Chronic abdominal pain in children is most often caused by a functional disorder. There are a variety of treatments that can be helpful, but no single treatment is best. Thus, most experts recommend trying several treatments. This may require several visits with the doctor, especially if pain has been a problem for a long time. Although functional abdominal pain can be triggered or reinforced by a desire for attention, it is rare for a child to "fake" pain. Therefore this child's pain needs to be acknowledged and believe that her pain is real and offer sympathy, support, and reassurance. Since the CT scan and lab work were negative. Other treatment options can be considered. The first goal of treatment is to help this child return to normal activities. Secondly, is to help her pain improve. …show more content…
This will allow them explore stressors, try various treatments, and continue her evaluation when necessary. Stress can worsen pain, whether the source is functional or organic. Children with chronic pain can be depressed or anxious as a result of their pain and their efforts to get relief. Many children benefit from relaxation and behavioral therapies to address these aspects of their pain. Also, during periods of change or stress in families, it can be hard to spend enough time with the child. In some cases, the child will develop chronic or recurrent abdominal pain related to her need for attention. It may be helpful to schedule time daily that is devoted solely to this child. Scheduled time is preferable to time spent together when the child complains of pain. In addition, older children and adolescents with functional abdominal pain can learn brief muscle relaxation techniques such as deep breathing exercises. These techniques should be performed for 10 minutes at least twice every day, and can also be used during times of pain. A family member can act as "coach" if necessary, provided this attention does not provide positive reinforcement for the pain (Medline plus,
While it is rare to have a diagnosis in children younger than 12 years of age, it does happen. Average age of onse...
Irregular bowel movements or constipation is quite a major and common concern in adults and babies as well. The condition becomes more challenging when it comes to babies. Parents of infants worry when their infant’s bowel movement is not regular and clear as that causes formation of gas and stomach pain.
chronic pain could be handled at the bedside with no need to await a doctor's
Pain assessment is critical for pediatric patients not only in order to select a proper approach to treating pain but also to prevent further complication that might develop. With age appropriate
Many people experience symptoms of irritable bowel syndrome or IBS, but many do not see a doctor to get treatment. This common bowel disorder affects millions of people, and is one of the major causes of disability and absenteeism. Although it is not a serious threat to health, it reduces the quality of life and can lead to depression.
Mr. A is a 45-years old Ethiopian man who lives in a Supportive living seniors apartment in Calgary, Sundial. He was approachable and engaging in conversation, and/or answering questions. Upon assessing his values, beliefs and understanding of ageing, he defines ageing as “a destiny”. Mr. A stated that “when mother gives birth, baby cry, and it is a destiny. It is genetics and we do not control it”. In 2006, Mr. A had problem with digestion and in 2014, he was diagnosed with Irritable Bowel Syndrome (IBS). It became a “turning point” in his life when he had to get a feeding tube in 2015, that impacted his mental health as well. The psychosocial assessment was completed and he reported that he used to feel that “life was not worth living” but now he feels good about life and “it’s God
Chronic pain is something many people deal with on a daily basis. At sometime in life,
Pain is a universal experience and everyone can agree that they have experienced in their lifetime. It could be acute pain which is stingy pain that is short lived which is related to tissue damage or chronic pain which can be long lasting. To identify the development of chronic pain we use the biopsychosocial model of pain, to help with psychological treatment in determining chronic pain using techniques and therapy. The article Psychological Treatment of Chronic pain written by Robert D. Kerns is on chronic pain management and in which it breaks down into categories showing a review of the psychological treatments for chronic pain, using self-regulatory approaches as well as behavioral, cognitive behavioral therapy, acceptance and commitment
NEED OF THE STUDY - we will come to an estimation of the proportion of female teachers with chronic pain who appear to be seriously handicapped by their pain on one moment and the extent to which the pain can lead to disability.
Gastrointestinal (GI) system assessment should include nutritional status, such as dehydration, malnutrition, and obesity, and conditions of the mouth and nose, especially when the patient is on tube feedings. Gag reflex, swallowing ability, dentures, and gums also need to be assessed. When you assess the patient’s abdomen, use natural light to observe skin color changes, such as those from jaundice. Artificial light can be misleading in skin assessment. Stand on the right side and flex the patient’s knees using a pillow if the patient is unable to do so during assessment. You can inspect the patient’s abdomen while auscultating it; first, use the diaphragm, without applying pressure, for bowel sounds, and then use the bell to auscultate for low-pitched sounds such as abdominal bruits. Bowel sounds may be diminished or difficult to hear in critically ill patients. Start your auscultation from the right lower quadrant (RLQ) because bowel sounds are easily transmitted from this area. Normal bowel sounds may be about 5 to 30 in a minute. If they are absent or diminished, listen for 5 minutes before you document bowel sounds as absent. Auscultate for abdominal bruit in four areas: aortic, renal, iliac, and femoral. Figure 3-3 demonstrates the sites to auscultate for vascular bruit. Inspect the
Your doctor can give you a prescription for an antidepressant if your symptoms are affecting your mental health. A selective serotonin medication or a tricyclic antidepressant can ease your depression. The medications can also slow down the neurons that cause abdominal pain.
When deciding on a topic to write my paper over, I chose Irritable Bowel Syndrome. The disorder has always intrigued me because I feel it is the most commonly known. Each time I have discussed IBS with someone I often find myself wondering more in depth about what the disorder actually is, and other pertinent information about the disorder. For starters, I found out there are more than 200,000 cases per year in the United States and the disorder is a chronic affecting the intestines.
This was his second episode since 10 days ago where he develop the same pain at his right flank. He suddenly experienced severe pain 8 hours before admission when the pain shifts to his right lower quadrant of his abdomen. The onset is at 6.30 am before worsening at 10 p.m to 2 p.m. He described the pain as continuous sharp pain and gradually increased in severity. There is no radiation of the pain. The pain was exaggerated on movement and touch. There were no relieving factor and he scale the severity as 7/10. He experienced fever for 1 day prior to admission. It was a mild grade continuous fever. He does not experienced chills and rigor. The patient does not experience any nausea or vomiting, no dysphagia, no pain during micturition and no alteration in bowel habit. He experienced loss of appetite but not notice any weight loss.
I have chosen to talk about alternative medicine and other natural methods that should be attempted before pharmaceutical measures. Many Americans have back pain problems from ranging degenerative disc disease, herniated disc, or bulged disc. It causes people to miss out on work which can lead them to be terminated from a job, special events, and other occupations. Lower back pain can be caused numerous of things like heavy object or twisting the spine while lifting objects, poor posture over time, or a sports injuries, especially in sports that involve twisting or large forces or impact.
The nurse should educate the patient of the importance of pain control and how controlling pain is essential to a patient’s wellbeing and recovery. It needs to be a balance of what the patient says and what the nurse observes and interprets while always respecting the wishes of the patient. Nurses have a variety of assessment tools available to assess pain in their patients. One dimensional pain scales such as visual analog scale, verbal descriptor scale, numeric pain intensity scale and the combined thermometer scale all measure the intensity of the pain (Jensen, 2011). Other pain scales such as McGill pain questionnaire, brief pain inventory, and brief pain impact questionnaire take into account aspects beyond intensity (Jensen 2011). There are additional pain assessments specialized for children, older adults, patients who are unable to respond, and patients with opioid tolerance (Jensen, 2011). The nurse should be familiar with these methods of pain assessment and know the appropriate use of each. Incorrect medication and treatment choices due to inaccurate or poor pain assessment cause patient suffering (Jensen,