Epidural

DOI: 9/20/2015. Patient is a 32-year-old female certified nursing assistant who sustained a work-related injury when she felt pain in her left knee while transferring a patient. Per the medical report dated 03/23/16, the patient presented with low back and left leg pain, lumbar paravertebral muscle spasms and medial thigh pain. He has been refractory to 12 PT visits. Current medications include tramadol, ibuprofen, loratadine and Claritin. MRI of the lumbar spine obtained on 03/31/16 revealed a…

the strength of contractions, and the epidural numbed maternal recognition (ADHB, 2013) (COMPETENCE; PRACTICE REASONING). I explained this to Ellise and asked permission to sit beside her and palpate her uterus to feel for the strength of her contractions manually over a ten minute period (Pairman, Pincombe, Thorogood, & Tracy, 2010) (PARTNERSHIP). Palpating contractions is a skill that I am slowly beginning to advance. Working with women who have epidurals provides a challenge but good…

body like a fiery rocket. Before my husband and I decided on having a completely natural delivery, but the Pitocin changed all of that. I bawled because I knew I couldn’t do it without some sort of intervention, so I decided on an epidural. As soon as I got my epidural it was like an on off switch for pain. I could no longer feel my contractions. This was two hours into the labor process with…

At L5-S1, there is a broad based disc bulge, with superimposed right paracentral disc extrusion extending below the level of the disc, impinging against the transverse right L5 nerve root to the lateral recess. Epidural lipomatosis is seen, causing severe central canal stenosis, with disc bulge causing mild bilateral neuroforaminal. IW was diagnosed with other lumbar region intervertebral disc disorders, right sided sciatica, other muscle spasms and spondylosis…

DOI: 3/18/2003. The patient is a 58-year old female cleaner who sustained a work-related injury when she lifted a trash can and shifted the wrong way. Per PT daily note dated 06/20/11, IW has attended 7 sessions. IME dated 04/24/2014 revealed that the patient is at MMI. From an Orthopedic standpoint, the patient requires no further physical therapy, orthopedic treatment, or diagnostic testing. Per the medical report dated 10/22/15, an MRI of the lumbar spine dated 10/17/15, demonstrates at…

processes to support the head and resist flexion (Drake 42). The ligamentum flavum consists of elastic tissue and form part of the vertebral canal and aids in resisting separation of the laminae in flexion and assist in extension (Drake 42). The epidural space is between the vertebral wall and dura mater and contains fat and blood vessels. The dura mater is the toughest and outermost layer covering the spinal cord and the arachnoid mater is the middle layer surrounding the spinal cord. Lastly,…

mater. Blood in this space is able to dissipate into a space because there is no septae limiting the blood flow. However, after a period of time, the amount of bleeding may cause increased pressure and cause symptoms similar to those seen with an epidural hematoma. Sometimes, the damage is due to a sheer injury, where there is no obvious bleeding in the brain, but instead the nerve fibers within the brain are stretched or torn. If there is any major bleeding such as a hematoma the brain itself…

⦁ If you’re a first time mother you may need an epidural This article is compiled from facts and can therefore can be considered a valid source and holds no bias. Hospital births My first source is an online website exploring the factors which pull people towards a hospital birth. I found that reassurance…

As part of my maternal nursing experience, I spent a day in a maternity floor where I observed a birth and learned more about labor and delivery. I paired with a registered nurse (RN) whose role for the day was to monitor, assess, and support her patient who was in active labor. Roles for other RNs were to care for newborns in the nursery and for the postpartum mothers currently in the ward. The charge nurse oversaw the maternity floor and helped the other RN’s as needed. Within the nurses, they…

FDG PET/CT in detection of EMD is as a screening tool for neurologically asymptomatic patients undergoing routine cancer workup and follow-up [43]. Once epidural disease has been identified, MRI, the gold standard for spinal imaging, can further delineate anatomic details for radiation therapy or surgical planning purposes [32-34]. On MRI, epidural lesions are most often T1 hypointense and T2 hyperintense with avid enhancement on post…