Collateral Adverse Outcomes For Clinical Conditions

Spinal fusion is categorized into three different categories: cervical, thoracic, and lumbar, in conjunction with the different segments of the spine. Each type of spinal fusion has a different goal depending on the purpose of the surgery. Most surgeries involve fusing vertebrae together to limit its range of motion, thereby hopefully reducing the pain or correcting any physical deformities. Depending on the levels of fusion, spinal fusion surgeries tend to last a few hours. Complications may arise during surgery, and they greatly increase depending the location of the fusion, levels of fusion, and if the surgery crosses any important nerve sites. Levels of spinal fusion are known as the fusion between two different vertebrae. If there is a fusion between L1 and L2, that is known as one level of fusion. If there is another site of fusion at L3 and L4, than there will be two levels of spinal fusion. Lumbar fusion are further complicated when more then one level of performed. By limiting one segment’s range of motion, other segments of the spine will have to compensate and create greater range of motion. With lumbar fusion, most doctors will need to be able to identify why a patient needs lumbar fusion, and being able to identify if lumbar fusion will help alleviate the pain. Most cases of lumbar fusion involve spondylolisthesis, fractures, spinal stenosis, scoliosis, and possibly herniated disk if no other further treatment has proven successful. Most physicians will order an

DOI: 09/12/2014. Patient is a 45-year-old male vacation relief route sales representative who sustained a work-related injury to his lumbar spine from bending and pulling a bread product. Per OMNI entry, he was initially diagnosed with disc herniation at L4 to L5 with radiculopathy. He is status post extraforaminal L4 to L5 discectomy on 04/09/2015. He has been off work for nearly 2 years.

Any adverse event for which the specificity or severity is not consistent with the protocol-related documents, including the applicable investigator brochure, IRB approved consent form, Investigational New Drug (IND) or Investigational

Every day, physicians, advance practice nurses, nurses, pharmacists, and other hospital personnel recognize and correct errors and usually prevent harm. Errors, defined as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim, do not all result in injury or harm. Errors that do cause injury or harm are sometimes called preventable adverse events and means the injury is thought to be due to a medical intervention, not the underlying condition of the patient. Errors that result in serious injury or death, considered sentinel events by the Joint

Effects from the surgery itself, such as bleeding, infection, and risks of anesthesia. These risks are rare.

Injuries to the spine and spinal cord can lead to other health problems. Cardiovascular issues, along with deep vein thrombosis are all associated with spinal injuries if not treated correctly. Patients suffering from joint and back pain can benefit from Stem Cell Moore to help relieve inflammation and nerve damage that comes along with the injury.

Experience: When I first arrived Noah was just starting to work with a guy dealing with lower back pain. Noah decided after some exercises to hook him up to a lumbar traction machine. Unlike the cervical one I’d seen before, this machine pretty much worked the opposite way. The person was hooked up so there upper body was firmly fastened, and then the machine would slowly pull on their pelvic area and stretch/release the lower vertebrae. We then met a young woman who was having some knee pain. Noah explained beforehand that she’d been injured on the job and had recently had knee surgery so it was perfectly possible that she’d torn her meniscus again. We went through very basic movement tests with her to see where her pain was. Noah provided

During the intraoperative phase, identifying outcomes related to patient care during surgery is paramount due to the fact the patient is under anesthesia and completely dependent on the surgical team, and the nurse acting as their advocate. Examples of identifying outcomes prior to surgery would include; the prevention of electrical burns from cautery equipment, proper positioning during the procedure to prevent nerve or skin damage. Collaborating with other members of the surgical team regarding this information, and utilizing evidence-based nursing knowledge is necessary for the surgical plan. My responsibility as a nurse is to alleviate suffering during the intraoperative phase and as the patient’s advocate ensuring no further injury occurs.

Pain that is undertreated can limit her post-op mobility and ability to participate actively in rehabilitation program. Mrs. M had pain at a level 5-8 during the night which indicates a moderate to intense pain that apparently interferes her sleep and probably limits her ability to perform normal daily activities.

Newton, the IW has reached MMI. Total Whole Person Impairment (WPI) rating is 17%. Future medical care for the lumbar spine includes nonsteroidal anti-inflammatory medications (NSAIDS), muscles relaxants, physician follow-up visits for acute exacerbations, and additional physiotherapy sessions for any acute exacerbations that do not improve after 6-8 weeks of medications and additional lumbar epidural injections. Any further diagnostic studies are not anticipated, unless there is a significant acute exacerbation or aggravation that does not improve after 6-8 weeks of conservative treatment. Lumbar surgery is not recommended or anticipated.

Spending the day in the operating room (OR) can be an exhilarating experience, throughout this paper I will discuss the different aspects of surgery as you follow my journey. I will discuss pre- operative care and testing preformed; operative care, anesthesia, and possible complication; and post-operative care and recovery.

Postoperative pain is the most undesired sequence of surgery, and if not treated properly, can lead to increased hospital stay and delayed return to daily activities (10).

On examination of the lumbar spine, there is tenderness and guarding of the paraspinal musculature. Range of motion is decreased secondary to pain.

In between each vertebrae of the spine lies a fibrocartilaginous cushion, known as an intervertebral disc. However, when there is an issue occurring that causes the intervertebral disc to not function properly as a cushion between the vertebras of the spine, such as intervertebral disc herniation, other complications can arise. Neck and back pain is a common issue faced by adults of various ages. Back pain is accountable for second most frequent cause for visits to the hospital, fifth most common reason for admission to the hospital, and the third most common cause of surgical procedures (Taylor, Deyo, Cherkin, & Kreuter, 1994) Intervertebral disc herniation of the spine is often the culprit of this pain. In this paper the etiology, pathology, clinical course, signs and symptoms, prognosis, occupational therapy treatment protocol, and the overall effect on the person affected by a herniated disc will be discussed.

On 12/19/2017, the claimant presented with lumbar pain. She had continued constant nagging pain with radicular pain in the left lower extremity. She had weakness and numbness. In 2012, she underwent L4-S1 fusion. She had lumbar medial branch block in 04/2017, which helped with the axial low back pain by more than 50%, but the radicular pain becomes severe. She stated that the previous bilateral L5 and left S1 selective nerve root block on 06/21/2017 provided 100% pain relief for 3 days before the pain gradually returned. She also had epidural steroid injection and trigger point injection, which did not help with the pain. The alleviating factors include medication, rest, heat, and TENS unit. The previous physical therapy and chiropractic care had helped significantly. Objective findings showed positive straight leg raise test on the left with tenderness in the left lower lumbar area and bilateral