experiment examples, the tactile illusion and visual mistakes. The tactile illusion consists of ten participants who receive electrodes at three different places on their arm between the wrist and elbow. The participants laid in an fMRI machine while the researchers distributed pulses to the electrodes and they stated whether they felt the imaginary and actual sensations at the same strength.…
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.…
The study conducted by Cleeland, Gonin, Hatfield, et al., included 1,308 patients with previously diagnosed recurrent or metastatic cancer who had undergone surgery more than 30 days from the onset of the study. The patients came from a total of 54 facilities: 12 university cancer centers (267 patients); 12 community-based hospitals and practices (382 patients); and 30 community clinical oncology programs (659 patients). Group 1 – Patients Patients completed the Brief Pain Inventory at the time of a regular appointment. Patients were asked to rate several types of pain on a scale of 0 to 10. (0 being the “no pain” and 10 being “pain as bad as you can imagine.”)…
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.…
The doctors take some scans and they show that the bones in the ankle are broken and surgery is necessary. Surgeons are nice and all, but they’re still cutting into the body and that hurts a lot. Fear not though, for there are really special doctors to make sure patients feel no pain during surgery; they’re the unnoticed heroes, they are anesthesiologists. An anesthesiologist is a person who specializes in the pre operative care of patients and the use of anesthesia.…
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] To successfully make the decision to join Miracle Limbs – Courage in Motion as a board member. I would need to first fully understand what this organization is all about. For this to happen I will need to speak with the founder Robert C, Ayres and Co-Founder Diana Dozier-Ayres. As well as acquiring more information before deciding on joining the board or not.…