ipl-logo

Nursing Case Study Fioricet

510 Words3 Pages

DOI: 6/2/2011. Patient is a 49-year-old female phlebotomy technician who sustained a work-related injury to her left shoulder when she was struck by a fellow worker. Patient is status post left shoulder superior labrum anterior and posterior repair, decompression, and resection of the left distal end of the clavicle on 1/31/2011.
Urine drug screen obtained on 03/25/16 showed positive for tramadol, desmethyltramadol and acetaminophen.
As per the medical report dated 12/7/16, patient has a migraine. She is pending cervical surgery. She has discomfort described as sharp, aching, burning, severe, continuous, pain, varying with activity, increasing with movement, tightness, and throbbing. She rated the discomfort as 9/10 without medications and …show more content…

With the use of Fioricet, it brings migraine pain down to a 7/10 and without the Fioricet, a 9/10. Imitrex worked better for her migraines (9->4), but apparently hasn't been approved in several months.
Her discomfort was described as sharp, aching, burning, shooting, severe, continuous, pain, discomfort, varying with activity, increasing with movement, tightness and throbbing. The symptoms become aggravated by almost any movement, lifting, pulling, carrying, reaching, twisting, turning, bending, running, jumping, driving, cleaning, gardening, cooking, repetitive motions, bending for long periods of time, carrying groceries, household chores, lifting children and yard work. The symptoms are reduced by taking medications, applying ice /heat compresses, transcutaneous electrical nerve stimulation (TENS) unit and massaging.
Physical examination is essentially unchanged. Spinal restrictions/subluxations are noted at T1-12 and L1-L5.
Pain/Tenderness is noted over the upper to mid/mid to lower cervical, cervico-thoracic, upper/mid/lower thoracic, thoraco-lumbar, upper/lower lumbar and lumbo-sacral and left shoulder.
Of note, Controlled Substance Utilization Review and Evaluation System (CURES) report was reviewed.
Patient was diagnosed with lumbar pain, thoracic pain, and left shoulder

Show More
Related
934 Words | 4 Pages

This is a 47-year-old male with a 2/1/2007 date of injury, who injured his low back from lifting a large bucket of cut grass. DIAGNOSIS: 1. Left SI radicular symptoms. Lumbar discogenic pain with high-intensity zone at L5-S1 per MRI April 2007. X-ray showed 4-mm retrolisthesis at L5-S 1.

Read More
302 Words | 2 Pages

An MRI was performed of the lumbar spine. The examination found no significant extra

Read More
647 Words | 3 Pages

Patient denies any complications and new complaints associated with epidural steroid injection procedure; however, he states that approximately 5 days after the injection procedure, he felt a sharp shooting pain down the posterior aspect of both legs to the feet to the feet when lying on his back with his feet on the floor. Otherwise, he reports ongoing axial lower back pain and weakness with no significant radicular symptoms at this time. He reports only mild relief with use of over-the-counter ibuprofen. In addition, he reports of moderate pain located at the low back which describes as an aching, continuous and sharp pain. He rated his pain as 5/10 in severity at the time of visit.

Read More
859 Words | 4 Pages

QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral

Read More
1974 Words | 8 Pages

Environment: Patient is living in 2-storey home. This patient drives car for commute to work. This patient was off work for 12 weeks from the day of onset of shoulder problem. HEALTH CONDITION Primary Complaint: Right shoulder pain and inability to move the right arm away from the body Physiotherapy

Read More
498 Words | 2 Pages

She does tell me she had similar symptoms years ago when she was working at a different job. She was diagnosed at that time with a herniated disk and did have steroid injections and was out of work for six months. She tells me since then symptoms have come and gone, but this was the worst case of it she has had for quite some time. She was given both Percocet as well as Valium in the Exeter Hospital Emergency Room and does tell me she took these and completed them. She currently is just taking ibuprofen.

Read More
112 Words | 1 Pages

DOI: 10/10/2014. The patient is a 41-year-old right-handed male electrician foreman who sustained injury when he had contact with a live wire, causing electrocution. The patient was subsequently diagnosed with cervicalgia; radiculopathy, cervical regions; and pain in left hand.

Read More
2012 Words | 9 Pages

Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.

Read More
1465 Words | 6 Pages

DOI: 3/24/2010. The patient is a 55-year-old male machine shop lead who sustained back, neck, right shoulder and internal injuries due to repetitive work. As per medical report dated 04/27/16, the patient has a history of a spinal cord injury secondary to cervical stenosis. He underwent emergent decompressive cervical laminectomy on 3/26/10. The patient has ongoing neurogenic bowel, ongoing neurogenic bladder, severe depression and pain.

Read More
892 Words | 4 Pages

SUBJECTIVE INFORMATION: Wirach is a 61 year old male that suffers from migraine headaches that is focused in the occipital area. Today he was seen by myself Kareen Wong (Pharmacy student) and Anna Rogers (Clinical Pharmacist) for a medication review. When asked about his current list of medications, he is currently taking propranolol for heart palpitations, venlafaxine for depression, lorazepam for sleep, ranitidine for heart burn and senokot for constipation. In addition, he is on amlodipine, fosinopril, and hydrochlorothiazide for hypertension, and atorvastatin for dyslipidemia. For the past nine to ten years, he has been taking lorazepam 3 mg PO at bedtime to help with sleep.

Read More
1118 Words | 5 Pages

The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack. The patient noted with bilateral lower extremities edema, and claimed that she uses 2 pillows as a comfortable position to sleep,

Read More
849 Words | 4 Pages

Assessment This patient has been taking medication because they suffered a sports injury in 2010. The pills have been prescribed from by their PCP. Therefore, the client tested positive for opiates. The client also states that they have never had any issues with drugs in the past and that they have never had any problems with their professional license or employment.

Read More
1683 Words | 7 Pages

According to the article “Opioid Abuse and Addiction,” the number of individuals abusing prescription narcotics increased from “7.8 million in 1992 to 15.1 million in 2003” (Gupta and Christo 132). Abuse is defined as the use of a prescription narcotic without having a legal prescription for that narcotic or failure to take the narcotic as directed by the prescribing physician. Most prescription narcotic addicts do not begin their addiction by buying illegal pharmaceuticals

Read More
792 Words | 4 Pages

Since multiple sclerosis is one of the primary risk factors for trigeminal neuralgia, it is key for the nurse to get a thorough medical history assessment. When a patient first presents with neuropathic pain symptoms, the nurse should gather a thorough history and physical examination. To provide better patient care, nurses should be familiar with neuropathic pain clinical assessment tools.(Cite/nurse). The nurse should assess if and how often a patient experiences tingling, a burning sensation, electric shocks, numbness, or pain evoked by light touch or freezing pain. (Nurse).

Read More
775 Words | 4 Pages

When reviewing the effectiveness of the analgesic, the patient may report that their pain improvement, but the level of pain can remain in seven NRS (Mackintosh

Read More

More about Nursing Case Study Fioricet

Related Topics

Open Document