Pain Case Study Essay

HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis

What is pain? If you ask someone to tell you the definition of pain they will typically state something that hurts. Registered nurses should know the definition of pain and how it can be identified on their patients. However, Abdalrahim, Majali, Stomberg, and Bergbom (2010) propose that nurses did not receive adequate education in pain management and suggest the lack of knowledge hinders their ability to adequate control their patients’ pain. Therefore, the unethical treatment of pain can be traced back nurses.

When pain lasts three to six months or more, it is considered chronic pain. According to the American Geriatrics Association, more than 50 percent of seniors living at home and up to 80 percent of those in care facilities suffer from chronic pain. As a result, a great number of these seniors are not able to function properly during the day or sleep well at night. Some of the most frequent causes of chronic pain in seniors are arthritis, glaucoma, poor circulation, and nerve damage.

She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent

Inspection of the right shoulder joint reveals atrophy. Movements are restricted with flexion to 90 degrees limited by pain and abduction to 75 degrees limited by pain. Hawkin’s test, Neer’s test, Shoulder crossover test, Empty Cans test, Lift-off test, and Apprehension test is positive. On palpation, tenderness is noted in the acromioclavicular joint and subdeltoid

The patient wants to also update me as far as the arm pain he mentioned last time. He says his left arm is feeling better now. He is noticing that his right shoulder is hurting at times, especially in certain positons such as while he is sleeping and if he has his arm raised over his head while he is lying down. He had no specific injury or trauma. He is not aware of anything that makes it better or worse. He is not using any medication for it thus far. He would be interested in having

S: TM missed 3 days of her ESI visit, related holidays, but she did continue with ice and plan of care as instructed at home. The TM reports her pain is 4/10, and the pain is described as aching type pain; the pain is intermittent. TM is currently taking Ibuprofen 800 mg tab, 1 tab 2 times a day and Acetaminophen 500 mg tab 2 tabs as needed for shoulder pain to manage her pain and it does help to decrease her pain to 2-3/10. TM denies any loss of ROM or sensation of the right arm; denies any tingling or numbness.

There are several assessment tools nurses use in in the field to assess geriatrics along with the rest of the population. Three most common assessment tools are, the pain scale, fall risk scale, and the depression scale.

Komblatt, the patient underwent extensive chiropractic treatment with 87 sessions from 10/07/11 through 07/11/12. It was opined that it does appear that the IW ha s undergone excessive passive-chiropractic treatment referable to both lumbar spine and right shoulder. It was further opined that the IW has reached MMI regarding the lumbosacral strain and contusion of the right shoulder within approximately 6-8 weeks post injury. Appropriate treatment would have consisted of aggressive right shoulder and low back rehabilitation to include aerobic conditioning, strengthening exercises involving the right upper extremity, lumbar spine and core, and resumption of normal recreational and work activities within 6-8

Based on the progress report dated 10/07/16, the patient presents for evaluation of carpal tunnel syndrome on the right shoulder.

Please allow me to make some correction to the rating of Dr. Miner’s report. It appears Dr. Miner used the range of motion measurement from the right shoulder [uninvolved joint] as a baseline to determine the impairment to the left shoulder as a result of a

Pain assessment – finding out client’s pain coping mechanisms when applying pressure to the tissue and the client tells you that it feels good this tells me the therapist it is having an analgesic effect. This client may suffer a harmful pain indicated by a muscle contraction or the male pushing against the movement that the therapist is applying, so it’s important for client to be vocal and tell you when it hurts. When assessing pain, try to determine as accurately as possible which structure is affected whether the tissue is healthy enough to receive massage is to apply slow pressure to the area with your thumb. If the pain subsides within 10 seconds, massage is fine; if pain increases the situation is too acute and you should implement protocols

This condition causes shoulder pain, especially when you lift an object over your head. Rest may relieve the pain.

Per the medical report dated 02/09/16, the patient reported that the steroid injection on 01/07/16 did not help. There is occasional worsening of pain with certain, random activities. He is having occasional sharp pain at night. A steroid injection was administered on this visit on the right shoulder. Patient was advised to continue medications, home exercise program (HEP) and activity modification.

In this discussion, I will be looking at the different forms of pain and how this pain is caused within the body. The number of different types of drugs used to treat pain is forever expanding but I will examine the main types of painkiller, how they were discovered and how they work to relieve the symptoms of pain.