DIAGNOSIS: Low back pain and chronic pain syndrome 12/07/15 Progress Report indicated that the patient is upset as he has not been getting his pain medications for a long time. Apparently‚ his insurance has not been paying for his prescriptions. The patient complains of back pain. The pain is 4/10-scale level with the medications and 7/10-scale level without medications. Without the medications his ADL and physical function has been worse. His mood is bad and he is not sleeping well due to pain. He denies
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been made in the thoracic cross-section imaging‚ chest radiography remains the main diagnostic concept applied in dealing with pulmonary diseases. It is the frequent diagnosis performed for patient suspected of thoracic abnormalities. Since the discovery of X-ray‚ much technological advances have been made to improve chest radiography. Progresses in film based imaging have led to development in excellent screen film systems that are designed for chest radiography. More recent advancement in computer
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orthopedic evaluation report dated 01/15/2016‚ the patient complained of frequent left hip pain rated as 7/10. He reports radiation of his pain from the hip through the buttock down the left leg. He experiences occasional weakness of the hip and limps favoring his left leg when he is tired. He reports easy fatigability with the left hip and leg. He occasionally uses over the counter Aleve for relief of his pain. As of this report‚ review of X-rays demonstrates severe collapse of the femoral head as
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PIER + ABCDEFGH Identify your pt: DOB‚ CC‚ HPI PIER Use the "PIER" mnemonic to assess for adequacy of the film. * Position: Typically‚ upright PA and lateral. Sick patients will have the fuzzier supine AP (because the film is slid under their chest as they are lying down). Size of the heart is exaggerated in AP view compared to PA. Edge of the medial border of scapula is at the midline of lung field in AP. * Inspiration: Count the visible ribs. Lung fields should extend to about the 10th
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line insertion and pain management. Half of the health care providers (50%) rated themselves “good” at IV line insertion skill. The majority (95%) reported that continuous professional development on comforting strategies for pediatric pain management was necessary (Table 3). 3.3 Perceived barriers to implementing comforting strategies for pain management during IV line insertion procedure A number of barriers that affected implementation of comforting strategies for pain management during IV
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Demographics: Mr. S. is a 37-year-old man. Chief Complain: He has low back pain. 1. What additional subjective data would you collect from Mr. S? • History of present illness Acute or chronic: The patient experiences of acute low back pain. Joint complaints: He might experience of back joint dysfunction. He doesn’t experience of swelling. Muscular complaints: The patient has low back pain‚ muscle spasms‚ and muscle weakness. Medications-rx‚ otc and herbal supplement: He just has
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During this clinical situation‚ I was trying to make Bob pain free. To assist this a nursing assessment was performed‚ followed by planning and clinical reasoning to determine a clinical decision. I intervened to make Bob comfortable. A focused nursing assessment was performed‚ this included onset of pain and an abdomen assessment. It is important to focus on the patients’ presenting problem to establish a decision (Bickley‚2017). On assessment Bob had a distended lower abdomen. A distended lower
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The case patient may has had adopted an adaptive role for negative expected pain in reference to her neuropathic pain. The expected pain is considered as a latent cognitive construct distilled from accumulative negative pain experiences collected over the course of illness. The construct is defined “as patient predictions about future pain and consequences of their conditions”‚ (Janzen et al. 2006) and is believed to be responsible for prolonging the experience of chronic pain.(Main et al. 2010)
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Chest Tube Insertion‚ Infant A chest tube is a thin‚ flexible tube that is inserted into the space between lung and chest wall. Air or fluid can collect in this space and cause infants to have breathing trouble. Infants at risk for this complication include those who: • Have lungs that are not fully developed at birth. • Breathe in stool during the birth process (meconium aspiration). • Need to be on a machine to help them breathe (ventilator). • Have surgery on the heart or lungs
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Chest Trauma Chest trauma is classified as either blunt or penetrating. 1. Blunt Chest Trauma I. Definition a. Blunt chest trauma results from sudden compression or positive pressure inflicted to the chest wall. Motor vehicle crashes (trauma due to steering wheel‚ seat belt)‚ falls‚ and bicycle crashes (trauma due to handle bars) are the most common causes of blunt chest trauma. II. Pathophysiology Injuries to the chest are often life-threatening and result in one or
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