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Impact of the aging population on health care
Impact of the aging population on health care
Impact of the aging population on healthcare
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We Know Your Pain!!! Jimmy Jones is a 56-year-old patient who is admitted to your unit with a s/p abdominal surgery. In assessing his pain level, Mr. Jones complains a 6 out of 10 pain. When the nurse looks into the physician’s order, there are several pain medications to choose from in the patient’s medical administration record (MAR). The pain medications that are ordered are listed as follows:
• Tylenol 650 mg PO q 6 hours prn mild pain or temp greater than 100.4
• Motrin 600 mg PO q 8 hours prn mild pain
• Norco 1-2 tabs PO q 4 hours prn pain ranges 4 to 8 out of 10
• Dilaudid 2 mg IV q 6-8 hours prn severe pain
Isn't it a "painful dilemma" to determine which pain medication should be administered to Mr. Jones?
YES! WE KNOW YOUR PAIN!!!
First of all, administering medication oxycodone as patient request. Oxycodone is a opioid analgesics, belong to schedule 8 drug addition. It has to be prescribed by doctors to relieve moderate
Discuss the questions that would be important to include when interviewing a patient with this issue. The PQRST mnemonic guide can be used for a complete abdominal pain history is as follows: P3 – Positional, palliating, and provoking factors; Q – Quality; R3 – Region, radiation, referral; S – Severity; T3 – Temporal factors (time and mode of onset, progression, and previous episodes). This mnemonic will help to ensure a thorough history is obtained by asking question such as;
Pain Management Nursing, 10(2), 76-84.
Jerry Jones was born October 13, 1942 currently 72 years old. He has a wife, Eugenia Jones with three kids: Stephen Jones, Charlotte Jones, and Jerry Jones Jr. He also has a sister, Jacquelyn Jones. Jerry Jones was born to Arminta and J.W. Jones in Los Angeles, California. He then moved to North Little Rock, Arkansas and that’s where he would grow up. Jerry went to school in North Little Rock High School, where he had played Running Back.
In today’s world, acetaminophen also known as Tylenol, is known to be remarkably popular drug in many countries [1]. This type of drug is known to be an analgesic and antipyretic [1]. In other words, it helps relieve pain associated with many conditions as well as reducing fever [1]. Acetaminophen can be used for many purposes, such as the relief of headaches, muscles aches, toothaches, and etc [1]. On the other hand, this drug may also be used for purposes that are not listed on the medication guide, such as, menstrual cramps [1]. However, acetaminophen ingredients are majorly used for numerous cold and flu medications as well as many prescription analgesics [1]. This drug is widely available in many drug stores/supermarkets and it is provided
What? The patient is 65-year-old man Mr. John Douglas who is suffering from dysphagia and have been admitted to the surgical ward for insertion of a percutaneous endoscopic gastrostomy (PEG). Apart from that, he is a Type 1 diabetes patient and has weakness in his right leg and arm because of right-sided hemiplegia. He is thin in appearance and has stage 1 pressure sore on his right heel.
Because I provide the surgeon with medications, hemostatic agents and irrigation solutions it is crucial to know the proper usage of each, along with the side effects, patient's allergies, and contradictions of certain medications and their reactive
...newicht and Dunford (2004), physiotherapists, occupational therapists, Doctors, nurses, specialist pain teams and dieticians all care for the patient at once.
Dr. Tagge, the lead surgeon, finally updated the family over two and a half hours later stating that Lewis did well even though he had to reposition the metal bar four times for correct placement (Kumar, 2008; Monk, 2002). Helen reported wondering if Dr. Tagge had realized how much Lewis’ chest depression had deepened since he last saw him a year ago in the office, especially considering he did not lay eyes on Lewis until he was under anesthesia the day of surgery (Kumar, 2008). In the recovery room, Lewis was conscious and alert with good vital signs, listing his pain as a three out of ten (Monk, 2002). Nurses and doctors in the recovery area charted that he had not produced any urine in his catheter despite intravenous hydration (Kumar, 2008; Monk, 2002). Epidural opioid analgesia was administered post-operatively for pain control, but was supplemented every six hours by intravenous Toradol (Ketorolac) (Kumar, 2008; Solidline Media,
It could be argued, however, that it is not certain whether or not when one takes the pills or the medicine which kills them they are free of pain. This objection is dismissed when it is noted that Craig is always in a lot of pain; when he swallows, talks, breaths, or eats, pain will always be present. What follows is the reasoning that if it is acceptable for Craig to suffer while living, it should also be acceptable to minimally suffer in order to end his pain, once and for
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
He is admitted to the ward with the chief complain of pain at right lower quadrant of the abdomen for 8 hours prior to his admission.
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,
Bipolar disorder is an overwhelming mental illness that can affect one’s life drastically. Bipolar is a disorder that is characterized by recurring episode of mania and depression. Most people who suffer from bipolar disorder are often misdiagnosed, and undergo ineffective treatments, which may hinder recovery and lead to the progression of the illness. In the movie “Mr. Jones”, (1993) the main character experiences broad symptoms of bipolar disorder that lead to an improper diagnosis. The article chosen to support this paper Emotional Reactivity in Bipolar Depressed Patients ( P. Stratta, D. Tempesta, R. L. Bonanni, S. de Cataldo, and A. Rossi Journal of Clinical Psychology 2014), broadly debates that bipolar disorder has
Pharmacology is a vital component in the perioperative practice. Medication use is monitored closely during the perioperative period. Preoperatively, there are certain drugs that must be discontinued prior to a surgery as they increase surgical risk, including anticoagulants, tranquillisers, corticosteroids and diuretics (Laws, 2010b). In fact, these drugs can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance and increased risk of bleeding (Hamlin, 2010). Open communication is important in obtaining a medication history, and in identifying the drugs taken prior to the surgery. If any of these medications has be...