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Pain management shadow health medication education
Health Assessment Of Individuals Across The Lifespan (NUR 3065L)
University of North Florida
Preview text
1. Assessment
2. Recommendation and Monitoring 1. Assessment Mr Tanner Bailey is a 29 year old transgender male with no pertinent past medical history. He presented to the clinic with back pain for 13 weeks after lifting abox at work. He takes testosterone enanthate 100mg, once weekly injection and he doesn't miss a dose. He states taking ibuprofen prescribed to him by the healthcare provider during his emergency room visit. He also states taking hydrocodone he got from his friend cause the ibuprofen was not effective
Model Note Mr. Bailey is a 31-year-old Transgender man with chronic lower back pain. Mr. Bailey was initially seeking opioids to treat his pain as they had been effective. Due to his lower income and lack of insurance, Mr. Bailey has had trouble receiving treatment for his chronic pain.
Comments
1. Assessment
2. Recommendation and Monitoring
2. Recommendation and Monitoring Patient was prescribed Ibuprofen 800mg TID for 14 days to help with the back pain, he was also encouraged to restart physical therapy. Patient was educated on importance of taking only medication prescribed to him.
Model Note I have prescribed Mr. Bailey 800 mg ibuprofen to be taken every 8 hours as needed. I have asked Mr. Bailey to follow up with his healthcare provider if the ibuprofen is not effective. or I have prescribed Mr. Bailey 600 mg of ibuprofen (3 tablets at a strength of 200 mg each) to be taken every 6 hours as needed. I have asked Mr. Bailey to follow up with his healthcare provider if the ibuprofen is not effective. I recommend that Mr. Bailey see a pain management clinic to consult about equal access, including free, walk-in physical and chiropractic therapy so that Tanner can learn therapeutic exercises on his budget. I also recommend that he seek community support through LGBT+ centered support groups.
Comments
Model Plan
(1 point) Take with food, milk, or antacids to prevent GI issues (1 point) Higher than recommended doses are ineffective and dangerous (1 point) Talk to all of your healthcare providers about the medications you are taking (1 point) Avoid drinking alcohol (1 point) Common but less serious side effects include upset stomach and dizziness
Topics priorized for patient teaching
Education Items
(1 point) Take with food, milk, or antacids to prevent GI issues
This study source was downloaded by 100000835600516 from CourseHero on 05-21-2022 05:28:40 GMT -05:
coursehero/file/65018834/Pain-management-shadow-health-medication-educationdocx/
(1 point) Higher than recommended doses are ineffective and dangerous (1 point) Avoid drinking alcohol (1 point) Common but less serious side effects include upset stomach and dizziness (1 point) A serious possible side effect of ibuprofen is stomach bleeding
Take with food, milk, or antacids to prevent GI issues
It is important to take the medication with food, it will decrease the chance of GI issues like nausea, vomiting and bleeding
Statement 12/7/ 10:45:45 PM
Thanks for the tip.
Model Statement: Take the medication with food, milk, or antacids to decrease the chance of GI issues like constipation, dyspepsia, nausea, or vomiting.
Higher than recommended doses are ineffective and dangerous
Taking higher than recommended doses will not necessarily help your pain but will expose you to unwanted adverse effects of the medication
Statement 12/7/ 10:47:21 PM
Got it.
Model Statement: Taking higher doses than recommended does not increase relief, but it may increase the likelihood of adverse effects. Do not take more than 2400 milligrams within a day.
Avoid drinking alcohol
Avoid drinking alcohol while on this medication, it may increase your risk for GI bleed
Statement 12/7/ 10:48:14 PM
Aw, man. No more whiskey?
I understand alcohol has been effective in relieving your back pain but it is a temporary fix and it poses a potential problem for your health and it can become addictive current treatment plan can help relieve your pain
Statement 12/7/ 10:51:28 PM
I get it, but just so you know, you're asking a lot of me.
This study source was downloaded by 100000835600516 from CourseHero on 05-21-2022 05:28:40 GMT -05:
coursehero/file/65018834/Pain-management-shadow-health-medication-educationdocx/
Compliance with non-pharmacological therapies for lower back pain is important
You will have to start your physical therapy sessions, it is an important part of your recovery from your chronic back pain
Statement 12/7/ 10:56:24 PM
It is just as much a treatment as medicine, if you think about it.
Model Statement: Make sure to keep up with all of your treatments and therapies, whether or not they involve taking medication.
Do not take prescription medication if it has not been prescribed to you
Taking prescriptions that has not been prescribed to you is dangerous and ineffective and it poses a lot of risk
Statement 12/7/ 10:57:38 PM
I mean, I know you're not supposed to... but it did work a lot better than the ibuprofen.
I understand you but it is dangerous to take medications that does not belong to you. It could pose a serious health problem for you.
Statement 12/7/ 10:58:59 PM
Okay, okay. I understand. Really. I knew it wasn't a good idea... I just couldn't find anything that worked. This time will be better.
Model Statement: Taking prescription that has not been prescribed to you is dangerous and ineffective.
This study source was downloaded by 100000835600516 from CourseHero on 05-21-2022 05:28:40 GMT -05:
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Pain management shadow health medication education
Course: Health Assessment Of Individuals Across The Lifespan (NUR 3065L)
University: University of North Florida
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