Patient Care And Pain Management: A Case Study

Larry, a 35-year-old truck driver complained about inflammation and pain in the flexor and pronator muscles of the forearm where the tendons originate on the medial epicondyle of the hummus (by the elbow joint). The pain is penetrating the forearm in his dominant hand which is making it very hard to work because he is finding it very difficult to shift gears. He was prescribed a non-steroid anti-inflammatory and put on light duty.

SC placed call to Pa on 2/3/2016 and completed M T/C. The Pa reported no change in health status, falls, ER visit or hospitalization. The did report that he’s entering into a pain management program due to his diagnoses: DJD, Herniated Disks in neck, Vertebrae Deterioration, Osteoarthritis, Rheumatoid Arthritis, Arthritis of the Spine & knee, Bulging Disc – lower back, Lumbar Degenerative Disc Disease, Carpal Tunnel, and Levoscoliosis, with symptom of shooting and stabbing pain at a rate of 9/10 w/o meds and 7/10 w/ meds, headaches, difficulty bending, limited ROM in legs and arms, unsteady gait, knees, Pa stated that his R leg is longer than L leg, and they are going make him a special shoe to make his legs equal so that he can walker better

What if a single initiative could increase reimbursement revenue, make passing audits easier, and improve patient care? One industry expert estimates two-thirds of hospitals already have this type of program, and are currently reaping the benefits (Rollins). With the implementation of our own clinical documentation (CDI) program, we can join them.

DOI: 9/5/2014. The patient is a 54-year old male fiber technician who sustained a work-related injury to his neck, shoulders, face, right eye, and lower back due to motor vehicle accident while returning to the office. As per OMNI entry, he was diagnosed with status post motor vehicle accident; left thoracic sprain/strain; multiple face lacerations; blunt trauma; and concussion with no loss of consciousness.

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.

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:

Doctors are prescribing these medications in order to treat pain, but it is not the solution for all pain related cases. According to the Allen, Jewers, & McDonald (2014), opioids are the second most prescribed medications in emergency medicine and opioid abuse has increased at an alarming rate. There is little education and training given to emergency personnel on pain management and risk of addiction. Understanding factors such as the pain scale, acute pain, chronic pain, addiction and pain at end of life, are vital and should be thoroughly evaluated before opioids are prescribed. Ensuring appropriate use for pain medication can reduce the risk of harm associated with misuse and abuse. If emergency personnel are not understanding how to treat pain, there will continue to be an increase in the amount of over prescribed medications in the United States. Acute and chronic pain play major factors when it comes to prescribing medication. The importance of understanding when to use opioid medication such as for acute pain, chronic pain, and end of life is an ongoing educational process that still needs to be addressed. Education to the patient also needs to be addressed. Teaching patients about the high addictive properties opioids have on the brain is important. Some people take pain medication just because the doctor prescribed it, and they really don’t understand how to use it. If they aren’t understanding how to use medication it can lead to misuse, abuse, and/or even overdose. Also, the false reality mind frame people have been given that they will be pain free with just a pill. Medications are meant to help with pain, not eliminate pain which is why education to patients is so

I totally agree with your point on been open about the risks of taking opioids with their patients. And, it would be very effective to have someone to monitor the drug use for patient. I thought to add some more suggestions to use opioids like when about to use opioids it is very crucial for the doctor to know what other medications and supplements they have been using. Another one would be checking the packaging of the filled prescription to make sure the correct one has been provided. And, reading the following the label directions. I wonder what would be a difference on impact and efficiency if one uses medical marijuana as an alternative. Overall, great opinion and thoughts for the

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

I read the article by Chou et al. (2016), and I think it is commendable how the panel was selected to review the evidence and provide recommendations for postoperative pain (Chou et al., 2016, p. 132). In the article, the panel was composed of professionals with expertise from anesthesia, pain medicine, surgery, obstetrics and gynecology, pediatrics, hospital medicine, nursing, primary care, physical therapy and psychology (Chou et al., 2016, p. 132). Additionally, I agree with their first recommendation that clinicians should provide an individualized education regarding postoperative pain management that is patient and family-centered (Chou et al., 2016, p. 133). When I previously worked in Med-Surg, there were particular instances when I

Dialysis clinics like DaVita and Fresenius, being the two largest for-profit corporations are fighting against a proposed Senate Bill No.349 (SB 349, 2017) that would necessitate dialysis clinics in California to have a mandated minimum staffing requirement. Furthermore, SB 349 (2017), as authored by Senator Ricardo Lara, would also require that dialysis clinics to provide patients with forty-five (45) minute transition time, and frequent inspection be done yearly instead of every five to six years (SB 349, 2017). With this regulation in place, patients will be provided with a higher level of care. The mandated staffing ratios would also help promote patient safety. Furthermore, with greater than 66,000 dialysis patients in

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

According to Trail-Mahan et al., (2016), there are several obstacles to successful pain management such as irresponsible behavior, imprecise, inadequate repeated assessments, and inadequate analgesics dispensation execution and inefficient communication between nurses and patients and mostly among nurses mostly at change of shift. Lack of education among healthcare workers about proper pain medication dosing and unjustified worry about controlled substance addiction lead to poor pain administration. Patients may not have any understanding of the pain scale or sometimes they are afraid to report pain. However, because of the lack of education, patients may ask for pain medication when the pain is very severe and the medication is not enough to take care of the pain. Also, sometimes their fear of dependency is greater than their fear of the pain they are in. As

Pain management is an essential component to patient care and nursing procedures. Recognizing the detrimental effects of unrelieved pain, The Joint Commission on Accreditation of Healthcare Organizations (JACHO) has recommended standards of pain management, especially with regard to assessment, monitoring and treatment (Harsoor, 2011). Research shows pain too often goes untreated, undertreated, or poorly assessed. In some settings, it has been found that pain has gone undertreated in up to 80% of patients (Walid et al, 2008). Children, the elderly, cancer patients, and postoperative patients are all populations that are at an increased risk for pain and subsequently poor pain management. Pain has a significant effect on a person’s mental status,

What is a pain? Pain is a vexatious sensation. Who wants to suffer from pain? No one. Unarguably, it is one sensation, every human and animal want to avoid. There are many kinds of pain; pain from emotional feelings, pain from physical and mental stress, pain from physical harm to the body and pain from a disease process (Foy, Peterson, & Arcangelo, 2013). Managing and avoiding the source of the pain is the primary goal. As humans, we face an innumerable amount of misfortunes in life but, when it comes to pain our psychology completely changes. Undoubtedly, certain individuals have a high tolerance for pain, some have absolutely no tolerance, while some people will do anything to avoid this unpleasant sensation. Stoic individuals find no encumbrance