Palpation

Since the Wellbutrin XL had intolerable side effects for J.D. she was switched to 30 milligrams of Cymbalta (duloxetine hydrochloride) delayed release, an atypical antidepressant, once a day. This dosage is within normal prescribing range (Preston et al, 2013). Duloxetine hydrochloride has the added benefit of being prescribed for pain as well as GAD (Brown University, 2014), which was important since J.D. suffers significant pain due to the degenerative disc disease in her back and anxiety…

Mr. Jetke had completed an Independent Medical Evaluation (IME) and a clarification addendum was received by the claims adjuster, Rachel Ryke. Mrs. Ryke has now recommended case management to proceed with closure, as the IME physician does not feel that surgery is related to his work related injury, but rather it is degenerative in nature/aging process of the shoulder. No further treatment is needed pertaining to his work incident. . SUMMARY Mr. Jetke reported that he has been working his…

DOI: 10/23/2006. Patient is a 69-year-old male assistant terminal manager/superintendent who alleges numerous work related injuries to his back, right shoulder and left elbow due to cumulative trauma. Per IME report dated 01/22/09, the patient has had microforaminotomies of the lumbar spine. Medications include Gabapentin, doxazosin, Vicodin and Celebrex. It was opined that the patient has reached maximum medical improvement. Per procedure reports, the patient underwent a bilateral L3-L4…

HPI: 21 year old female with past medical history of glaucoma presents to the ED today for an allergic reaction. Patient has a rash all over her body and states the rash started 3 hours ago. She states she started Amoxicillin a week ago due to acute otitis media infection. She was given a course of Amoxicillin for 7 days, with today being her last day. She was at her PCP’s office later today and received a cortisone injection with Benadryl 30 mins prior to arrival and states she has a burning…

of motion is restricted with palmar flexion, dorsiflexion, ulnar deviation, radial deviation, supination and pronation. Movements are painful with dorsiflexion, ulnar deviation, radial deviation, supination and pronation. There is tenderness to palpation noted over the anatomical snuffbox, scapholunate articulation and triangular fibrocartilage complex. There is pain sensation present over the right wrist. Patient appears to be in moderate distress. Current medications include Baclofen compound,…

Though most of society is aware of the harmful effects of alcohol, many do not realize the harm that energy drinks can play, especially when consumed alongside alcohol. Can energy drinks, which can be purchased by just about anyone, really be that dangerous? Research located in Alcoholism: Clinical and Experimental Research Journal has found that combining the consumption of energy drinks and alcohol together may in fact intensity one another, resulting in additional negative effects than one…

Unit 3. Thoracic Spine Bulletin Board In the past, studies have shown that patients with musculoskeletal shoulder pain tend to lack thoracic mobility when compared to patients without shoulder dysfunction. When I treat a shoulder pain patient, I always evaluate and treated cervical, cervico-thoracic junction, and thoracic segments. The relationship between thoracic spine posture, shoulder ROM, and scap¬ular kinematics is well described in the literature. Lewis et al. (1) found that altering…

This paper will be looking into my interactions with a patient that I worked with at the Alberta Physiotherapy Clinic. Included will be a chart summary, a list of goals from the therapist and myself, as well as details about the treatment plan that was implemented. Teaching techniques that worked and did not work with the patient, and personal areas of challenges and strengths that were reflected on by working with the patient will also be discussed in this paper. Therapist’s Goals and…

system in Japan Introduction At present, Nursing practice focuses on several specialized areas and thus, the Japanese nurses are also in need to possess more general competencies other than the specialized skills. In this regard, the American Association of Colleges of Nursing (1998) and the Japanese Ministry of Education, Culture, Sports, Science and Technology (2002) commended that the assessment must be kept as an essential component in the professional nursing education. Also, currently,…

practice. Working in a hair salon I was able to build a rapport with women very quickly and I’m very enthusiastic on practical learning and attention to detail; my focus on practical learning will help me when learning skills such as auscultation and palpation. I actively listened to clients so I fully understood their needs and ensured they received the best care. I work well as part of a team and I understand this would be important when working within a multidisciplinary team to ensure…