The majority preferred physiotherapy and no surgery was the third most popular choice. Their preferences and choices evolved from previous experience. They did not perceive their pain as severe enough to require surgery. (Mitchell & Hurley).
A revised regimen for Sid consists of 10 parts. These are a record of his general medical history for a total and comprehensive picture; the use of the four assessment tools mentioned earlier in this paper; his complete and updated pain history; instruction on chronic pain, opioids and opiate therapy; information about non-pharmacological treatment options for chronic pain; continuation of interrupted physiotherapy treatment sessions; conduct of training on self-management and pain control; warning about the risks of smoking; counseling on depression; matching preferences with evidence-based guidelines recommended for chronic pain; and hiring caregivers for himself and his wife.
General Medical History
This may reveal prior conditions, which may have led to chronic pain and thus underlies or contributes to it. It also provides a total picture on which to base a comprehensive approach to treatment.
Pain Assessment Tools - These include the Brief Pain Inventory, the McGill Pain Questionnaire and the Short-form McGill Pain Questionnaire, the Massachusetts General Hospital Pain Center's Pain Assessment form, and Neuropathic Screening Tools, as discussed in an earlier part of this paper.
Pain History - This should identify the location of the pain, its intensity, description,, the temporal aspects and possible patho-physiological and etiological features of the pain. Other information includes what relieves or aggravates it, its effects on daily physical and social functions, pain treatments and their positive or negative effects, feelings of depression, worry over pain condition and overall health and possible involvement in litigation or compensation process (Brevik et al., 2008).
Information Intervention - Chronic osteoarthritic pain is a nociceptive musculo-skeletal pain with a more predictable than neuropathic pain (Benedict, 2008). It is often treated with non-steroidal anti-inflammatory drugs or NSAIDs until healing occurs and the pain disappears. Most healthcare providers prescribe opiates for this pain. The 10 universal precautions on pain medicine and the Share-the-Risk Model address the controversies concerning the mis-use and abuse of opioids.
Non-Pharmacological Treatment Options - These are physiotherapy or physical therapy, hydrotherapy, homeopathic remedies, Chronic Behavior Therapy or CBT, transcutaneous electrical nerve stimulation or TENS, alternative medicine, self-management...
" (Giovacchini, 1996, pg. 2) According to Giovachinni research into the psychodynamics of individuals in their experience of current adjustments and symptom formation is "much more interesting and fulfilling than monitoring surface behavior. processes are innately fascinating and their study creates dimensions and viewpoints that expand our appreciation of the versatility of the psyche as our in-depth understanding is increased, in itself, an aesthetic experience." (Giovacchini, 1996, pg. 2) Unconscious motivation
Pain is the most famous member of bodily feelings including orgasms, tickles, itches and tingles among others. These feelings are normally attributed to the locations of the body and seem to have several features like duration, intensity and volume which are attributed to quantities or physical objects. For most patients seeking for clinical help, pain is often the most common problem and the most common nursing diagnosis. Generally, pain can
On the other hand a diet that is high in fruit and vegetable intake has also been found to increase the absorption of antioxidants and vitamins that help to manage the symptoms of this disease. Pineapples have been found to be effective in the control of inflammation in arthritis, as they contain bromelain enzymes. ".... bromelain enzymes block the prostaglandins that play a part in swelling. These enzymes have
Death Linda Wertheimer and Robert Siegel extensively interviewed Helen Payne, an 81-year-old woman dying of leukemia, and family members, regarding the process of coping with terminal illness in a loved one. They included observations from Payne's oncologist and hospice nurse as well. Their interview shows a wide range of logical and emotional responses exhibited by family members as Payne's illness progressed, and demonstrated just how complex our reaction to such illness
Frontal-Temporal Dementia (Frontotemporal Dementia) Frontal-Temporal Dementia Dementia is a collective term, which includes chronic cognitive disorders, which lead to loss of independent functioning. There are different types of dementia, and statistics show that it affects 3.4 million people in the United States alone (DiZazzo-Miller et al., 2014). Notably, the most affected people are the elderly, which suggests that the risk of dementia increases with age, and this further show that dementia is
Introduction Few 20th century thinkers were as controversial, or as influential, as Sigmund Freud. Freud’s writings, his contributions to the field of psychology, and his therapeutic techniques have been influential not just in psychology, but in all the social sciences. At the same time, many of Freud’s theories and practices proved problematic or in need of revision. Thus, a cadre of important social science researchers the likes of Adler, Fromm, Jung,
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now