Question

A 32-year-old female client has been having back pain for a number of years. The client sustained extensive soft tissue damage and a compressed L2 disc as the result of a MVA 3 years ago. She required surgery and extensive physiotherapy. Since that time, the client has had several problems with her back, and it “has never been the same.” Now she is missing time from work as a secretary because of constant pain. The client has been referred to the chronic pain unit.

1. As the nurse working with the client, what aspects of disorders of pain are important to understand?

2. How would the nurse effectively manage the client’s pain at this time?

Answer 1

Answer:- 1. Lumber compression fracture at - the umber spine provide stablity and support for whole upper body any inzury that chang the Shape of lumber vetolarg will after the number. posture Increase and decrease the lumber curore. - The definition of fracture is complete of particy interruption of the continuity of the bone Clinical relevent thatomy it es lumber vertebra (L-L5) - cauda equing vertibray endplate - Durg - The swumber vertebrae are the strongest and largest of all vertebrae in the spine. This cometomically structure offer them the opportarety to bear the whole upper boch the vertebra start the thoracho Thoracolumber Junction in the bigning of the comber lostasis The extend to the promonetrium of the sacrum. those vertebra are "stacked" to gather and can provick a movable support structures while also protect the spinal cord from injury. Increase mobility. The dumber spini one susceptible to injury the lumber disk wards as as a cushion for mechical loads. more

Risk factori Trauma - Osteoporosis - Infection I neoplasm -> 80 year of Age - post menopausa middle ageet women orch sterwid, Antidepressent - Diabetes drag pulmonary function decreate Decrease mobility & Balance Tumer call in vertebra. Diagnosis MRI. Best stray to judging fracture Age as it will show bony edema for an acute fracture DEXA scanead & Diagnosis of Osteoporosis which contain minerals densites in bone. Outcome measuresi ASA (American society of anesthesiologist) - 0 As Physical status score It is predict outcome measurs of mostality in surgical population of vertebral compression. visual analog scale for overall paina- for detecting Pain ( the patient specific functional scale

Drswer. 2:7 Medical management is there are several medical management Method to treat a ember compression fracture, - Before anything else you need to control pain. A cure pain controle may include- ONSAID SI muscle relaxant Narcotic pain medication. & Neuropathie pain Agent. wear analgesic patch 6 Intercostal nerve block - NSAIDS are often first line drug for been pain as They do not have sedating effect However they do have gastic ronicity and increase risk of candige event for patient with expertension anes coronary artery disease - opoid and muscle relaxent may provide shong relief which NSAIDs are inadequate but have significant sedative effect as well as risk of dependeney. Preventative medicine is Bisphessphonate selective espugen receptor modulator Recombidant perathywid harmon calcium - vitami-D