Pain Management Case Summary

The Aiken Area Office Supervisor, Training Center Manager, Counselor, and Client participated in a meeting on 06/23/2016 with the Ombudsman participating in the meeting via telephone. The goal of the meeting was to review the Client's up to date records. According to the records, the Client had dealt with an addiction to pain medication. This issue has since been resolved. The Client was offered a referral to the upcoming Pain Mgt Clinic at the Evaluation Center prior to her starting JRT or she could enter JRT, but if the Client is referred back to JRT in the future, she would have to complete the Pain Mgt Clinic as a pre-requites to entering in JRT. The Client decided to enter JRT first after she completed her bone marrow test on 7/11/16.

On 5/30/18 I met Mr. Reid at the office of Dr. Rampersaud. I explained that the insurance carrier is not getting the form filled out correctly regarding his narcotic medications. I asked his permission to meet with Dr. Rampersaud when they go back to the examination room and leave once we discussed the form. Mr. Reid agreed. He reports that since having the spinal cord stimulator battery replaced his pain is 60% better. He reports his pain level is a 6. He continues to have his legs give out unexpectable. He reports needing help from his wife to roll him over when he is in bed. He continues to use a wheelchair. Mr. Reid said he wanted to speak with Dr. Rampersaud regarding decreasing his medications at least for the summer. He feels the warm weather makes his pain more tolerable.

SC completed monitoring phone call with Pa on 10/30/2015. Pa reported that she is doing well. PA reported that she is receiving services as outlined in the ISP. She remains satisfied with services and feels that they meet her current needs. No fall, hospitalizations, change in health status or medications reported by Pa. Pa reports that she is doing physical therapy evaluation and therapy at Nova Care at 2301 Broad St for: knee, neck, upper thigh, lower back joint pain, muscle weakness, and problems with balance and gait. Pa has follow up appointment with Rheumatologist and Optometrist for evaluation and treatment of vision problems. Pa last visit with PCP was on 10/29/2015. Pa reported that her electricity and gas company was scheduled to be discontented due

Two pt verifier name and dob confirmed. Pb states that the pain management doctor is requesting a recent MRI to continue treatment. Informed the pt that he request was sent to her provider for review and recommendation. We call her within the 72 hours with her provider's recommendations. Please advise!

The authors of the article each come with their own perepectives on pain management in the cognitively impaired older adult.

Throughout my life, I have undergone many dental operations, giving me first hand experience on post-operative pain and it’s management. After being exposed to long term care settings for clinical, I would like to take this opportunity to increase my knowledge on a topic that, besides my own personal experiences, I have not been heavily exposed to in a learning environment. Pain, defined in Kozier et al. (2014) as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (p. 739), is inevitable to some degree after surgery; making its management a crucial for a healthy recovery. The recommendations within both the Registered Nurses’ Association of Ontario’s (RNAO) (2013) Best Practice Guideline

Thank you for sharing your clinical experience regarding the adverse effect of baclofen on your patient associated with physical therapy treatment. I have multiple negative experiences regarding the side effects of oral muscle relaxants drugs as well as with my colleagues from work.

One provider still had some concerns on the 3-day recommendation for prescribing for Acute pain. He feels a 10 days rule is sufficient. I reiterated several statistics:

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

r. Jones is a 54 year old single black male reported to the VR office in Jackson, MS today requesting VR services. He resides at 2209 South Norrell Road; Bolton, MS 39041.

Rationale: This patient is having acute pain from her recent fall. Although the patient had a positive right left, her diagnostic studies were within normal limits. I would diagnose the patient with lumber strain and a contusion. When evaluating the patient’s pain level, she rates her pain as a 9/10 when resting and 10/10 with movement. The patient’s level of functioning and daily activities are being affected by the pain from her injury. The patient is well known in my clinic and is a good historian. I do not have feel that she is seeking medications in an addictive nature nor am I concerned about her abusing narcotics if ordered. After reviewing the overall patient scenario, I decided to prescribe hydrocodone 5mg/acetaminophen 325mg every six hours as needed for pain.

articles relating to pain management. The article being discussed is a study on administering a

He experiences pain and/or difficulty performing activities like personal care, working, sleeping, walking, sitting, standing, job performance and exercise. Since the onset, intensity of the problem has gotten worse.

DOI: 01/23/2015. Patient is a 62-year-old male foreman who sustained injury when he slipped off truck's metal step, fell from 6 feet, landed on his tailbone, and hit his right head.

Effective management of the patient’s pain is an important part of nursing care. Observations of pain include facial expressions of pain, fatigue, frustration, difficulty breathing, difficulty swallowing, and loss of appetite, constipation and confusion. Also by communicating with the patient the enrolled nurse can use assessment tools such as the PQRST and abbey pain scale to gain an understanding of the patient’s level of pain (Crozer-Keystone Health System, 2015).