...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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...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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...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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...Introduction Chronic pain is one of the most frequent diagnosis and the most common problem for which elderly patients in the clinical setting seek help. Chronic pain refers to an unpleasant, distressful and uncomfortable feeling. Studies have shown that chronic pain is often undertreated even when the prevalence rates and syndromes are well understood. The means of relief are within practitioners’ capabilities to provide care. With careful assessment and a comprehensive plan of care that addresses the various aspects of the patients needs; chronic pain can be controlled in the vast majority of cases. Thus, awareness and provision of basic and specialized interventions can ensure comfort and improve quality of life. However, chronic pain left untreated or undertreated may cause suffering. This will also cause disease-mediated symptoms such as pain, dyspnea, fatigue, and loss of mobility. Needless to say, there are accompanying emotional states such as depression, anxiety, and a sense of uselessness. This paper will explore the under treatment of chronic pain among the elderly, its defining attributes, the use of an analysis model and its relationship to the concept. Identify a nursing theoretical framework used to analyze and resolve the problem. Also, an attempt will be made to identify an evidence based practice and research to support strategies for the resolution of the problem. Problem Under treatment of Chronic Pain in the Elderly However, most often than...
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...Chronic back pain can occur due to a variety of situations. It is a difficult condition to live with and even more difficult for a medical provider to treat. This is because the spine is literally the backbone of your body. It is why you can sit down and stand up, walk and bend over. Feeling and movement would not exist as we know it without these 24 vertebrae lined up vertically in your back. Each of these vertebrae provide support and structure. They hold and protect your spinal cord and when something goes wrong in this area, the nerves and tendons attaching to and moving through them are affected. Pain, numbness, tingling and loss of feeling or movement can result. How the damage occurs is key to treating the problem. Most chronic problems develop from acute or one time conditions that are not addressed. There are many contributing factors that increase the chances your spine can be injured and become a long term or chronic condition. Because our vertebrae are bones, they are made up of salts which are minerals. The tendons and muscles that attach to them are elastic and they need to be flexible yet strong. Many people do not take the time to “feed” their spine and stretch their muscles. Feeding your spine mineral supplements along with vitamin D can help keep your vertebrae strong. Over the years the bones can degrade, and these minerals and vitamin are the hammers and nails that keep your bones strong. What exercise does for the muscles and tendons, minerals...
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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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...Nicole Owens Instructor Mendoza Composition 2 31 May 2016 How to cope with constant pain? 1). How children and adolescents in primary care cope with pain and the biopsychosocial factors that correlate with pain-related disability. I think this is a reliable source in many ways. It shows the Author, Date, Issue, and Pages. This is everything you must look for when choosing a reliable source. This data was collected with the Functional Disability Inventory, the pain Coping Questionnaire, and a study- specific Questionnaire. This will support my persuasive by knowing the conclusion variance in PRD and how it was partly explained by pain intensity, worrying, and ability to reduce pain. The two good quotes that I can use in my paper from this article are: The study of 133 patients suggests that assessing pain coping strategies maybe useful when identifying pain related problems in paediatric primary care, and as well as biological factors, psychological factors such as pain coping may explain pain- related disability in children and adlscents consulting primary care physiotherapy. 2). Identification of strategies used to cope with chronic pain in older persons recieving primary care from a Veterans Affair Medical Cener. This is another reliable source also by giving the Author...
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...The pain is like liquid metal running through my veins. Every morning I wake up heavy and exhausted from the non-restorative sleep I’ve gotten, that tends to happen with chronic pain. The Institute of Medicine of the National Academies reveals this, “Chronic pain affects about 100 million American adults—more than the total affected by heart disease, cancer, and diabetes combined.” No one around me recognizes my pain. I don’t have a wheelchair, a walker, a brace, or a cane. I’m not missing hair, I’m not old, and I don’t “look sick.” There is a problem with the people around me. It’s ignorance, it’s stupidity, and it’s needing an indicator that I’m in pain, without one I must not be. However, the biggest problem is when the people around me make assumptions about my...
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...Carolina born and raise, for the past four years I lived in Warner Robins, Georgia, and just recently moved back home after the death of my mother. I lost my husband on December 23, 2011, from a long time illness. I have my Associates of Science in Business Administration Degree, and just recently gotten my Bachelor of Science in Business Administration Degree, and also my Master’s in Marketing and Business Administration. Hopefully, I will soon be able to open my own Gym for Patients with Fibromyalgia. I am disabled as well, I have Fibromyalgia, along with Lupus with some other chronic pain disorders I do not care to mention, but I’m maintaining my life just fine. I have accomplished a lot for myself and still plan to accomplish a lot more. This is my main reason why I want to open this Gym in order to help disabled individuals cope with their life style and deal with their pain a whole lot better. Being that, I’ve experience this first hand it would really help many others to deal with their illnesses a whole lot better. My daughter is 24; her name is Tempestt S. Gavins has graduated from Columbia College in Columbia, South Carolina, she is presently teaching English in China for one year with plans to continue to her education there. Yes, I’m very proud. My son is 21, his name is Daniel J. Gavins, and he doesn’t know what he wants to do yet. But I do have two beautiful granddaughters from him at a very young age, and they are three years old. I also...
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...the students to have some space of their own to store things. Many schools removed lockers because they can store drugs and weapons, are targets for vandalism, and can hide other illicit goods.” The website I got these expert opinions is the website http://www.enotes.com/homework-help/school-education-400981. I know about these things from my own experiences as well. My mom always complains that it’s bad for my posture. I always dislike having to look through a bunch of stuff to find a certain notebook or something like that. All the weight hurts my back and makes it so that when I sit or stand, I am in a bad posture. Mr.Lee does not like that. And, I have so much in my backpack that is not necessary for me to have in that class and it’s a pain to look through. I think middle school could definitely use lockers. It doesn’t have to just be lockers. We could ask the teachers for personal cubbies. Just anything to keep our stuff in would work. Lockers in middle school would change us a lot. ...
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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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...“Drug Seeking” in Health Care Chronic pain affects a significant number of individuals living worldwide. The International Association on the Study of Pain [IASP] and the European Federation of the IASP Chapters [EFIC] indicates that one in five people suffer from moderate to severe chronic pain, and one in three are unable to maintain a lifestyle of independence due to their pain (World Health Organization [WHO], 2004). The WHO identifies that pain relief is an integral right for individuals to attain the highest level of physical and mental health (2004). The Committee on Advancing Pain Research, Care, and Education at the Institute of Medicine [IOM] (2011) examines pain as a public concern. The report concluded that chronic pain affects the lives of about 100 million US adults, “more than the total affected by heart disease, cancer, and diabetes combined” and is a national challenge (2011). Pain is a subjective physiologic phenomenon that cannot be objectified or verified and is often un-assessed, un-diagnosed, and undertreated. This stands as a serious public health concern because individuals experiencing chronic pain are at great risk for decreased functional status and quality of life. Additionally, individuals living with chronic pain experience the common co-morbidities of depression, anxiety, and anger (Wilsey et al., 2008). The IASP/EFIC data from WHO (2004) concludes that one in four individuals experiencing pain, report that relationships with family and...
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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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...HLSC111 Stress and Health Continuing with psychosocial aspects affecting health and particularly the role of stress and its possible mechanisms Week 6 Lecture A PNI, Pain and Health We will examine PNI ‐ Psychoneuroimmunology The immune system – its role in preventing disease Lect B – coping – what works Where are we? This lect draws a number of threads together: So far we have looked at: People and ways to understand them What people share with each other – developmental psychology What makes people unique – individual differences The role of groups people belong to Stress – causes and effects Psychoneuroimmunology (PNI) What is it? PNI ‐ examines the relationships between the mind/brain and immune system “The field that studies the interactions between the central nervous system, the endocrine system and the immune system; the impact of behaviour/stress on these interactions; and the implications for health of these interactions” Ronald Glaser Now we will examine in more detail the relationship between behaviour, 1919 ‐ researchers noted increased stress increased the the nervous system, the endocrine system, immunity and coping ‐ ways to stay healthy Back to Physiology progression of pulmonary tuberculosis. Research foundations Psychosocial factors modulating immunity Immune system problems result from Increased Age Genetic disorders Infectious diseases Nutrition...
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...inflammation of the bursa which is the fluid-filled sack found between the tendon and the bone. This could also be acute, but can be chronic Fibromyalgia - a chronic condition that explanations pain, stress, and tenderness in joints, muscle tissues, tendons, and different delicate tissues. Gout - a variety of arthritis prompted by means of a uric acid construct-up within the joints. Two varieties of gout exist: acute gout, which most commonly affects one joint; and chronic gout which is repeated episodes of suffering and irritation in more than one joint Osteoarthritis - essentially the most common joint ailment that has signs similar to agony and stiffness within the joints Psoriasis - is a epidermis situation that almost always factors epidermis redness and irritation however can also be recognized to intent joint pain Rheumatic fever - an inflammatory sickness that could boost after being infected with bacteria equivalent to strep throat and scarlet fever. Rheumatoid Arthritis - a chronic disease that reasons inflammation of the joints as good because the tissues surrounding it Sjogren Syndrome - an autoimmune disorder that more commonly accompanies different autoimmune sickness like rheumatoid arthritis and lupus. It's characterized via dry eyes and mouth however may additionally motive joint pain Systemic Lupus erythematosus - a chronic autoimmune disease that may have an impact on the epidermis, joints, kidneys, as well as different organs Tendinitis - characterised...
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