metacarpophalangeal joint ulnar collateral reconstruction with residuals‚ and status post right thumb base fusion with residuals. Based on the progress report dated 12/14/15‚ the patient complains of intermittent right shoulder pain. He also complains of constant and severe left shoulder pain‚ rated 8-9/10 with associated limitation of ranges of motion as well as weakness
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Pain management is an essential part of nursing. And nurses have a responsibility to adequately manage the patients’ pain‚ but this doesn’t always mean the use of an analgesic. Effective pain management can be holistic in its approach. The important aspect is to have a control that is safe‚ practical‚ and realistic in the outpatient setting. We are our patients’ friend in the management of their pain. Without a doubt‚ uncontrolled pain can result in devastating effects. It’s important to remember
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Pain Questions to ask: Where? When did it start? Quality? Quantity? Duration? Inciting event? Was it present on admission? What did they get for pain already? Did the pain improve with medication? Allergies to pain medications? If headache‚ chest or abdominal pain is present‚ refer to the respective sections for further questions. Rule out: Sudden acuity of worsening pain. Refer to the respective sections for headache‚ chest or abdominal pain. What to order: Depend on which area is hurting
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Pain: A Balance Between Analgesia and Side Effects What are the main ideas of this theory? * Patient Participation - The proposal that patient teaching and goal setting contribute to a balance between analgesia and side effects. * Multimodal Intervention - The proposal that nursing use of potent pain medication‚ plus pharmacological and non-pharmacological means will achieve a balance between analgesia and side effects. * Attentive Care – The proposal nursing assessment‚ intervention
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When confronted with pain‚ there are two options. The first is to remain passive and brave the pain‚ but the second is to make the most of and learn from it‚ which is exactly what Richard Wright does in Black Boy. Wright’s several experiences with unnecessary pain in his childhood define his relationship with religion‚ intensify his attitude towards racism‚ and shape his character into adolescence. Unnecessary pain has been present in Richard’s life since the beginning of the novel‚ most notably
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LOW BACK PAIN – ACUTE It is the pain felt in your lower back which may come from the spine‚ muscles‚ nerves‚ or other nearby structures. It may also be due to problems in your mid or upper back‚ the testicles or ovaries‚ or a hernia in the groin. CAUSES * If you are like most people‚ you will have at least one backache in your life. While such pain or discomfort can happen anywhere in your back‚ the most common area affected is your low back. This is because the low back supports most of
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patient with acute abdominal pain Karen DeLawder Chamberlain College of Nursing NR305: Health Assessment Spring 2011 Assessment of the patient with acute abdominal pain Introduction Assessment of the patient with acute abdominal pain is an article published in the Nursing Standard Journal in the June 2006 issue‚ written by Elaine Cole‚ Antonia Lynch‚ and Helen Cugnoni. This article gives an in depth look at common diagnosis associated with abdominal pain. With each diagnosis the article
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INTRODUCTION Pain is an important sensation that alerts to a threatening condition in the body’s tissues.1 Like hunger or thirst‚ it is a motivational somatic state that drives appropriate behavioral responses‚ but chronic pathological pain can also completely dominate attention and consciousness and cause intolerable suffering.2 Our knowledge of the representation of pain in the peripheral nerves‚ the spinal cord‚ and the brain is increasing‚ and become aware that many neurochemicals involved
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back pain and stiffness/tightness and intermittent spasms and referred numbness/tingling into both legs‚ left greater than the right with intermittent tightness and spasms. She still walks with a limp and easily fatigues. Patient has intolerance to prolonged sitting/standing positions and ambulation of short distances and stair activities. IW is awaiting replacement of lumbosacral orthosis and transcutaneous electrical nerve stimulation (TENS) unit. She takes Zorvolex for post-operative pain management
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caseing ruptures and the gel begins to protrude out between the vertebra and so a slipped disc has occurred. The slipped disc can not only cause a lot of severe back pain but can cause pain in any part of the body. If the slipped disc is pressing on nerves‚ the pain will go to where ever those nerves lead to in the body. The pain caused by the slipped disc pressing on the nerves in the lumber area is a condition known as sciatica‚ although sciatica can be caused by other
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