1000 Pt denied pain at this time and rate 0 on a scale of 0 to 10. Pt thanks me a lot for pain medication I gave her. Instruct the pt to report her pain early before it get worse so I can give pain medication. Pt verbalized understanding of the teaching. No sign of distress or discomfort at this time. Will continue to monitor………L.Gotora
) Discuss the public health impact of opioid misuse and abuse, including costs related to healthcare and criminal justice costs. Opioid drugs are valuable medications in treating acute and chronic pain that cannot be managed with nonopioid therapy, but inappropriate prescribing can cause serious harm. Taking higher doses or a
Citalopram HBR 20mg (1x daily), Clonazipam 2mg (1x daily), albuterol (as needed), Ventolin (as needed), ondonsetronorally disintegrating tablet 8mg (as needed), ibuprofen 800mg ( as needed), Benadryl 25mg ( as needed) fluticasone propronate 50mg 1 daily.
12/24/15 Progress Report describes that the patient has right knee pain. The pain is frequent. It is aching and burning in quality. The current pain level is 0/10 and worst pain is 4/10. Bending, squatting, walking, weight bearing, changing clothes and ROM aggravate the pain. Rest, ice,
Hydrocodone a drug used to change how your brain and your nervous system reacts to pain. When taken the medication correctly it should relieve mood, reduction of pain. Hydrocodone was introduced in the 1920’s from the country of Germany. Carl Mannich and Helenen Lowenheim were the first to report it being in use in 1923( Eckenrode, S. L. (2015).Hydrocodone is a form of opiate, analgesic, it is described as white crystals as a crystalline powder and reacts to light. This drug classified as a schedule II drug known as a controlled substance. Hydrocodone is often always found in combination with acetaminophen such as Vicodin and Lortab (Advokat, C. D., Comaty, J. E., & Julien, R. M. 2014). As of 2012, the United States Hydrocodone is the most used drug prescribed to treat pain. The United States has consumed 99% of this global supply for 4.4% of the worldwide population. (Manchikanti, L., Atluri, S., Kaye, A.M., Kaye, A.D). The US Drug and food administration approved the drug for sale in the United States in 1943.
At today's visit, she is accompanied by her husband. She is awake, alert and oriented. She complains of chronic, dull, intermittent, burning pain in her thighs which radiates down her legs. She rates her pain as a 3/10. She states that taking the
Per the Agreed Medical Re-Examination report dated 09/29/15, whole person impairment rating is 5%. Future medical care includes access to follow-up visits for monitoring of his condition for the next calendar year, with continued provision of pharmacological agents. Should patient experience a significant acute symptoms flare-up within the next calendar year, re-instatement of brief courses of traditional PT, acupuncture,
While narcotics are most commonly used to treat acute pain, opioids, one subgroup of narcotics, are being used most commonly to treat chronic pain. The number of opioid prescriptions has been on the rise over the past 25 years, increasing from “76 million prescriptions in 1991 to nearly 207 million
Per medical report dated 03/17/16, patient’s medications are chlordiazepoxide 10 mg, Butrans 10 mcg, Fentanyl 75 mcg, Norco 10 mg/325 mg, venlafaxine ER 75 mg, Ambien CR 12.5 mg, Cymbalta 60 mg, Capsaicin Hot Patches 0.025% Ext Pads, terazosin, Levothyroid 125 mcg and Androgel pump 1%.
As per office notes dated 5/4/16, the patient is seen for bilateral elbow pain and bilateral wrist pain. She rates the pain as 3/10 with medication and 7/10 without medication. She is active for at least six hours a day and has energy to make plans. Her activity level has
Per the medical report dated 06/26/15, patient was prescribed with etodolac and cyclobenzaprine, and dispensed with hot/cold therapy pack and heat therapy pad.
Many addictions to these opiates are caused by inaccurate treatment of pain by the patient’s doctors. According to Andrea M. Garcia, “Treatment of pain is inadequate due to uncertain diagnoses, societal stigma, the lack of effective treatments, and inadequate patient and clinician knowledge about the best ways to manage pain. Prescription painkiller overdose has reached epidemic proportions over the past decade.” When patients visit a doctor’s office due to pain, they often do not elaborate on the pain they feel or give accurate diagnosis of the pain they are experiencing. Patients will often over exaggerate their pain level in order to be prescribed higher doses of narcotics. Shoulder or knee pain is a very common complaint. Patients who
Based on the progress report dated 02/29/16 by Dr. Naraghi, the patient reports worsening of her right lower extremity with pain, numbness and weakness.
Some authors theorize that one of the main causes of the problem with opiates started back in 1996 with the release of OxyContin (a brand name for the analgesic opioid Oxycodone)and I agree, but to me that’s just a half truth. I don’t think that’s completely true due to the fact that opioid use has always existed maybe not to the extent we seeing today but people have always abused opiates for one thing or the other, for instance back in 20 century the high class in the United States smoked opium so did the Chinese and many other cultures for centuries and there wasn’t an epidemic so deadly. What makes Oxycodone an eminent factor for it is what happened following its release. When OxyContin was FDA approved and released into the market, it
Hydrocodone is the most widely prescribed and most abused drug prescribed by doctors in the United States. Although this medication has many benefits, however there is a great risk of becoming addicted and this risk increases the longer one takes the medication. Low doses of this medication are usually prescribed at first because of side effects and because one will usually adapt to the drug and need higher doses later depending on the length of time it is needed. At low doses hydrocodone can relieve mild to moderate pain and also has a drying effect on the respiratory system which can suppress coughing. It can create feelings of euphoria, dizziness, light headedness, clouded thinking and unusually happy or sad moods. Hydrocodone is helpful