Assessments Of Chronic Pain And Mental Impairment

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care,

The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother

Assessment of a patient is a big process of decision making, it is about the collection of information which will contribute to an overall judgement of a person and the illness they may have. Lloyd (2010) states that assessment is one of the first steps which is needed to be done in the nursing process, it is a building block for a relationship and an ongoing process which lets health professionals gather the correct information to help them understand the problems and needs that the patient is going through. Most of the nursing assessment which are in use today will all have very similar aims. The difference is that how the assessment’s are carried out is where the differences come from.

In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.

Patient L.H. is a 69-year-old married Caucasian male that is a retired teacher that lives at home with his

On 1/16/17 I met Mr. Anderson at the office of Dr. Rampersaud. Mr. Anderson drove to the appointment. He uses 2 canes to walk. He reports that he and his wife drove to Florida on 1/4/17 to 1/15/17. He said they walked everyday while he was there. He reports his pain is a 9. The pain is in the left Si and caudal along with the low back. Mr. Anderson is scheduled for several injections today after we meet with Dr. Rampersaud. Mr. Anderson’s current medications were discussed. I remind Dr. Rampersaud that we are on a tapering process with the medications. Mr. Anderson was instructed to decrease the Dilaudid to 3 times per day from 4; the

Nursing assessment is a substantial way of gathering physiological, psychological, spiritual, and emotional condition of the patient. It creates a whole picture of an individual and assist the health care providers to formulate a diagnosis. Assessing the comfort of the patient is equally important as taking the blood pressure or temperature. Pain is the fifth (5th) vital sign that is subjective in nature when performing an assessment of a patient. Various studies were conducted in finding the most appropriate evidence-based nursing practice in assessing and managing the pain of a cognitively impaired patient, whether it is acute or chronic or the underlying cause is cancer or post-operative incision. As emphasized by Song, Eaton, Gordon, Hoyle, and Doorenbos (2015), it is vital to ensure that “pain management is based on the best evidence” (p. 456). Perhaps knowing the causes of inability to assess and manage the pain in a cognitively impaired patient would give a clearer understanding of the practice.

Member experienced moderate pain due Dx. Osteoarthritis, have an unsteady gait, experiences dizziness (new medication Flomax 0.4 milligram) and is a risk of falling (score 11). He needs assistance of daily living. Goes to bathroom frequently due to Enlarged prostate.

This is 39 year old AAM. Patient is here with several complaints. Patient has no medical condition, or long term medications. Patient denies any other issues except as listed.

A review of her medical record indicates medical history of CKD stage 3 that is stable, NIDDM-stable. She also suffers from Afib, muscle weakness, hypothyroid, major depression, UTI, Bipolar, GERD, HTN, anemia and Anxiety.

He stated that the right one still hurts a little bit more than the left. Symptoms are improved with rest. The patient has had modifications on his AFO brace. They flared it out along the medial side, sanded down an edge laterally, and adjusted the anterior strap. He also noted some pain about the anterior aspect of the ankle with any sort of prolonged standing and walking. He described this as burning pain. He noted some dysesthesias out into the forefoot with persistent weakness. On examination, there was restriction of motion in both knees. There was some tenderness over the medial joint lines bilaterally. Examination of the patient's right lower extremity demonstrated persistent weakness at the ankle. There were no significant plantar callosities, with some persistent paresthesias and dysesthesias on the dorsum of the foot. There was decreased sensation in the plantar area. Current medications: Amlodipine Besylate, Coumadin, Fentanyl, Gabapentin, Losartan Potassium, Metoprolol, Omeprazole, Oxyxodone, Simvastatin, and Valium.

Sean Mackey is a M.D, Ph.D, the current Chief of the Division of Pain Medicine, as well as a Redlich professor in several pain and brain related sciences at Stanford. Doctor Mackey leads the research at the Stanford Systems Neuroscience and Pain Laboratory focusing on the dissecting chronic pain and how it effects the nervous system. The SNAPL has also attempted to map out the brain and regions in the spinal cord that understand pain in order to treat these occurrences of chronic pain on a personal level (Stanford Medicine Bio). In order to solve these problems he is mainly explores the effects of different injected drugs, such as Lidocaine, Ondansetron, and Botulinum Toxin, for ameliorating effects or help in linking how different responders

J B is a 61 y.o. male who presents on referral from his PCP for evaluation of multiple joint pain. His personal history is significant for celiac disease, duodenal ulcers, colon adenomas, cataract, and osteoporosis in the lumbar spine and femoral neck. He also has a history of congenital clubfoot with surgical repair in childhood and pain in his feet most of his life, but not significant enough to seek care.

Pain can be debilitating and seeking complimentary approaches to alleviate chronic pain may be helpful. In screening for pain, I believe we should be keen to explore all possibilities including the mental health of the patient to achieve good patient outcome.

The patient reports she has had left hip and knee pain for the past 6 months.