Wound care pain management

Article Abstract:

Practitioners should understand the pain involved with pressure ulcers and appropriate treatment modalities. Pain can be caused by the ulcer itself, infection, wound management procedures, spasticity, claudication caused by ischemia, or diabetic peripheral neuropathy. Patients with normal cognition can be asked to rate their pain and how it affects activities of daily living, but patients with cognition disorders must be carefully observed to determine pain levels. Pain management may include psychological counseling, transcutaneous electrical nerve stimulation, or treatment with analgesics, including opioids.

Pain, Pain management, Bedsores, Decubitus ulcer

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Atypical chest pain in the elderly

Article Abstract:

Atypical symptoms occur in 25% of heart attacks, especially among elderly whose response may be complicated by concurrent illnesses. Common atypical symptoms include fatigue, falls, tingling in extremities, an absence of chest pain and weakness. Patients who have heart attacks with atypical symptoms have a 50% mortality rate while those with typical symptoms have only an 18% mortality rate. Therefore, clinicians need to be aware of atypical heart attacks and make patients more aware of the common atypical symptoms.

Aged, Elderly, Diseases, Heart attack

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Sciatic pain and piriformis syndrome

Article Abstract:

Lower back pain can sometimes result from sciatica and health care providers should educate themselves about piriformis syndrome when assessing a patient with sciatica. Piriformis syndrome involves pressure on the sciatic nerve and muscle weakness as well as radiating lumbar pain. Treatment can include deep massage therapy and stretching exercises as well as lidocaine and corticosteroid injections.

Backache, Back pain, Sciatica

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