1) Non pharmacological interventions to reduce chronic back pain:
Many non - pharmacological interventions are available for chronic back pain. It includes exercises, complementary and alternative therapies ( such as acupuncture, massage, and mind body interventions) , psychological therapies ( cognitive, behavioral and operant therapy),physical techniques like traction, superficial heat or cold application, back supports), and multidisciplinary and rehabilitation therapies.
2) The factors that face Mr. Martin at risk for exacerbation of his back problems includes as he is truck driver, and his job is loading and unloading of construction material i.e ., due to lifting of weights.
And Mr. Martin has hyperlipidemia, however abnormal triglycerides, HDL levels leads to back pain .
Old - age people are also at risk of developing back pain.
Diet & work status / occupation play an important role for back pain.
3) Stress in Mr. Martin's life may be affecting his lower back pain:
Everyday stresses have a huge impact on body and chronic pain. When Martin stressed, his breathing patterns change and cause strain and tension in the mid - back, lower half of the back muscles. The muscles affect flexibility and posture. During stress usually individuals become sedentary and they stretch and exercise less.
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...
CLIENT PROFILE Mr. Cohen is a 75-year-old male admitted with an exacerbation of chronic obstructive pulmonary disease (emphysema). He has been keeping the head of the bed up for most of the day and night to facilitate his breathing which has resulted in lower back pain. Acetaminophen was not effective in reducing his pain, so the health care provider has prescribed oxycodone/acetaminophen one to two tablets PO every four to six hours as needed for pain. Mr. Cohen is on...
Miguel, a 53-year-old Hispanic male, is seen by his health care provider for chronic pain in his knees. He states the pain is a dull, constant ache in both knees that happens in the evenings after he’s been working as a cashier all day.1. It is important for the nurse to gather what information about Miguel’s medications?2. Miguel has taken ibuprofen for an extended period of time to control his pain. What risk does this over-the-counter (OTC) drug pose for...
Mr. X is a 33 year-old Hispanic male (Spanish speaking only) who presented to the ED with a compliant of muscle aches and just not feeling good. He is a construction worker and has been working outside in 100-105 f degree weather for the last 3 days. His past medical and surgical history is negative. His mom has diabetes and his father has hypertension. He does not take any prescription medications and denies any over the counter medications, herbal products...
Mr. Raymundo Gonzales, an 84 year old Hispanic male is admitted to your unit with a diagnosis of “Sepsis, origin Unknown.” You document your assessment findings which include the following. Patient is confused, disoriented & restless T-98.9, P-98, R-28, B/P 90/58, Pulse Ox 92%, unable to determine a pain level but grunted & moaned upon abdominal palpation Abdomen firm and rigid Skin warm and dry with scaly patches He urinated 50 ml of cola colored urine He has bilateral crackles...
Mr. Raymundo Gonzales, an 84 year old Hispanic male is admitted to your unit with a diagnosis of “Sepsis, origin Unknown.” You document your assessment findings which include the following. Patient is confused, disoriented & restless T-98.9, P-98, R-28, B/P 90/58, Pulse Ox 92%, unable to determine a pain level but grunted & moaned upon abdominal palpation Abdomen firm and rigid Skin warm and dry with scaly patches He urinated 50 ml of cola colored urine He has bilateral crackles...
Mr. Z is a 38-year old Hispanic construction worker who sustained a liver laceration after falling from a roof. He acquired an exploratory laparotomy for splenectomy and repair of the liver laceration 4 days earlier. His medical history reveals no chronic health problems, although he smokes 20 packs of cigarettes per year. Clinical Assessment Mr. Z is admitted to the medical intensive care unit from the telemetry unit with acute respiratory insufficiency and hypotension. He is using his accessory muscles...
Brief Patient History Mr. Z is a 38-year old Hispanic construction worker who sustained a liver laceration after falling from a roof. He acquired an exploratory laparotomy for splenectomy and repair of the liver laceration 4 days earlier. His medical history reveals no chronic health problems, although he smokes 20 packs of cigarettes per year. Clinical Assessment Mr. Z is admitted to the medical intensive care unit from the telemetry unit with acute respiratory insufficiency and hypotension. He is using...
Case Study #7 Mr. Max is a 38-year-old male who has been diagnosed with GERD. Testing revealed he has a narrowing of his esophagus from the GERD. His symptoms consisted of food (even though chewed thoroughly) getting caught in his throat, and frequent and severe heartburn about 1 hour after eating. He also complained of some pain in and around his jaw and neck. Mr. Max is 5 feet 8 inches tall and weighs 215 lbs. Mr. Max has been...
Mr. Walter, a 39-year-old man who is opioid naive and weighs 60 kg, He has an order for Morphine Sulfate 30mg PO Daily. During your visit to his house his BP is 135/86, P is 90, RR is 22, and his O2 saturation is 98%. Preoperatively he indicated that he had a very low tolerance for pain. His goal for therapy was no pain and he thought he could tolerate pain at only a level of 1 on a 0-10...