Question

A 32 year old female client injured her back while sailing several years ago. She sustained extensive soft tissue damage, a compression fracture of L1 and a bulging disc between L1 and L2. She required surgery and intensive physical therapy. Since that time, however, the client has had several problems with her back and says "it has never been the same." Now she is missing time from work because of constant pain and her hydrocodone is no longer controlling her pain. She has been referred to the chronic pain clinic where you work Describe the nature and consequences of chronic pain, including what medications, if any, might be prescribed and why those medication were chosen

Answer 1

#. The nature of pain is chronic intractable benign pain, in which discomfort present all the time with varying levels of intensity.

#. Consequences of chronic pain:-

- suffering

- irritability

- not able to do the work

- impaired activity of daily living

- less response to medication

- high complications

- tissue damage

- emotional disturbance

#. The medication chosen for her are high working opioid such as codeine, fentanyl ,morphine and the other option is using combination of two medications.