Pain Case Study

In addition, many people find it difficult to operate “normally” when they’ve taken an opioid treatment. They may feel tired, confused, or even fall asleep. This makes it difficult to lead a normal life and enjoy the pain-free moments.

To date, morphine and other opioids remain essential analgesics for alleviating pain. However, their use is plagued by major side effects, such as analgesic tolerance (diminished pain-relieving effects), hyperalgesia (increased pain sensitivity), and drug dependence. This paper examines the good, the bad, and the arguable of taking opioids, while also trying to answer the age old question: Is it worth it?

V.S described her present health as “good” and described her definition of health as “an absence or control of illnesses and disease.” Her immunizations are all up to date. V.S exclaimed that she is “self-sufficient” and plans to remain that way for “a long time.” Although she is satisfied with her present health state, she conceded that “there is always room for improvement with diet and exercise.” V.S said that she smoked “heavily for 40+ years.” She quit after being diagnosed with lung cancer in 2015, and proudly declared that she hasn’t smoked

On admission, Mr. Fountain complained of low back pain, ranging in intensity between 7 and 10, on a pain scale where 0 is no pain and 10 is the worst possible pain. He subjectively described this pain as a constant ache that permeates down into both legs, anteriorly and posteriorly, but at times can be stabbing, sharp, and burning. Sitting, standing, walking or lying down for prolonged periods can aggravate his back pain, while treatment modalities such as medications, nerve block injections, medical cannabis, TENS therapy, massage, and application

Ms. Kelly is a nondrinker, smokes five cigarettes per day and uses recreational grade cannabis for pain and sleep daily.

Chronic pain has plugged into thousands and millions of people in this fast developing world. There are number of cases found suffering from chronic pain conditions and takes a long period of time to recover. People tempt to get chronic pain relief through some natural ways. Around 50 to 80 millions of Americans are suffering form chronic pain condition. The chronic pain if treated at an earlier stage can be well treated but if it sustains for a longer period than the situation can become worse. Chronic pain relives the flow of harmful hormones, such as cortisol which plays a major role in adversely affecting the immune system and kidney function.

Patient reports back pain that radiats down to her legs, denies injury to the site. current pain 4/10. Patient also reports bilateral knee joint pain. Patient denies chest pain, SOB, N/V/ D, or fever.

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

Mr. Anderson continues to report subjective pain levels that reach an 8 now instead of the over 10 he did have. The decrease in his pain level was with spinal cord stimulator and with the slight decrease of pain medications. He continues to treat for a nonrelated cervical issue and now has added knee pain. He has had 2 prior knee replacements. Mr. Anderson has stopped mentioning a return o work. Dr. Shah has placed him at MMI from a surgical standpoint. He will now solely treat with the pain clinic. Dr. Rampersaud is now planning on changing the pain medication to Nucynta. I have concerns about the medication in regards to Mr. Anderson’s Barrett Disease, and how accurately the medication is monitored and also if there is still a plan to

Objective data that should be assessed are, pain assessment should be conducted by asking the patient his pain levels by using the Position/Provoking, Quality Radiate, Severity, and Time (PQRST) method, keep an eye on the patient's facial expressions they may also grimace or wince in pain, this is to assess the amount of pain he is in and see if you may need to contact a doctor to review his pain medication dosage. Does Mr Jones look clammy/sweaty? Is he short of breath(SOB), monitoring the way he is breathing e.g. shallow or deep, is he struggling for breath? he may even have noticeable cyanosis, is there anything that makes the pain better or worse? Checking the capillary return It is used to monitor the amount of blood flow to tissues.

As per office notes dated 8/26/16 the patient complains of dull and aching pain of the neck. She rates it as 7 without the medications and at 5/10 with medications. Pain is aggravate with activities and relieved with rest and medications. Neck pain us associated with headaches and radiating pain, tingling, and numbness to bilateral upper extremities. Patient is complaining of having acid reflex ad acute exacerbation of muscle spasm. Lumbar back pain is dull and aching rated at 6 without medications and 4 with medications. Pain is aggravated with activates such as forward back bending, lifting, prolonged sitting, standing, walking, and it is relieved with rest and medications. Lower back pain is associated with radiating pain, tingling, and

Mr. B is experiencing several types of pain during the postoperative period. He is experiencing acute pain from the healing process of his surgery. This is from tissue damage from the surgical procedure. Although the reported pain level is ten on the Numeric Rating Scale (NRS), the Critical Care Pain Observation Tool (CPOT) score is seven. Mr. B may also be experiencing chronic pain prior from the surgery. The date noted from onset of pain is unknown in the case study but he has a history of degenerative disk disease could be a cause of chronic pain.

Mr. Anderson continues to report subjective pain levels that exceed 10 even with medication adjustments. He now is reporting severe cervical pain that required an emergency room visit. He has been treating with Dr. Rampersaud for the cervical pain, staff continues to be updated that it is not related to the work injury and keep billing accordingly. Mr. Anderson has also been evaluated by his family doctor regarding kidney stones. He has a history of kidney stones and with the rib pain, they wanted to rule out kidney stones. All tests were negative. He will continue to have a consistent reduction of pain medications at each medical appointment with Dr. Rampersaud. Mr. Anderson has started and failed physical therapy. He had the permanent spinal

Frances DeForrest BSN, RN is currently working with children in summer camp and school nurse settings. Her interest in Hemp and Cannabis as Medicine  has developed through self -study, attendance of Cannabis Science themed conferences and events. Earning Cannabis CEU’s in 2009 though UC Berkeley online and the first offered Certificate of Cannabis for Nurses in 2014, as offered through Patients out of Time. Most recently, Frances has enrolled in the first Cannabis Science Post Bachelor’s degree certificate coursework offered in the United States through the University of Vermont- Lerner College of Medicine. This is expected to be a nice addition to her clinical BSN coursework. Which was completed in 2015 in coordination with Drexel University

Pain is something that causes discomfort to one’s body, but pain is something that we call can interpret differently as well. Someone’s adherence to pain varies through culture, gender and self-values and sometimes the method that we may choose to treat or cope with them are different but may not be accepted by the laws and regulations of the government. For example in the Cannabis and Its Derivatives case scenario is presented about a 54 year old man who is a multiple sclerosis patient living in Ontario, that travels to Florida often and uses medical marijuana to cope with his pain. He states: “He visited Florida a few times, where he smoked cannabis, which helped tremendously to reduce the neuropathic pain and detach his mind from it. He