Pain management

"The use of fentanyl as a pain reliever and anesthetic was quickly adopted in the medical setting. In the 1960s, the agent was introduced as an intravenous anesthetic under the brand name Sublimaze"(S.Robertson)pg.1. In the 90s fentanyl was turned into a patch which breaks down into the blood stream through a period of 72 hours. Fentanyl affects the body by increasing the dopamine levels causing pain relief. The medical use of fentanyl is pain relief and pain management. Fentanyl can be high…

Introduction Pain is mainly subjective experience and patient’s self-report is most reliable source of the pain (Pasero and McCaffery, 1999).Pain assessment is a vital part of nursing care in intensive care unit. However, inability of critically ill ventilated patients to verbalise their pain consider main barriers to effective pain assessment (Urden et al., 2008). Additional barriers came from health professionals and environment .Under-treatment of pain in critically ill patient wildly…

advances in the technology and use of spinal cord neuromodulation for the treatment of chronic refractory pain syndromes in patients whom medical and surgical management have been exhausted. This chapter focuses on the technical aspects of percutaneous placement of SCN devices, emphasizing patient selection, technique, and complications. The precise mechanism of spinal cord modulation for neuropathic pain is partially understood. The original ‘control gate theory’ postulated that continual…

hadn’t taken any pain medication since he was last in. Pt Wilcox documented improved tissue mobility in the UGT (upper gluteal tendon) today. On 10-13-14, Chiropractor, D.C. Bogan documented Mr. Durland had recurring low back pain that was better…

common causes of heel pain. It involves pain and inflammation of a thick band of tissue, called the plantar fascia, that runs across the bottom of your foot and connects our heel to your toes. She received acupuncture therapy sessions and eventually her pain stopped, she now attends monthly sessions to keep inflammation and stress down, and to balance her hormones. Jasmine Elliot is one of the many people who have struggled with chronic pain, attended acupuncture, and their pain was eliminated.…

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.…

There are many aspects that affect the post surgical recovery of patients. However, a consistent variable among them is the issue of pain control. An important focus in post-op surgical patients is the effect of pharmacological and non-pharmacological intervention to pain on the postoperative recovery process in comparison to the preoperative condition. With the current rapid discharge rates, nurses have a small window of opportunity to make a significant difference in creating optimal…

commonly used for seizures, but helps reduce some chronic and cancer pain. Anticonvulsants are also adjuvant analgesics because they don’t allow certain type of nerve transmissions therefore changing the way the body senses pain. Anticonvulsant may be taken alone for pain management in combination with opioids. Common drugs gabapentin and pregabalin (Lyrica) are considered first-line medications in various types of neuropathic pain and to treat migraine headaches. Gabapentin is initially started…

functional limitations in order to facilitate safe participation in ADL, transfers, and ambulation without pain and mobility limitations. A detailed table can be found in the appendix where innervations and parameters for all seven sessions are listed as well as rationale and patient reports/findings. The overall plan of care consisted of patient education, manual therapy techniques for pain management, progressive therapeutic exercises to address proximal hip and distal knee musculature…

itchiness, but pain is an even more frustrating issue. On each side of your body, there are pathways for nerve roots that supply sensation to the skin. When the varicella-zoster virus, the same one that causes chickenpox, becomes reactivated, red blotchy patches on one side of your body or face, cluster along nerve pathways. It is common for an infected individual to complain of shooting pain in the region where the rash appears. Shingles complication can lead to long-lasting nerve pain known…