Question

Gilbert Martin is a 53-year-old Hispanic male who is married to Helen Martin. Mr. Martin has...


Gilbert Martin is a 53-year-old Hispanic male who is married to Helen Martin. Mr. Martin has a son from a previous marriage and a step-daughter whom he has raised since she was 3. Mr. Martin's father has recently passed away, so he has been helping his mother manage her affairs. Mr. Martin works as a local delivery truck driver for a construction company. His job includes assisting with the loading and unloading of construction materials. Mr. Martin considers himself to be in good health with the exception of chronic back pain. Mr. Martin also has hyperlipidemia for which he takes atorvastatin (Lipitor) 20 mg/day. Mr. Martin sees his primary care provider once a year for triglyceride and liver function tests and has been encouraged to follow a low-fat diet.

Question 1

What nonpharmacological interventions will you initiate for Mr. Martin to reduce his chronic back pain?

Question 2

What factors place Mr. Martin at risk for exacerbation of his back problems?

Question 3

Describe how the stress in Mr. Martin's life may be affecting his chronic low back pain.


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Answer #1

1) Chronic pain is described as pain persists for long time and results in serious co,plications if left untreated. Non pharmacological treatment focuses on treating ailments with out drugs. The recommended non pharmacological treatment for chronic back pain includes :

- Acupuncture is proved effective in reducing chronic back pain. Research studies states acupuncture triggers central nervous system and releases natural opioids helps in reducing pain and induces sleep.

- Massage therapy increased blood flow to the muscles and tissues , it also relaxes the tightened muscles.

- Relaxation technique

2) Mr Martin is 53 year old and his nature of work like driving truck , loading and unloading construction materials. Lifting heavy objects will create undue stress on back results in injury or strain over ligaments holding the bones in place.

3) Emotional factors like excessive stress in day to day life aggravates back pain. Mr Martin is at a risk of sleep disturbances due to stress, inability to focus on work.

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