Chronic Back Pain Case Study

pulse is 110. At this time, her respirations are 26, her SaO2 is 97%, and her

BP 166/73 | Pulse 69 | Temp 96.9 °F (oral) | Resp 14 | SpO2 99% on room air

Ht: 62”, Weight: 134 pounds, BMI: 24.5 Temp 98.4 BP 128/90 P 76 R18, even. The Oxygen saturation 98%.

Vital signs: Blood pressure 128/79, pulse 77 regular, temp 98.2 Fahrenheit, O2 saturation 100% on room air. General: Well-developed, well-nourished,

Objective: Vital signs Temputure-97.2, Pulse-77, resperatin-22, Blood Pressure 165/81, Oxygen Saturation on room air is 91%, Weight-156lbs, and Height 5fl 8in.

At today's visit she is found in her room sitting in her recliner. She reports chronic, intermittent, dull, achy, lower back pain. Her current pain regimen is effective for her pain according to the facility staff. The staff reports that the patient is sleeping more hours during the day. She has increased generalized weakness. No acute distress noted this visit.

Chronic low back pain has been shown to have a significant impact on individuals, their families, professional life, and communities. It is one of the most common health problems causing suffering and disability, and it is a leading cause of physical inactivity. In addition to the physical impairments and professional detriments, chronic low back pain increases the financial burden to the healthcare system by augmenting medical treatment costs. Muscle strengthening activity, on the other side, has been used clinically to treat low back pain. However, there is an inconclusive data regarding the preventative effect of muscle strengthening activity on low back pain. Thus, we wanted to see if being engaged in muscle strengthening activity reduces

Vital signs: Blood Ppressure: 120/78 mmHg, Hheart Rrate: 92 beats/min, Rrespirations: rate 15 breaths/min, O2 Soxygen saturation: 97% on room air

Vital signs: heart rate 100 beat/minutes; respiratory rate, 38 breaths/ minutes and labored; Oral Temperature 99. 2 F; B/P 140/90mm Hg; O2 sat 86;

The patient presents with chronic neck and low back pain status post MVA in 2008. He was ran off the rode while on his motorcycle fracturing his neck and lower back. Mr. Buchanan denies having radiating symptoms down either lower extremity. His pain is constant throughout the day making it very difficult to perform his daily activities. The patient has not had injection therapy or surgeries for his neck and back pain. The patient was told after his last MRI that he has arthritis in both his neck and lower back.

Symptoms: Increased discomfort in her back, needs help repositioning, resistance to pain recovery medication, no apparent distress, tiredness, stomach ache, and high pulse rate.

Vitals: Temperature 97.1. Pulse 89. Blood pressure 136/70. O2 sat 93 % on room air.

History of Present Illness/Interval History: The patient initially presented to the Emergency Department on Monday after developing severe lower back and leg pain accompanied by fatigue. The patient had attended and participated in her aunt’s wedding on Sunday evening and had spent a good portion of the evening dancing and helping out with the wedding. The patient took ibuprofen (200mg) twice without relief. On Monday, after being in too much pain to attend school, the patient presented to the ED. After doing x-rays of the lumbar spine, sacroiliac joints and sacrum which showed no abnormalities and ruling out a neurological cause for her pain, she was discharged with ibuprofen treatment for lower back pain secondary to strenuous exercise. The next day, (which is the day of admission) the patient had developed a cough which produced a dark yellow sputum and continued to have lower back pain. This prompted the mother to bring her back to the emergency department for further evaluation. On presentation back to the ED, she described the pain as being the same as the day before, rated an 8/10 in severity, non-radiating and constant. She could not describe the quality of the pain

Objective Data Provided: Objective Needed: In Italics 5’8”, 105lbs, Temp, BP looking for hypotension, Pulse looking for bradycardia, RR, mental status exam- appearance, attitude toward

Vital signs: Temperature 98.7 Fahrenheit, BP 200/140 Pulse 80, Respiration 18, weight 345 IBS, BMI of 35.