J.B., a 45-year-old woman, is an office manager for a busy law firm and single mother of two children. While cleaning a shower stall, she experienced a sharp pain in her lower back. Over the next few hours, her lower back became increasing more painful. By the time she picked up the children from their sporting event and drove to the nearest walk-in medical clinic, she had a sharp shooting pain into her right buttocks. Her spinal x-rays were not significant, and she was diagnosed with acute musculoskeletal strain, instructed to take a nonsteroidal anti-inflammatory medication, such as ibuprofen (Advil or Motrin) and given a prescription for hydrocodone 5 mg/acetaminophen 500 mg (Lortab) PO q6h pm for severe pain. She was instructed to rest her back for the next 24 hours. Monday morning she called in sick to work because she couldn’t think clearly because of the pain medication. She developed stomach pain, and her back pain was only slightly improved. She called a friend who had experienced a similar episode and related a favorable outcome after being treated with acupuncture. J.B. comes to your alternative medicine clinic for her acupuncture appointment.…
“Pain Free: A Revolutionary Method For Stopping Chronic Pain.” Pete Egoscue. Bantam Books, New York. 2000. Print.…
1.2 There are different approaches to alleviate pain and minimise discomfort which can include drugs, physical methods, self-help methods or alternative methods. Drugs can be used for pain relief, these can include analgesics such as asprin, paracetamol, opiates such as morphine, anti-infammatories such as ibuprofen, anaesthetic blocks such as an epidural. Drugs that are supplied on a prescription for pain relief are likely to be analgesics. In some extreme cases of severe or prolonged pain an individual may be given opiates. Physical methods to relieve pain may include massage (superficial or pressure), transcutaneous electrical nerve stimulation (tens), repositioning. Self-help methods can help relieve pain and have been found to be effective this can include moving or walking about (if possible), having a warm bath, doing something to take their mind off the pain, doing recommended exercises. Alternative therapies can often help relieve pain. Alternative therapies can include using aromatherapy, reflexology, acupuncture, yoga and meditation.…
Upon discharge, I would teach Brittany’s mother the importance of adequate hydration to avoid a crisis. If Brittany plays any sports I would advise her to increase fluids during this time to prevent dehydration and take frequent breaks. I would educate Brittany and her mother on the signs and symptoms of a sickle cell crisis, which may include severe pain, fever, swelling, and difficulty brathing. (Pillitterri,…
One of the main clinical problems that have been highlighted in the study is chronic kidney disease. Chronic kidney ailments are strongly linked with pain and there is a strong need to manage this pain (Manias, and Williams, 2007, p. 358). One of the…
"Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" (Merskey & Bogduk, 1994). According to Liebeskind (1991), pain is a universal phenomenon that can have a detrimental effect on mobility, sleeping and eating patterns, personal relationships, immune system, overall functional status and psychological well-being, and it has also been the most common reason for medical appointments. Pain is a complex, multidimensional perception that varies in quality, duration and strength (McGrath, 1994). Pain is a subjective symptom that cannot be objectively measured in the way that blood pressure or heart rate can be measured (Strong, Unruh, Wright, & Baxter, 2002). The definition of pain highlights the duality of pain experience and suggests that the perception of pain and how a person report pain is influenced by physiological and psychological factors; however, our understanding of pain and how it perceived by different people is still limited and more research need to be conducted in this field since pain evaluation and pain relief are important goals for the health care providers and clients.…
References: burdens, chronic pain is a burden to the healthcare system (Opsina & Harstall, 2002).…
Before using any of the methods to manage pain, the client needs to be assessed, as every kind of pain relief can be harmful, care plan and policies and procedures always have to be followed and necessary precautions have to be taken.…
The goals that are discussed with patients and physicians should be realistic for the pain management to be effective. They are ways to help side effects of rheumatic pain such as helping sleep disturbance, fatigue, and mood disorders. For any of this to be effective educational efforts must still be involved with the patient and healthcare professional perspectives. An accurate diagnosis for rheumatic pain management will help if the patients are realistic as this article states. These treatments should be multimodal, but pay attention to the health of the patient. The best outcome would be to have a great impact on the pain and improve their lives and with the wider range of options of treatment that can make it possible and help physicians with…
One of the overarching goals of Healthy People 2020 is to help Americans achieve longer, quality lives—unencumbered by preventable diseases, disabilities, injuries, and premature death (U.S. Department of Health and Human Services [USDHHS], 2010). Debilitating or chronic back pain is a public health concern as it is often associated with negative health consequences and status. As such, reducing the prevalence of chronic back pain is a health topic identified and prioritized by Healthy People 2020 (USDHHS, 2010).…
The research I have done is search the web and read articles on chronic pain. The most influential part is that I have met and interviewed a doctor that if the founder and medical advisor of the American Pain Institute. He has come a long way and he knows his pain. He stands firm on the support of pain patients. The websites that are helpful are: www.WellnessClinicofRoland.com, www.AmericanPainInststute.org and also emailing the chair person for pain patient’s commission at mspaincoalition@yahoo.com. Also by reading articles by the Institute of Medicine and reading up on the 2010 Patient Protection and Affordable Care Act.…
The patient interviewed is a 72 year old Caucasian male. He was in the grocery business for 40 plus years and served in the Vietnam War in 1967-1968.The patient has suffered from back pain for many years, part due to war related injuries and part due to many years of heavy lifting in the grocery business. The patient is considered 100% disabled by the VA health care system. This pain has also increased pain in other regions of the body such as the neck and knees. When asked to rate pain using the Verbal Analog Scale (VAS), the patient rated his pain 7/10 without medication and a 6/10 with medication. The patient takes Gabapentin, used to treat nerve pain, and Aleve/Tylenol for generalized pain and inflammation, daily. He also takes Hydrocodone in emergencies when his pain reaches a 10/10 on the VAS. He has also had a left total knee arthroplasty (TKA) in 2011, and an anterior cervical discetomy and fusion (ACDF) on the 5th and 6th cervical vertebrae.…
The objectives for the change is to avoid opioid misuse and to effectively manage opioid risk in patients treated for chronic pain. The proposed articles were reviewed to evaluate various methods available to…
If you have chronic pain or another condition requiring treatment, your doctor is likely to prescribe an opioid treatment. For physicians, opioids have been the preferred treatment for some time now. Many believe opioids are the most effective treatment available. The recent opioid crisis and new medical research are calling those assumptions into question.…
Let me tell you a story about a friend of mine, his name is Mike. Mike is a construction worker and a former bodybuilder. Mike was involved in a bad car accident. It was so bad that he needed to have three surgeries. Even after these procedures, he was still in constant pain and has developed a painkiller addiction. His life became a downward spiral because of the constant pain and drug usage. As a desperate attempt Mike decided to contact a local acupuncturist based on a friend’s recommendation. After just two visits with the acupuncturist, he was finally able to experience an entire day completely pain free. Within three months of treatment, Mike was pain free and no longer needed to take prescription painkillers.…