...Understanding and Preventing Back Pain February 23, 2014 Professor Lee, Olympic College Today could quite possibly be the day that you learn more about trying to take care of your body to help prevent yourself from future back pain or even possibly getting rid of that agonizing back pain. Back pain is one of the most common medical issues that people have, affecting most people at least once in their lifetime. The spine consists of two main parts; the spine and the back muscles. Your spine consists of bones called vertebras which are joined together by facet joints in which each vertebra has four. Separating the vertebras are soft intervertebral discs. These discs allow your spine to move as well as act as a cushion to absorb shock and vibration that is caused by walking, running, and jumping, among other daily actions. Inside the vertebrae, is your spinal cord. The vertebrae helps to protect the spinal cord from getting damaged. Nerves branch off to various organs within the body, carrying signals from the brain to the organs, muscles, and extremities. Nerves also carry signals from different parts of your body to the brain when it sensation. Then you have your back muscles which are attached to the spine to help keep it stabilized. So as you can see, your back is very important, and keeping it strong will help to protect your spinal cord. Back pain can be caused by a variety of different reasons. The most common cause of back pain is muscles spasms. Muscles...
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...DOI: 11/28/1984. The patient is a 65 -year-old male pump installer/laborer who sustained a work-related injury to his low back after repetitive jumping off his 4-feet high truck bed. The patient is diagnosed with postlaminectomy syndrome. The patient was subsequently diagnosed with postlaminectomy syndrome, not elsewhere classified. As per office notes dated 6/1/16, the patient presents with chief complaints of low back and neck pain. The patient continues with chronic intractable low back pain as well as chronic intractable neck pain. The patient states that he has paying for methadone as an out-of-pocket expense. He notes that, “the pain would be intolerable without the medication.” The patient exhibits no aberrant behavior toward the pain medication today and denies adverse...
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...Health History D.S is a 50 years old male, born and raised in Rochester, NY. Widower with 8 children. Work as security guard at Monroe Community College (MCC). SOURCE OF HISTORY Patient- very reliable historian Medical record CHIEF COMPLAINT Sudden onset of chest pressure. Describe pain as “aching, heavy feeling in the chest” PRESENT ILLNESS Chest pain/pressure that is located primarily in the substernal area not radiating to arms that began acutely about an hour ago and lasted for 45 minutes. Started at work, pain was at it’s worst that made patient to seek help. Describes pain as aching, heavy feeling. Positive for diaphoresis, dizziness, malaise, palpitation but no nausea/vomiting, shortness of breath and symptoms are aggravated by nothing. PAST HISTORY General Health: Obese but generally healthy Childhood Illness: Had chicken pox in childhood, no measles/mumps/rubella/whooping cough/rheumatic fever/polio Hospitalizations/surgeries/Injuries: Excision of forearm lipomas in 1998, tonsillectomy in 1981, denies motor vehicle injury or any major injuries. Previous Medical History: Obesity, umbilical hernia, COPD, Bronchitis, CAD, Hyperlipidemia, chronic back pain, denies any mental illness CURRENT HALTH STATUS Immunization History: Tetanus shot in 2000; not sure about other immunization Allergies: Bactrim-rash Screening test: No PPD, Guiac, uninalysis Environmental hazards: works as security guard-some physical threats Use of safety measures:...
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...Visiting a primary health care provider as a medical professional can be an interesting and sometimes profound experience. My situation was certainly not unique. I had been having low back for quite some time and it was recently exacerbated while playing tennis. I was unable to stand for any length of time and could not sleep prone or flat on my back. I also had shooting pains down my right leg. I was very concerned about long term health and the potential of “chronic back pain”. My ultimate goal was to get a referral for an MRI to determine the extent of the injury. I would also request a muscle relaxant to assist in relieving the pain. It’s very interesting and sometimes odd going to the Dr.’s office as a patient. As a nurse and medical professional we are so accustomed to obtaining the medical history, vital signs, and asking all the other questions, that when roles have been turned, it can become a little uneasy or we find ourselves using a critical eye. My last time I visited a primary care physician was quite some time ago, but it was indeed an interesting experience. It wasn’t terribly busy, but the check in clerk appeared though she didn’t have a lot of time for me, gave me a clipboard, and instructed me to fill out the paper work and then return. She was professional but short and made very little eye contact. When I returned the paperwork she took it without making eye contact and asked me to take a seat once again. As an ER nurse who often triages patients...
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...Wellness Intervention for Older Adults with Chronic Illness NAME INSTITUTION Chronic illness on elderly people has become rampant and of great concern. Medical intervention makes it possible for people to live longer and to survive more severe injury and pain. (Brown, 2003). Chronic illness can lead to isolation, depression, occupational deprivation among others effects. Occupational Therapists intend to know the evidence concerning nonpharmaceutical mind-body interventions that are more likely to increased participations. The objective of this study was to evaluate mind –body interventions for the elderly adult with chronic pain. I randomly sampled one hundred and twenty patients from different hospitals within Miami. The response gave instruction in mind and body relationship, cognitive restructuring, problem-solving, communication and behavioral treatment for insomnia, nutrition and exercise, meditation, hypnosis, yoga and guided imagery. A structured review evaluated pain reduction, feasibility, and safety. I used studies in Medline and PsycINFO to retrieve the data. 40 samples out of 120 include older adults with chronic illness aged between 60 to 75 years for one year follow up. I excluded samples of chronic nonmalignant pain. I selected twenty two and eighteen samples for men and women respectively. The outcome measures varied by the study, it took into consideration of depression scale, chronic pain acceptance questionnaire health, arthritis impact measurements, health-promoting...
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...approach to his back pain could have saved my brother from being a statistic of the opiate overdose epidemic. My brother, Jeremy, was one of over 125,000 people who have lost their life since 2000, to the epidemic of opiate overdoses. There are dozens of safe alternative treatments for chronic back pain that do not involve taking medication or having an operation. We will struggle the rest of our lives wondering if tried holistic treatment if he would still be with us. Jeremy broke his back skateboarding, when he was in 11th grade, which was the first time doctors prescribed painkillers. At that time, we were unaware of how dangerous prescription painkillers can be and how easy it is to become addicted. An alternative could be physical therapy, chiropractic treatment or medical massage. These treatments can be just as effective. Jeremy was a dare-devil, who never was afraid of any physical challenges whether it was skateboarding, snowboarding or many other sports. These sports lead to a lot of injuries and more painkillers. He was a Union Carpenter, which is hard physical labor, and it added to his pain. His biggest motto was no matter what you do to work. No matter the pain that he was in, he would go to work. Physical therapist should teach exercises to make his back stronger, than he would suffer less and not become addicted to painkillers. By the time he was 25, he was in a lot of physical pain, especially his back. Also, his arms started to go numb from all the pain from his back...
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...factors for low back injury? The risk factors for low back injury are: occupations that require heavy lifting, elderly, sports, poor posture, osteoporosis, arthritis, disk disease, obesity and poor physical strength. 2. Describe differences between acute pain management and chronic pain management. The differences between acute pain management and chronic pain management are: acute pain can be treated right away and the patient’s pain might be relieved. The patient with chronic pain will have to be treated long term. 3. Identify common concerns related to long-term use of opiod medications. The common concerns with opioid medications are: the risk of drug tolerance, drug abuse, respiratory depression, and accidents related to the use of opioids. 4. What are the top three nursing diagnosis priorities for a patient with an acute exacerbation of chronic pain? The top three nursing diagnosis priorities for a patient with an acute exacerbation of chronic pain are: 1. Acute or chronic lower back pain. 2. Risk for injury due to lower back pain. 3. Risk for social isolation. 5. Identify and explain at least two adjuncts, other than medications, that are used for chronic pain management. Two other treatments that can be used to treat chronic pain are the rotation of hot and cold packs to reduce inflammation, and sooth the pain. The second adjunct treatment is relaxation by giving the muscles a break. 6. Describe the possible impact of chronic pain on the psychosocial...
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...Health History Biographical Data Patient: JT is a 69-year-old female who resides in Joliet, Illinois Date of Birth: July 30, 1946 Occupation: retired as a data entry clerk Marital Status: Divorced Race: Caucasian Religious Orientation: Roman Catholic and attends church every Sunday Education: High School Graduate (4th Year) and graduated from a trade school where she studied data entry Present Health Issue Patient stated “that she has been feeling dizzy and light headed lately” She fell two days ago Past Medical History Patient reports that she had whooping cough and chronic ear infections at a young age, but cannot remember the exact ages. Patient reports no major accidents. Patient reported that she had Gallbladder surgery in 1976, Carpal tunnel surgery in both wrists in 2013, had bunions removed off both feet about 7 years ago and had pituitary gland surgery three time over a 10-year span. The patient cannot remember all of her immunization as a child, but does receive the flu every year for the last 20 years and received the shingles immunization in 2006. Patient went through menopause at 45 years old. Social History Patient lives alone. Patient has 3 sons that live with in a 30-mile radius. Patient stated that she is lonely at times and is currently taking medication for depression. Patient stated, “she does not have thoughts of hurting herself” Patient ambulates without any assistance. Patient does drive and wears a seat belt Patient does not...
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...Chronic Intractable Pain Diane Purcell Sophia Praskala Types of Pain: * Acute pain- short term, self-limiting, recent onset, transient often follows an injury. * Chronic pain- 6 months or longer. Persistent pain which can be divided into malignant and non-malignant. These individuals usually present with a complex array of medical and psychosocial problems that render them as a “vulnerable population.” There is evidence of prejudicial attitude esp. by Health Care Providers. * Intractable pain-severe, constant pain that is not curable by any known * means and which may cause a bed or house-bound state. It may cause adverse biologic effects on the body’s cardiovascular, hormone, and neurological systems. Common Causes of Intractable Pain: * Spine degeneration * Auto immune rheumatoid disease- Fibromyalgia, Lupus * Peripheral nerve damage or Reflex systemic dystrophy * Abdominal adhesions * Headaches- post concussion or post trauma * Malignant Fibromyalgia * Arachnoiditis * Pelvic Floor, Groin, Vulvar, or Prostatic pain * Reflex Sympathetic Dystrophy Stats: * Back pain reported as primary source of chronic pain followed by osteoarthritis. * Internet survey- 30.7% reported chronic pain, females 34.3% and males 30.7%. Increasing age and lower socioeconomic status are indicators for increase in chronic pain. * In N.C. unintentional overdose accounts for approx. 3 deaths a day...
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...Brandy Shields Mrs. Knutsen ENC1101-83 16 April 2014 Chronic Pain: Curable or Not Abstract Chronic Pain is an interesting problem in society today. The exact cause of Chronic Pain is not the same in every patient. In fact most patients present with different symptoms and associated pathologies, such as the strong link with depression. Treatment of Chronic Pain is often performed a single practitioner whether that be a Medical Doctor, Chiropractor, Nutritionist, or an alternative health care professional. Chronic Pain is often extremely complex, because of this treatment needs to be multidimensional. Effective care of Chronic Pain requires the collective cooperation of health care professionals Chronic pain is an increasing problem affecting society today. Chronic pain is a complex condition that affects 42 million-50 million Americans, according to the American Pain Foundation. A recent market research report indicates that more than 1.5 billion people worldwide suffer from chronic pain and that approximately 3- 4.5% of the global population suffers from neuropathic pain, Despite decades of research, chronic pain remains poorly understood and notoriously hard to control. A survey by the American Academy of Pain Medicine found that even comprehensive treatment with painkilling prescription drugs helps, on average, only about 58% of people with chronic pain. The frequency of pain has a great impact on business, with a recent report by the Institute of Medicine (Medicine) ...
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...is Chronic Pain Syndrome? Chronic pain syndrome is a condition that occurs when you have experienced extreme pain for longer than three months and the pain doesn’t respond to the usual techniques for pain management. Depending on the cause of your pain, it pain may either remain constant or occur intermittently. For many people with chronic pain syndrome, the pain becomes both a physical as well as a mental burden. If you are dealing with chronic pain syndrome, it is important to work closely with your primary care physician and your chiropractor in order to find a treatment for lasting relief. One of the most important parts of treatment is learning about the cause of this condition, knowing the symptoms and seeking pain management Lexington Kentucky. Symptoms of Chronic Pain When asking “what is chronic pain”, it is important...
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...The Symptoms of Fibromyalgia The Symptoms of Fibromyalgia Fibromyalgia is a chronic condition that usually causes pain throughout the body in connective tissues, or the muscles, tendons and ligaments. These fibrous tissues result in the “fibro” prefix, and “myalgia”refers to muscle pain. Unfortunately, the exact causes of the condition are not completely known, and some physicians consider fibromyalgia to be a disease of the nervous system and brain instead of the soft tissues. Regardless of cause, fibromyalgia causes real symptoms and pain for the 8 percent of the population that it affects by the age of 70. About 5 million people in the United States currently suffer from this disorder. The Most Common Fibromyalgia Symptoms The core symptoms of fibromyalgia in unrelenting, chronic pain that often grows worse with stress, increased physical activity and other environmental stimuli. These pain accelerators might include bright lights, heat or cold, loud noises and other intrusive incitements. The pain can present in various ways because people often experience their symptoms differently. Your pain might feel similar to the following descriptions: Deep pain in the legs, arms, shoulders and back Aching pain...
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...Chronic Pain 1. What are the risk factors for low back injury? 2. Describe differences between acute pain management and chronic pain management. 3. Identify common concerns related to long-term use of opiod medications. 4. What are the top three nursing diagnosis priorities for a patient with an acute exacerbation of chronic pain? 5. Identify and explain at least two adjuncts, other than medications, that are used for chronic pain management. 6. Describe the possible impact of chronic pain on the psychosocial, spiritual, cultural, and developmental levels of a patient. Asthma 1. What are the risk factors for asthma? 2. Describe routine nursing care that would be appropriate for a homecare patient. 3. Describe education a patient requires to self-administer nebulizer treatments. 4. What are the top three nursing diagnosis priorities for the patient having an asthma attack in the home. 5. Identify three common complications for untreated asthma. Explain the nursing care designed to prevent each of these complications from occurring. 6. Describe the effects of common asthma medications. 7. Prepare for teaching a patient with limited English proficiency how to manage asthma at home. Tuberculosis 1. What are the risk factors for tuberculosis? 2. Describe three different types of tuberculosis and the common treatment recommendations for each. 3. Identify common concerns related to long-term administration of tuberculosis...
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...Prescription Concepts Applied to Patients Diagnosed With Fibromyalgia Pain is defined as an “unpleasant feeling, conveyed to the brain by sensory neurons” (Medical Dictionary, 2013). Pain is a subjective interpretation, which describes location, intensity and nature of sensory information resulted from noxious stimulation of nerve endings. The emotional response and other various conscious or unconscious responses add to the concept of pain. Acute pain usually results from tissue damage and it usually ends once the injury is healed. Chronic pain is a long term condition related to a persistent or degenerative disease or it doesn’t have an identifiable cause. Although there are different opinions about when a patient can be declared as suffering from chronic pain (after six months or twelve months), the presence of such sensation after the healing period usually leads to this diagnosis. One of the diseases with a generalized chronic pain as a symptom, which continues to generate many debates in the medical world, is fibromyalgia. Fibromyalgia, a disorder that affects the overall system and has an effect of generalized chronic pain, will be delineated in this paper, including its causes, manifestation, and part of the process of managing this disease in which a kinesiologist would have a central role. Fibromyalgia, estimated to affect 4% of the population, is a compilation of symptoms accompanying pain, which include fatigue, stiffness and sleep disturbance, along with psychiatric...
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...debilitating neurological disorder characterized by chronic widespread pain and fatigue. It affects approximately 2% of the population, and is more common in women than in men. Central nervous system sensitization affects the entire body, leading to many secondary symptoms. This paper will cover the history, symptoms, and causes of FMS as well as known treatments and exercise prescription for the syndrome. Fibromyalgia has been described as a full-body migraine. Another common explanation is to compare everyday life with FMS as being similar to the aches and pains associated with a severe case of the flu. FMS patients experience intermittent flares, which are episodes of increased symptoms. Flares usually occur in response to physical or emotional stress, a schedule change, an illness or injury, a new job, the birth of a child, etc. While fibromyalgia is not considered a degenerative disorder, its symptoms usually become more severe if the patient also has a degenerative disorder such as arthritis. First, a patient must have experienced continuous pain in all four quadrants of the body for at least three months (Wolfe et al., 1990). Doctors will usually order many tests in order to rule out other conditions that might be confused with fibromyalgia. The key diagnostic tool for FMS is the tender point exam. No more than 4kg/1.54km2 of pressure is applied to 18 specific points (see Table 1). If there is significant pain in at least 11 of the 18 points, the patient may...
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