This is a 45-year-old male with a 2-20-2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Sprain of joints and ligaments of unspecified parts of neck, initial encounter 01/11/16 Progress Report describes that 15 minutes were spent in review of the results from the urinary drug screen, which was administered at the previous visit and deciding whether any modifications are appropriate to the treatment regimen. The pain is better and down to a 3/10. The neck pain remained mild.…
Julia 14y, female S: SUBJECTIVE Chief Complaint (CC): “Headache” History of present illness (HPI): Julia is a 14-year-old young lady who presents with her mother. Julia states that headaches occur one to two times a week and can last 1 to 2 days—puts hands on temple and describes headache as pulsing. She reports pain as 3 out of 5, and is not relieved with Ibuprofen or Naprosyn. No aura.…
How do your patients respond to current treatment options? How well validated and understood is the role that CGRP plays in Migraines? What are the differences between current approved treatment options, and the CGRP therapies being developed by Alder, Teva, and Amgen?…
Hypertension Cerebral aneurysm for monitoring Migraines - on topiramate Thank you very much for referring Sandra along for her 18-month history or cough. As you are aware, she first noticed this on holidays in Queensland in July last year. She developed a dry cough at the time without any associated infective symptoms. That dry cough has persisted since that time.…
Assessment Z30.013- Encounter for initial prescription of injectable contraception. This initial diagnosis is aimed towards switching her birth control medication to the Depo-Provera. Her primary care provider referred her to this OBGYN clinic for management of birth control. She previously had been taking an oral contraceptive pill and was taking it at random times each day. Her provider, according to the patient, had told her that she was to take it daily and did not specify that it should be taken at the same time every day.…
Postdural puncture headache (PDPH) is one of the most common complications after spinal anesthesia. Postdural puncture headache is defined as a headache that begins 24–28 hours after spinal anesthesia with frontal or neck pain and grows over approximately 15 minutes after the patient sits up. Often, it is observed in combination with nausea and neck rigidity, and sometimes with photophobia, or defective hearing. Rates of PDPH varies by diameter and architecture of the needles used [1-3].…
Introduction Trigeminal neuralgia (TN) is a debilitating condition characterized by unilateral stabbing facial pain along the divisions of cranial nerve V. The lifetime prevalence of TN is estimated to be 0.7 per 1,000 people and usually presents between the fourth and seventh decades(1, 2). First line management involves medical therapy, although 10-25% of patients fail to respond to standard medication regimens and some patients may become resistant to medical treatment over time(3, 4). For patients with medically refractory TN, there are a number of proven invasive treatments which they may pursue.…
Annotated Bibliography on Stress and Migraines Madison McClanahan The University of Tennessee Health Science Center Annotated Bibliography Sauro, K., & Becker, W. (2009). The stress and migraine interaction. Headache: The Journal Of Head & Face Pain, 49(9), 1378-1386. doi:10.111/j.1526-4610.2009.01486.x This article explains that over 50 percent of migraine patients examined were depressed or anxious.…
Annotated Bibliography Cagle, J. G., Zimmerman, S., Cohen, L. W., Porter, L. S., Hanson, L. C., & Reed, D. (2015). Empower: An intervention to address barriers to pain management in hospice. Journal of Pain and Symptom Management, 49(1), 1-12. doi: 10.1016/j.jpainsymman.2014.05.007.…
There are numerous discrepancies in the subjective data collected by the student nurse. In the HP, is documented that the patient’s mother reported abdominal pain for 3 days with decreased appetite and no nausea or vomiting. The pain is also described as “ it comes and goes”. However, in the pain assessment the pain is charted as constant and in the ROS, is documented abdominal pain (without time frame), decreased appetite and with nausea and vomiting.…
A nurse can use several pain assessment tools that include initial pain assessment, the brief pain inventory, the short- form McGill Pain Questionnaire, PQRST method of pain assessment, pain-rating scales, numeric rating scales, verbal descriptor scale, visual analogue scale, and the descriptor scale. Then for a infants a nurse would depend on the patient's behavioral and physiologic cues, and when assessing a two year old the nurse would be able to rely on the patient to point to the location of the pain and report that they are having pain. When a child has reached the age of four to five years of age a nurse can use the Faces Pain Scale-Revised (FPS-R) or Oucher Scale. Some considerations a nurse should be aware of are age and verbalizations…
How am I feeling when I imagine moving north? How am I feeling when I imagine staying here? Tune into Your Body and Ask the Questions To tune into your body, use the long lead in from page 18.…
Homecare Assistance: Relieving Migraines WebMD defines migraines as "powerful headaches that often happen with nausea,vomiting, and sensitivity to light. They can last from 4 hours to 3 days, and sometimes longer." The good news for seniors is that frequency of migraines seems to decrease in seniors over 65. Senior migraines are often less intense as well. Granted, that does not provide much relief to the million plus seniors who still experience them.…
Each year many people experience headaches. According to research, “There are approximately 45 million Americans complaining of headaches each year. That works out to about one in every six people or 16.54% of the population. More than eight million Americans visit their doctor for complaints of headache each year” (Halim, Haq, &Khalid, 2017). That was the case with J.W. which caused the patient to seek medical attention.…
Related Treatments The decision to perform surgical treatment to evacuate a chronic subdural hematoma was guided by the clinical presentation of the patient and the radiographic appearance of the lesion (Soleman, Taussky, Fandino, & Muroi, 2014). The patient’s CT scan revealed a hypodense chronic subdural hematoma with a midline shift. She was prepared for immediate surgical evacuation. The three surgical options for chronic SDH include percutaneous twist-drill craniostomy (TDC), operative burr-hole evacuation (BHC), and craniotomy.…