A review of the records reveals the member to be an adult female with a birth date of 06/06/1956. The member has a diagnosis of rheumatoid arthritis. The member’s treating provider, Laura Summers, MD recommended the member continue her treatment of Remicade infusions 7 mg/kg every 6 weeks. The carrier has denied coverage of Remicade infusions 7 mg/kg every 6 weeks as not medically necessary.…
At today’s visit, she is awake, alert and oriented. She reports chronic, dull, constant, sharp left hip pain. She rates her pain as 7/10. She states that the pain affects her mobility and makes it difficult to ambulate. She takes Percocet…
The role of a nurse in providing professional, compassionate care. Introduction This assignment will discuss the role of the nurse in providing care in relation to the 6C’s of nursing practice which include care, compassion, competence, communication, courage and commitment. (NHS England, 2012). These principles form the benchmark of the NHS culture of compassionate care and underpins everything it does.…
Research was done to identify clinical guidelines, clinical pathways, and systematic reviews. Further research was then conducted on recently published trials to provide the numerical data. Systematic reviews where assessed using AMSTAR and evidence quality was assessed using a modified GOAL scale. The evidence found by this showed that self-management and education had a small effect on pain and only in the short term. Psychosocial therapy had a medium to large effect on pain in both the short and long term.…
Marie C. Louis M4D1 Assignment Response 1. My assigned patient's priority diagnosis label related to pain: Risk of discomfort due to chronic cancer pain 2. Three nursing interventions for my assigned patient: a.…
7a. What risk factors does M.P. have to develop Reye’s syndrome? (1 pt) M.P. risk factors of developing Reye's syndrome include giving OTC Alka-Seltzer that contains aspirin. In most cases of chicken pox happen in children between the ages of 5 to 9 years of age.…
Jenny presents with sudden hip pain that developed 3 weeks ago which first occurred after she came home from work one night and has been persisting since. She describes her pain as ”dull pain” and rates her intensity of pain as 4 out of 10. The pain is located around her gluteus medius with no radiation down her legs, and no other associated numbness or tingling sensation. Her pain has not prevented her from working and she is still working and has not taken any days off work in the past year. She says the pain is typically aggravated by long periods of standing at work even though she makes an effort to stretch her hip muscles at work for some relief of the 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.…
The structure of Biss’s essay: The Pain Scale, is rather unique. Biss created the essay centered around a story in her life. She used a technique to describe the events that occured. In the story Biss is describing a life event that she has gone through and talks about how she felt throughout this time. The essay is separated into mini chapter or verses and every chapter represents a scale in pain that she is feeling.…
On 11/10/17 I met with Ms. Perez at the Chesaning rehab center for a team meeting. Ms. Perez was in her hospital bed. She continues to have weeping edema to her right arm and the lower extremities. She had a recent appointment with, Dr. Malik wound doctor. He was very happy with the progress of the abdominal fold wound.…
Chronic pain has a multidimensional effect on a person’s life and ultimately changes life completely. Pain that is chronic and debilitating can cause stress & anxiety, sleeping problems, family/relationship worries, financial stress, and can lead to unemployment. Chronic pain is defined as, “any pain that lasts for more than three months. The pain can become progressively worse and reoccur intermittently, outlasting the usual healing process. After injured tissue heals, pain is expected to stop once the underlying cause is treated, per conventional ideas of pain”.…
Considered the fifth vital sign, pain is defined as the sensory and emotional experience associated with actual or potential tissue damage. Therefore, effective education must be provided to Sara for managing pain at home after discharge. This patient should be educated on medications that control pain such as analgesics and any other non-pharmaceutical way to relieve pain, such as music therapy and relaxation. EBP/S What should be included in Sara Lin’s education plan related to postoperative incision care?…
92. The client who is under the management of the nurse notes that the former is prescribed with Fluphenazine decanoate (Prolixin). Which of the following nursing Implementations applicable in caring for the client? Select all that apply. A. Assess client's temperature every 4 hours B. Monitor intake and output C. Monitor complete blood count D. Give analgesics PRN as ordered E. Ask the client to report sore throat immediately Rationale:…
Betty Jones is a happily married 54 y/o primary school teacher who presented at our clinic with a 2-day history of intense back pain after moving a heavy pot in the garden and a long-term history of bronchitis. Her back pain is exacerbated by a current episode of bronchitis, which is maintained by smoking 3-5 cigarettes daily. While in the garden two days ago, Betty bent over to move a large ceramic flower pot. Upon lifting, she experienced immediate pain which has remained consistent with an intensity of 7/10. Slight relief was found only by taking nurofen and the application of a heat pack.…
INTRODUCTION Hospital admission is a stressful experience that can happen to anyone at any point in one’s life. The stress is amplified when hospitalizations occur to pediatric patients who will undergo a new environment at that point, and will be experiencing painful procedures. The cause of distress during hospitalization differs among individuals, more so for pediatric patients. The discomfort felt by these pediatric patients can be traced to the pain they experience and of which they do not have a full understanding of.…