Introduction
In the United States 54 million people have a disability and only 15 percent were born with a disability (Jaeger & Bowman, 2005). If a person lives long enough, it is statistically likely that they will develop some kind of disability in their advancing years (Jaeger & Bowman, 2005). At some point in your life you could have experience a fractured bone, a minor cut, or had some type of surgery. Imagine after some minor injury that you may not even remember and then experiencing a constant pain so agonizing that no amount of pain medication can make you comfortable (Lang & Moskovitz, 2003). Some additional symptoms that you may also experience are severe burning pain, changes in bone and skin, excessive sweating, tissue swelling and extreme sensitivity to touch (Juris, 2005). These symptoms are associated with a disease that is called Reflex Sympathetic Dystrophy (RSD) but more recently termed as complex regional pain syndrome, type 1 (CRPS 1) (Juris, 2005). For simplification purposes this disease will be referred to as RSD throughout this paper.
The purpose of this paper is to discuss an invisible disease call Reflex Sympathetic Dystrophy and how it impacts an individual’s life. The framework that will be utilized is the strength and empowerment perspective to show some coping mechanism to assist individual’s adjusting to the impact this disease has on their life and how to improve their everyday experience when dealing with the symptoms of this disease. This paper will also discuss four policy recommendations that could be used to improve a patients overall heath and tools to manage this life altering experience.
Reflex Sympathetic Dystrophy
RSD is a hyper sensitized nerve condition that is consider...
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In light of the most recent election results I find myself worrying about the countless social and economic injustices that will perpetuate to occur in our country. I dwell on our history, of how our social welfare system created and continues to reinforce discrimination, privilege and oppression. How did we end up like this and where is that “American dream” promised to those within our boarders? Literary works $2.00 a Day: Living on Almost Nothing in America by Kathryn Edin and Luke Shaefer, Nobody: Casualties of America’s War on the Vulnerable, from Ferguson to Flint and Beyond by Marc Lamont Hill, and Bryan Stevenson’s book, Just Mercy: A story of justice and redemption, seek to describe how social injustices and economic issues manifest
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This module of study has focused on many aspects of human health, anatomy, and the disease process. It has included such topics as the human organ systems, the mechanism of disease and the resulting disruption of homeostasis, the integumentary system, and the musculoskeletal system. The following case studies explore how burn classification will affect treatment, how joint injuries can disrupt mobility, and last, how a sedentary lifestyle can contribute to a decline in a person’s health status. The importance of understanding disease and knowing when to seek treatment is the first step toward enjoying a balanced and healthy life.
Pain has been defined by Coates & Hindle as an unpleasant emotional and sensory experience which signals a potential or actual damage to tissues (2011, p. 213). Pain is a common human experience and can emanate from injury and illness. There are two main types of pain; acute pain is short-lived, lasting for minutes or several days and its onset often takes place rapidly. It results from the activation of pain nerve endings or nociceptors either by internal or external pain stimuli. On the other hand chronic pain is continuous and sometimes recurrent and can last for weeks, months or even years. Chronic pain is usually not located at or related to the tissue undergoing trauma (Draper & Knight, 2007, p. 104). Various theories have been proposed to explain the mechanism underlying the transmission and perception of pain.
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In the 1960’s policymakers began to speak of creating equal opportunity for everyone by educating and rehabilitating the poor so they could compete (on an equal footing) in the market place. The policymakers thought that this would eliminate the artificial barriers imposed by the circumstances of birth. By the late 1960’s a “welfare rights” movement advanced the claim that welfare was not an act of public charity, but instead an entitlement of the poor (Danziger). This claim was the result of the Civil Rights, Women’s Rights and opposition to the Vietnam War movements and the corresponding changes in philosophy and moral outlook that these movements brought about. This “entitlement credo” was op...
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The concept that pain means injury or damage is deeply embedded in the American consciousness. “I have never seen a patient with pain in the neck, shoulders, back or buttocks who didn’t believe that the pain was due to an injury, a “hurt” brought on by some physical activity.” Says Dr. John E. Sarno, M.D. “The pain started after I lifted my little girl” or “Ten years ago I was involved in a hit- from- behind auto accident and I have had recurrent back pain ever since.” Of course, if the pain starts while one is engaged in a physical activity it’s difficult not to attribute the pain to the activity. “But this pervasive concept of the vulnerability of the back, of ease of injury, is nothing less than a medical catastrophe for the American public, which now has an army of semidisabled men and women whose lives are significantly restricted by the fear of doing further damage or bringing on the dreaded pain again” (qtd. in “Healing Back Pain”). With good intentions, this idea has been encouraged by the medical profession and other healers for years. It has been assumed that neck, shoulder, back and buttock pain is due to injury or disease of the spine and associated structures and ligaments surrounding these structures- without scientific validation of these diagnostic concepts. “On the other hand,” States Dr. Sarno, “I have had gratifying success in the treatment of these disorders for seventeen years based on a very different diagnosis. It has been my observation that the majority of these pain syndromes are the result of a condition in the muscles, nerves, tendons and ligaments brought on by tension.”
Pain is universal and personal to those who are experiencing it. It is subjectively measured on a scale of 0-10 with zero being no pain and 10 being the worst pain ever. This can be problematic for patients and doctors because this score can be understated or overstated. Doctors will make quick decisions based on this score. Patients might feel not believed because only they can feel the pain. However, untreated pain symptoms may be associated with impaired activities of daily life and decreased quality of life. Pain is defined in our textbook, “as an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Ignatavicius & Workman, 2016, p 25). Actual pain is understood by most because there is an
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The most common type is Peripheral Neuropathy. It is also referred to as distal symmetric neuropathy or sensorimotor neuropathy. In this type, the legs, feet, toes, arms, and hands experience pain and loss of sensation. Typically, the lower extremities are involved before the upper extremities and a loss of reflexes is common. It is with this type of neuropathy that ulcers, wounds, infections, and in severe cases, amputations are most common (Dyck, Feldmen, & Vinick).
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