C. PAIN AND EVENT CALENDAR:
The calendar printout that I am bringing with me to our first appointment on February 16, 2017, will detail the date and nature of my pain and suffering following my injury on November 10, 2017. The pain scale used, which was posted by Ms. Karen Lee Richards, a Chronic Pain Connection Expert, can be found online at https://drpattyschronicintractablepainandyou.wordpress.com/using-the-pain-scale-effectively/. For your reference, this pain scale is listed below.
THE PAIN SCALE
Level 0: Pain free.
Level 1: Pain is very mild, barely noticeable. Most of the time you don 't think about it.
Level 2: Annoying and may have occasional stronger twinges.
Level 3: Pain is noticeable and distracting, however, you
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Wheelchair on the first floor of home from November 10, 2016, to January 17, 2017 ii. Crutches outside of the home (e.g. physiotherapy) in the absence of a wheelchair from November 10, 2016, to January 30, 2017 iii. Walker to cover short distances in the basement of my home from Decmber 23, 2016, to January 30, 2017 iv. Specialized boot, an Aircast, from November 25, 2016, to January 17, 2017, which replaced an initial ankle cast from November 10, 2016 to November 25, 2016 b. Able to walk without a mechanical aid for only short distances (e.g. 1 block at most) with a mild limp from January 30, 2017, to present date c. Forced to rest during the day and at night with elevated legs to reduce right ankle swelling from November 10, 2016, to present date
2. Standing / Reaching - handicapped by pain, poor balance and reduced flexibility: a. Needed a mechanical aid (e.g. crutches, counter top at the kitchen sink) to stand even for brief periods from November 10, 2016, to January 30, 2017 b. Difficulties standing made it extremely difficult for me to reach upwards or bend down while reaching (e.g. kitchen cupboards) from November 10, 2016, to present date
3. Personal needs - handicapped by pain, poor balance and reduced flexibility: a. Bathing i. Needed assistance from homecare workers from November 10, 2016, to Dec. 30, 2016
ii. Needed to purchase a shower chair in order to shower in
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
wheelchairs owned more than one chair. Most users replaced their primary wheelchairs every two to
DOI: 4/01/2015. The patient is a 53-year-old-male old carpenter /foreman who sustained a work- related injury while lifting a high beam when the beam slipped before being placed into the ground pushing him between the beam and leads, crushing his right ankle and foot.
Mr. Rasak is working very hard in therapy especially since his dizziness seems to have subsided. He was able to hop 3 times today with parallel bars. He is able to use a slide board with stand by assistance. He needs help with moving the leg due to the external device being very cumbersome. They are starting to train him in using a walker and being able to non weight bear with the right leg.
Compression will help reduce and prevent swelling and can be applied immediately after injury at pitch side but only for 10 minutes at a time to avoid stopping the circulation. An elastic ankle support can provide mild compression throughout the healing process to help reduce swelling.
A compression bandage can be applied immediately to help stop swelling but it should only be applied for 10 minutes at a time as restricting blood flow completely to the tissues could cause more damage, whereas the calf supports can be applied for longer. We also advise wearing a heel pad to raise the heel and shorten the calf muscle hence taking some of the strain off the muscle. It is a good idea to put heel pads in both shoes because otherwise one leg will become longer than the other due to the raised heel thereby creating an imbalance and possibly leading to other associated injuries / pain. For more comprehensive treatment and to minimise the risk of re-injury, Sportsinjuryclinic.net advise seeing a professional therapist (such as physiotherapist, sports therapist, osteopath or chiropractor) who can also devise a full calf strain rehabilitation program including stretching and strengthening exercises. A doctor or medical professional may prescribe anti-inflammatory medication e.g. ibuprofen which is beneficial in the first few days after the injury. Do not take ibuprofen if you have asthma and always speak to a pharmacist or doctor before taking medications. There is some evidence that anti-inflammatories can impair healing so do not take them for more than a few days at the beginning of the injury. Also, taking medication can sometimes "mask" any pain and may therefore be detrimental to the healing
lean form side to side without falling or tipping over. She is working on standing on while using on
From 11 years and differentiate between them and others and use words that refer suffering, whether physical or psychological type. Moreover, it is important to translate the scales in ratings that suit the analgesic ladder for pain control. Although the scales have different scores, they tend to go from 0 to 10 and may be staggered as follows: 0: no pain, 1-3: it would be a mild
when pain scores were greater than 5 on a 0-10 pain scale scoring system. In addition to
Common impairments & functional limitations: muscle weakness, low muscle tone, hyporeflexia, poor voluntary muscle activation and control, muscle incoordination, scoliosis, trouble with sit-to-stands, trouble climbing stairs, trouble ambulating long distances, trouble standing unassisted,
Originally, I predicted that I would only mark two waypoints. Both waypoints I marked were on the sidewalk along the campus side of College Ave. One was along the brick wall behind Redifer Commons, there is a crack in the sidewalk almost all the way across, that is very uneven making it hard to traverse in a wheelchair. The second was in front of Stephens Hall, there is an entire
(current), edentulous (current), broken right hip (past), and oral cancer (past). Currently, he utilizes a walker for ambulation.
(REARDON, ANGER & SZUMITA, 2015.). There are two ways to assess pain which they have been used for long time. The first way is Visual analog Scale. The second way is Numeric Rating Scale which means patient should rate their pain in scale of (0-10) zero is no pain and 10 is the worst pain. REARDON, D. P., ANGER, K. E., & SZUMITA, P. M. (2015). However, “the nurse also judged patiens’ pain based on their appearance and mobility, and investigated any potential complications by conducting physical examination. The nurses often rechecked the pain levels in order to clarify and ensure that the recorded pain levels corresponded to the causes of the pain and suffering” (Chatchumni, Namvongprom, Eriksson, & Mazaheri, 2016) patients also may report no improvement for their pain even though with high dose of opioid and ask for high dose of opioid while the nurses noticed them sleeping or
Are you able to stand for a long period of time? What about your physical health condition?
When I entered the client’s room for wound care; I saw that she was on her bed, in semi-fowler position with the bottom of the bed elevated as well. I pressed the bed remote to bring the bottom of the bed down and straight. We had everything ready on the table for the procedure; we washed our hands and wore PPE, gloves. Client’s legs were very stiff and contracted, we tried to extend but it didn’t work. It was documented on client’s chart that she has severe contracture which “is an abnormal flexion and fixation of a joint caused by muscle atrophy and shortening” (LeMone, p. 1330). When I assisted client with passive ROM exercises before wound care, it was very difficult to straighten her legs. We perform aseptic technique for cleaning and dressing the wound. We placed extra bed pad under client’s leg and I used the