Substance Case Study

HISOTRY OF PRESENT ILLNESS: This 40-year-old Latin female presents with complaints of low back and right leg pain she said that she hurt her back in a motor vehicle accident three years ago and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weighed approximately 40 pounds. Around the first of January this year she began to complain of back pain that

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 unwavering compliance with her medication schedule. She takes Lisinopril and Levothyroxine at 0800, and Ativan at 0000 before bed (works 1500-3200).

Step one, Geraldine pains will be monitored and documented at a regular interval by asking her to score her pain on a scale of (0-10) with 0 meaning zero pains and 10 being highly in pain. This will help in evaluating her cancer-related pain symptoms, which may involve viscera, nerve, or bone tissue. Use of rating scale aids helps in assessing level of pain and provides a tool for evaluating the effectiveness of analgesics, enhancing patient control of pain. Geraldine’s reported and unreported pain will be assessed. The discrepancy between reported and nonverbal cue can give us clues to the degree of pain, the effectiveness of

Madeline, I like your discussion board. Your discussion board is very interested . The interested thing that you stated in your discussion board is many people will deny substance abuse and not seek the treatment they need because they don’t want to embarrass or bring shame to their families or communities (Your discussion board, 2017). Many people feel embarrass to attend substance abuse treatment due to thinking about what others will think of them. For example; I am a home base case worker , and I deal with many clients who suffer from substance abuse issues. I always tell the client s that they should seek treatment in order for their children to be reunify with them, and the clients either deny attending or runaway from the center and continue to use. Some of the reasons why my clients stated that they will not attend substance abuse treatment because they afraid or embarrass to attend.

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

High incidences of continued or worsening psychiatric or mood disorders, adventitious side-effects leading to poly-pharma. Often there is a high stigma with admitting to having a psychiatric condition that inhibits or delays care and leaves a vulnerable population untreated. Cannabinoid therapies offer and autonomous and readily available approach to doctors, patients and their families. Patients would potentially be able to self-medicate without the “stigma” of seeking professional help. Which may allow service and treatment to a greater population. (Maa & Figi,

patients, there is at least one cannabinoid that is likely to treat the patient with the

Allana saw Dr. Mullins six times during the month of March on 03/03/16, 03/07/16, 03/10/16, 03/14/16, 03/21/16 and on 03/28/16. On 03/07/16, Allana told him that her ultimate goal would be to run longer than 20 minutes without her back “buckling”. She also explained to him that high intensity workouts were her favorite. Throughout the month of March, she continued to have spasms and pain in her upper back, lower back, and in her neck. Her ribs also continued to be very sore. Her diagnoses on 03/21/16 was pain in the lower back, and muscle spasms in her back, neck and mid back. Her diagnosis also included segmental and somatic dysfunction of the head, cervical, thoracic and lumbar spine, her sacrum and sprain of her ribs.

The method of the study used: Collected medical records based on KPS. The result of the study: According to Sousa et al. (2014), IV PCA with morphine has 42.1 percent, fentanyl has 42.1 percent, and methadone has 15.7 percent for the intensified course of pain associated with cancer. There is 78.9 percent of clients significant increased control of pain with IC PCA use as a supplement treatment for pain. Based on KPS, there is no difference in adverse effects to the included group of patients. The major adverse effects were drowsiness with higher rate with morphine administration (10.5%) as compared to fentanyl; bowel obstruction 19.4 % and 4.2% with digestive upset.

Mr. Kim is a twenty year old Asian male. Mr. Kim reported that he was born in Duluth, Georgia and has resided in Georgia for twenty years. Mr. Kim reported that he is single and does not have any children. Mr. Kim has been required to complete a substance abuse evaluation as a result of a possession of an illegal drug related offense. The evaluation is to determine whether Mr. Kim is suffering from a Substance Related Disorder and to recommend a course of treatment, if appropriate. The interview was conducted directly and entirely in English, Mr. Kim’s native language.

The diagnosis for Cannabis Use Disorder is appropriate as Jasmin has an impairment due to her cannabis as she has used cannabis since the age of 14 and attending drug rehabilitation clinics throughout her continual use. Her completion of the rehabilitation clinic programs and relapse shows unsuccessful efforts to cut down or control her cannabis use. Because of the severity her cannabis use, she avoided attending classes, most recently GED classes. Jasmin’s cannabis use continued despite the use affecting her ability to remain in stable housing with family. Her cannabis use also has notable negative effects how social functions as well occupation has been given up, allowing for continued use. Most recently, she has used cannabis while entertaining a dangerous situation with her sitting on a window ledge making claims she could fly, thus putting her life at risk. Lastly, despite stints in rehabilitation clinics and consultation from her sister addressing the negative physical and psychological effects of her cannabis use, she continues to use. These specific impairments

Respondents Angel Raich and Diane Monson are residents of California, were the Compassionate Act was passed by the California voter, this act allows the use of marijuana for medical purposes. Both residents suffer from a number of serious medical conditions and are being treated by licensed board-certified family practitioners. The practitioners believe that marijuana is the only effective drug available for their condition. Raich and Manson have been using marijuana for several years per their doctor’s recommendations, they both rely on cannabis on a daily basis. Raich’s physician believes that she will undergo server pain that could be fatal if she stop the cannabis treatments.

Very educational post. Looking at all the symptoms and the data given, I would also agree with your priority diagnosis of Sciatica. Here the patient is complaining of acute low back pain which is associated with pain and burning that radiates along the lateral thigh, leg, and foot. Sciatic pain is a sharp, burning pain that radiates down the posterior and lateral leg to the foot or ankle. This Sciatic pain could be related to herniated disk (Dains, Baumann, Scheibel, 2016). According to De Campos (2017), in 90% cases, sciatica is caused by a herniated disc with nerve root compression. Lumbar stenoses and tumors are less likely to cause this. Many people think that the worse the pain, the more likely something bad is going on. However, this

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