Case summary Although admitted on account of an acute pain sensation, Azante’s case appeared to require intensive laboratory investigations before a conclusive diagnosis can be made. Self-Assessment Quiz Question #16 What examination conclusively eliminated a possible
Self-Assessment Quiz Question #18 In Azante’s therapy plan, a combination of diclofenac + misoprostol is considered beneficial compared to diclofenac only due to which of the following reasons? a. Diclofenac is contraindicated in Africans. b. This combination reduces the risk of gastric erosions. c. Diclofenac is contraindicated in people with no recreational drug use history. d. Azante’s medical condition does not require diclofenac. Self-Assessment Quiz Question #19 Which of the following pain assessment methods was deployed in this case study? a. Smiley face survey. b. American Pain Society Sensation Scale. c. The Pain Numerical Scale. d. The South African Pain Classification Scale.
hernia from Azante’s case? a. Physical examination. b. Lab investigation. c. An X-ray. d. A CT scan.
Self-Assessment Quiz Question #17 Which of the following might be considered a risk factor in the Azante case?
a. Smoking habit. b. Daily walking. c. Bowel sounds. d. Diclofenac use.
Self-Assessment Quiz Question #20 Which of the following vital signs in Azante’s case can be considered non-optimal? a. Heart rate. b. Oxygen saturation level. c. Heart rate. d. Body temperature. PAIN MANAGEMENT GUIDELINE OF THE HEALTHCARE ASSOCIATION OF NEW JERSEY
Originally drafted, approved, and adopted for use in 2004, this pain management guideline has received wide acceptance in the United States. Now in its 217 revised version, the Healthcare Association of New Jersey’s Pain Management Guideline has been redesigned to properly promote the health, safety, and welfare of residents in nursing facilities, assisted living, residential healthcare facilities, and adult day health services, by establishing guidelines to meet the state’s requirements for the assessment, monitoring, and management of pain. The a. Passive range of motion, active assistive range of motion, active range of motion, progressive resistive exercise, balance training, gait training, postural correction and reeducation, ergonomics. 2. PT intervention: Manual therapy: a. Mobilization and manipulation of the joints, craniosacral therapy, myofascial release, and massage. 3. PT intervention: Modalities: a. Electrical stimulation, transcutaneous electrical nerve stimulation, iontophoresis, ultrasound, diathermy, infrared, hydrotherapy (warm), fluid therapy, cold laser, hot packs, paraffin wax therapy, and ice packs. 4. OT intervention: Pain reduction: a. The activity of daily living, adaptive devices to simplify tasks, energy conservation techniques, therapeutic exercises, wheelchair measurement, wheelchair positioning devices, bed positioning devices, cushions for appropriate pressure relief, splinting for stretching tight joints/muscles, reducing pain, and preventing pressure sore.
major highlights of this guideline as it relates to the theme of this course follows: Nonpharmacological pain management interventions Information collected from the pain assessment is to be used to formulate and implement an individualized person- centered pain management plan of care based on the patient’s ability to function comfortably. If it is not possible to achieve the optimal pain management plan for the patient/resident, the patient/resident shall be referred for pain management to an expert pain consultant. 5. Both PT and OT upon discharge from the therapy program should provide: a. Illustrated home exercise program, and in-service to the caregiver. 6. Guided internet-based psycho-education intervention: Cognitive behavioral therapy: a. Assess the resident, especially those with cognitive impairment, for unmet needs which could be interpreted as pain such as hunger, loneliness, depression, need to be toileted, to speak to a loved one, sleeplessness, anxiety, and meet the need. b. Assure the patient/resident is comfortable; reposition, if appropriate to the patient’s level of function engage in an activity such as walking. For patients/residents who suffer from chronic pain, there is a new system of non-pharmacological interventions known as, “Guided Internet-Based Psycho-Education Intervention Using Cognitive Behavioral Therapy (CBT) and Self- Management (SM) for Individuals with Chronic Pain.”
Rehabilitation treatment modalities (Physical Therapy-PT/Occupational Therapy-OT): 1. PT intervention: Therapeutic exercise:
Book Code: PYCA2725
Page 150
EliteLearning.com/Psychology
Powered by FlippingBook