management of acute and chronic pain associated with Sickle Cell Disease, (SCD). One intervention that comes to my mind after reading the articles would be recognizing the cues to an acute pain episode and responding appropriately and in a timely manner (Jenerette & Ataga, 2014). By doing so, it could help manage the chronic pain associated with sickle cell disease. Patients with SCD are often stigmatized as addicted to opioids, disbelieved or mistrusted regarding reports of pain and not being…
lower back pain, on and off right knee pain with some improvement and right ankle pain and occasional swelling upon prolonged standing and walking. Patient has difficulty with bending, prolonged standing and walking. On examination of the lumbar spine, flexion and extension is restricted by 10/10 degrees.…
Contemporary studies of lumbar disc surgery document postoperative success rates between 49% and 97%7,8. Predictors of outcome include epidemiological, clinical, radiographic and psychosocial aspects7,9,10. Also the type of lumbar disc herniation (prolapse or protrusion vs. extrusion or sequestration) appears to be relevant for prediction of outcome, but not the anatomical position (paramedian, postero-lateral, intraforaminal and extraforaminal) of the lumbar disc herniation with the exception…
floor, I have participated in the discharge of patients and their parents. Pain management and comfort were two of the few topics that parents expressed concern about after discharge teaching. While the nurse attempted to address these issues, it felt as though the parents left the hospital without full confidence in how to manage their child’s pain. It became clear that parents needed further, specific discharge education on pain management when their children were prescribed at-home…
1/31/2012 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Cervical spine HNP Left Shoulder Bursitis 12/12/15 Progress Report described that the patient presentd with neck pain 8/10-scale level, left shoulder pain 7/10-scale level and low back pain 6/10-scale level. The exam revealed tenderness to palpation over the cervical spine, lumbar spine and left shoulder. There were spasms noted and decreased ROM over lumbar spine, cervical spine and left shoulder.…
by the brain and phantom-limb pain. Flor et al. compared the cortical reorganization in 13 upper-limb amputees (using magnetic source imagine), their individual amount of phantom limb pain using comprehensive neurological and psychological investigation (as well as a standardized pain-intensity scale) and facial remapping. Results showed a positive relationship in amount of cortical reorganization and the amount of phantom limb pain experienced by each subject (P > 0.0001), (Flor et al.,…
complained of pain during the night. At 8:00 am, Mrs Sawyer called out to me and said that she feels dull pain at the surgical site and it also radiated to her knee. Walking up to her, I saw that she was pale and drown in appearance. To identify and eliminate any underlying condition that…
atient is a 34 year old woman complaining of joint pain, 7 on a pain scale of 1-10, as well as feelings of anxiety. She states her joint pain began a little over a month ago at first in her knees. Then she began to notice the pain increasing, and soon spreading to her wrists and fingers. She believed her job as an accountant and the constant typing required for the job exacerbated her joint pain in her fingers and wrists. She describes the pain as a “burning” sensation. Ms. Edwards also began…
internal fixation with a Tompson Prothesis. Since arriving at the hospital she has recurrently declined pain medication, and is in too much pain to change positions in bed. Despite the nurse’s efforts and advice, Mrs. Firth refuses to take any pain medications for fear of addiction. If Mrs. Firth’s pain cannot be lessened, she may suffer medical complications due to her inability to sit up in bed. Pain is often defined as an unpleasant sensory and emotional experience associated with actual or…
Introduction Literature Review Pain is defined as “a physical and sensory discomfort that causes suffering that affects an individual’s quality of life” (Lewis, Dirksen, Heitkemper and Camera, 2014). And like every individual, pain is perceived differently regardless of the age. For a newborn(neonates) who is born before 48 weeks, they are exposed to greater pain sensitivity and intensity due to inability to control the pain process (Hatfield, 2014). A preterm who is placed into the neonatal…