On 10/31/2016, the claimant complained of neck and upper back discomfort. She also presented with a low back pain. According to the provider, to restore a normal function and increased the range of motion, continued exercise was suggested. On 11/14/2016, the claimant presented with a low back pain and neck soreness.…
Esteemed PSU researcher Dr. Jeffrey D. Robinson recently presented how patients diagnosed with breast cancer need to understand that they have a comfortable six weeks from the positive biopsy before they need to make a decision on how to proceed with treatment. “People diagnosed should take the time out and talk to multiple specialist and get second opinions.” said Dr. Robinson. A study he conducted shows how the power of communication can influence how fast some patients opt to have surgery without having all the facts.…
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,…
I take my hand and rubbed over my breast it feels like air bubbles it is kind of a silly dilly fingers under your hand as you explore your own body. It goes up and and down pop- pop it is as if I am in aforeign body. I feel all arround the breast it is tender but it is my body. I go online and read more about the the post “ Breast Implant Exchange surgery” many other girls seem to have found bubbles. But I am still concerned about he air bubble that I felt at the bottom of my left breast, right by the incision area where the cancer tumor was removed.…
PLP can occur promptly after the amputation of a limb while in some causes “Pain may last for years and tends to be intermittent rather than constant” (Lin and Cataldo 849). Furthermore, PLP may last anywhere from a few minutes to multiple hours a day. In most cases of PLP, the prevalence of symptoms decreases within a few months of the first occurance. The presence of stress or high levels of anxiety may also affect the presence of PLP symptoms. There are many studies concerning PLP due to the fact that it is such a complex condition.…
The most frequently encountered contraindication to transplantation is continued destructive behavior resulting from drug and alcohol addiction (Murray & Carithers, 2005). Individuals must meet the expectations of compliance before they can be placed or remain on the donor waiting list. Any form of addictive behavior should be addressed and be well controlled before patients are accepted for transplantation. According to Murray and Carithers (2005), a candidate can not be refused a liver transplantation until every effort has been made to provide expert counseling and treatment of disorders that may adversely affect postoperative compliance. Emily should be taken off the list only after it is confirmed that she has an issue with alcohol abuse.…
“More women choosing breast reconstruction after mastectomy” CBS News 19 Feb, 2014). Dr. Reshma Jagsil explained, “Breast reconstruction has a big impact on quality of life for breast cancer survivors. As we are seeing more women survive breast cancer, we need to focus on long term survivorship issues and ensuring that women have access to this important part of treatment”. If you have had a mastectomy or expect to have one, you are entitled to special rights under Women’s Health & Cancer Right’s Act. This Act is also known as Janet’s Law, named after Janet Franquet who was denied for breast reconstruction surgery after her mastectomy in 1997.…
Such subjectivity is a limit to improving proper pain management in patients and the information on the quality and standard of the patient's experience (Glowacki 2015). I will be focusing on more common procedures of anesthesia as my focus of pain assessment. According to Ong, Lirk, Seymour, and Jenkins (2005), some specific procedures of anesthesia best for this kind of study includes epidural analgesia, local anesthetics, and other procedures such as nerve blocks. I will be conducting a survey consisting of previously published survey questions regarding the pre-operation and post-operation pain ratings of the patient, the procedure of anesthesia the patient will undergo, the pre-operation and post-operation pain complaints, and the amount of medicine needed to relieve patient pain during recovery. The variables I will be comparing are the pain scale values, the actual pain complaints, and the methods of pain management and anesthesia…
Thomas has been prescribed Vicodin and has choosen not to take it, because she feels she will become addicted, she might be confusing tolerance and physical dependence as addiction (Ersek M. ,1999). Another integral part of the pain assessment is to identify if Mrs. Thomas has used any nonpharmacological physical or psychological treatments such as relaxation, massage, heat and cold, music, and exercise. In addition, it is imperative to identify if Mrs. Thomas has received surgical or nonsurgical treatments, such as acupuncture, nerve blocks, and / or neuroablation (Goudas , Carr, Bloch, et. al, 2001 ). Alternative treatment modalities could be of benefit to ease Mrs. Thomas’s…
VALPARAISO UNIVERSITY College of Nursing and Health Professions Nursing 605: Advanced Health Assessment Breast Lump Case Study Jane is a 37 year old woman who presents today after finding multiple, tender breast masses last week. She reports the masses were located on the upper outer quadrant of both breasts, and were very painful. Although the pain seems to have subsided, and she no longer feels the masses, she has kept her appointment for further evaluation. She tearfully shares with you that her best friend died of breast cancer last year, and she is fearful she may now have cancer. Jane has never had a mammogram, and does not perform breast self-examinations on a regular basis.…
Goal: The first goal for Mrs Jones is to have her pain under control and at a level to continue her life comfortably, by having Mrs Jones identify a specific pain level that will allow her to continue everyday activities, and pain will then stay below the specific level. One option for this is to have a pain assessment done by a health care professional either a doctor or community nurse, as this will determine the severity, location and type of pain (Tollefson, 2016). The information obtained from this assessment will help determine the correct course of management for the pain. Mrs Jones’s doctor can consult with her about chronic pain to determine what Mrs Jones understands about her condition, this will give the doctor a clear idea of…
1.1. Background information Postoperative surgical site infections (SSIs) are a major source of morbidity and mortality in the surgical patient. It is the 3rd commonly reported nosocomial infection accounting for 10 to 40% of all nosocomial infections[1, 2]. In 2010, an estimated 16 million operative procedures were performed in acute care hospitals in the United States.…
Given the multidimensional nature of cancer pain, effective pain management mandates multidisciplinary interventions to improve the success of pain management. However, evaluation and management of cancer pain may be clinically challenging to radiation therapists. Consequences around undermanaged pain can result in psychological distress that include anxiety and depression in patients. As with depression, a patient with one pain site are nearly twice as likely to have clinically significant levels of anxiety compared to persons with no pain (Gureje et al 2008, p 39 pain). Moreover, undermanaged pain may generate interference and adherence issues with treatment.…
Postoperative care The stem cell therapy does not damagingly affect patients in any way. Generally, the patients are permitted to leave after few hours after the completion of the stem cell treatment. A 24-hour patient hotline number is there for any inquiries after their discharge. The concerned physicians or surgeons of the clinic also stay in contact with their corresponding patients through telephone or email.…
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.…