Case 5 – Pelvic Pain in a 36 year old Woman 1.0 History 1.1 Presenting Complaint A 36 year old woman presented with 4/12 history of suprapubic pain‚ radiating to her lower back and legs. The pain is worse at the start of her menstrual cycle (pain scale 8/10) and is intermittent‚ but not fully relieved at any time during the month. She also feels like there is pressure on her bowels and her bladder‚ she states she feels as if she needs to pass urine and faeces “all the time”. Regular paracetamol
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PAIN MANAGEMENT IN THE EMERGENCY MEDICINE DEPARTMENT Associate Professor Peter Manning Emeritus Consultant Emergency Medicine Department National University Hospital‚ Singapore Jan 2004 Revised Aug 07 / Feb 08 / Nov 09 / Dec 11 / Dec 12 Accepted practice patterns must be questioned – implementation of pain score to vital signs We underestimate the pain produced by common practical procedures Analogy – just as we vary antibiotics according to sensitivities‚ perhaps we should be prepared
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Ingenious Pain by Andrew Miller takes place during The Enlightenment of the 18th century. This dramatic novel portrays James Dyer‚ the main character‚ is born in 1739 without the feeling of pain. In the eight parts of the story‚ the structure begins near the end in which an autopsy is taken place of James dyer‚ who died in 1772. The climax of the story is not of his death‚ but rather the metamorphosis of his human suffering. This change connects with Friedrich Nietzsche theory of pain. "In pain there
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CHEST PAIN Chest Pain Overview If you are having severe pain‚ crushing‚ squeezing‚ or pressure in your chest that lasts more than a few minutes‚ or if the pain moves into your neck‚ left shoulder‚ arm‚ or jaw‚ go immediately to a hospital emergency department. Chest pain is one of the most frightening symptoms a person can have. It is sometimes difficult even for a doctor or other medical professional to tell what is causing chest pain and whether it is life-threatening. * Any part of the
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attention when they experience chest pain. Many patients assume the chest pain is from indigestion or acid peptic symptoms. These patients waste time with antacids. Chest pain may be accompanied with vomiting‚ sweating and breathlessness. It is known that 15-20% of heart attacks can be painless especially in diabetics and elderly. Severe chest pain can be caused by several other issues and it needs to be ruled out to receive proper treatment. Five known causes for chest pain are pericarditis‚ aortic
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Pain is a universal part of human experience and is defined as an emotional and sensory experience resulting from actual or potential damage (Merskey and Bogduk 1994). Pain that is experienced by any individual for a period of six months or more‚ disabling‚ thereby interfering with physical function is known as chronic pain. According to research‚ nurses are better able to relate with a chronic pain sufferer if they themselves suffer from chronic pain or has in time past being a victim to this “evil”
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to manage pain and discomfort Pain is basically whatever the person is suffering it feels it to be. Pain is not always physical it can be social emotional or spiritual. Therefore we should have a holistic approach‚ this means looking at the person as a whole and considering all their needs. There are four types of approaches to pain which are known to be effective these are drugs‚ physical methods‚ self-help methods and alternative therapies. Before using any equipment to alleviate pain we must
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What is sciatica? It is the pain which affects the hip‚ back‚ leg and is produced by a pinched nerve root present in the lower back. This extremely painful condition may also be caused by deterioration of a bone. There are numerous reasons which can trigger sciatica which is no doubt quite traumatic and hurting. Some of the other common causes for sciatica are Spinal stenosis‚ Degenerative disc disease‚ not exercising regularly‚ Spondylolisthesis and sleeping on soft mattress. The symptoms which
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In the epic‚ pain precedes greatness. The gods often time cause the pain of the great ones in the epic‚ allowing them to overcome their struggles and therefore become great. When talking about Demodokos‚ Homer wrote‚ “ By [the Muse’s] gift [Demodokos] knew the good of life‚ and evil--- for she who lent him sweetness made him blind” (127). Although the Muse takes away Demodokos’s eyesight‚ she shows him “ the good of life” and makes him an amazing minstrel. In this passage‚ there is a direct relationship
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Evolution of the Self - Why We Hide Emotional Pain Instead of talking to someone about their problems‚ people tend to become unusually quiet or shut down. And what they don’t know is that their silence actually speaks many words. Normally‚ the main reason on why people don’t reach out is because they are afraid that they are going to get hurt again and feel even worse. Many reasons on why emotional pain may be caused include being insulted‚ feeling guilty or shameful‚ not being cared about‚ not
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