Pain is defined as “whatever the experiencing person says it is‚ existing whenever he or she says it does” (173). With the information provided in the scenario of Mr. Clark and Mrs. Wong‚ this writer believes Mr. Clark is experiencing the greatest amount of post-operative pain. The numerical pain rating scale provides supporting data due to Mr. Clark rating his pain as 8/10 and Mrs. Wong as 3/10. In addition to the numerical pain scale‚ a focused interview should be conducted. A focused interview
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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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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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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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Southern Discomfort April 20‚ 2013 Michael Miklus Upper Iowa University Case questions for the Southern Discomfort 1. Should the company go ahead with the move to Mexico or try one more time to work things out in the Oconomo facility? Support your position. Because of the long history / relationship with the local community in Oconomo the company has the responsibility of attempting one last time to work things out with the local union. If‚ after the last attempt
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UB Assignment #3: Southern Discomfort Force-field analysis SHERESE PHILANNIE WILLIAMS Force-Field Analysis: Driving Forces (Pro’s) Restraining Forces (Con’s) Questions 1. What forces for change are evident at the Oconomo plant? Jack Ripon the chief executive officer of the Oconomo plant is concerned about the high operational cost‚ he wanted to decrease the operational cost to keep the profit for the company‚ and he planned to establish another plant where the operational cost could be
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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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Case Study-Harry Tonka (Chest Pain) Case Scenario Harry Tonka entered the emergency department with midsternal chest pain‚ which started while he was playing basketball at the gym. Harry Tonka is 42 years old and 5’10” tall‚ and weighs 205 pounds. He smokes one pack of cigarettes per day and works in a office. On admission‚ he complains of nausea but no vomiting and no diaphoresis. His blood pressure is 175/92 mm Hg; his temperature is 99ºF‚ pulse is 127 beats per minute‚ and respiration rate is
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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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