Hydrocodone Case Summary
DOI: 7/27/2011. Patient is a 53-year-old female jobber who sustained a work-related injury to her lower back while she was throwing away a bad batch of buns and she felt a pop in her low back, causing numbness in her leg which gave out. As per OMNI notes, the patient also fell to the floor. Urine drug screen obtained on 12/17/15 is negative for hydrocodone and is positive for nordiazepam, Diazepam, oxazepam, temazepam, cyclobenzaprine, methamphetamine, and ethyl sulfate. Based on the medical report dated 01/06/17, the patient continues with neck and low back pain. She had a fall last week when her back spasmed and ended up cutting her foot. She notices that the cold weather is making the back pain more intense lately. The pain levels continue to go from as high as a 10/10 down to a 6/10 with Norco, and she wants to continue that and denies any negative side effects. She is not working. She is getting about 6 hours of poor quality of sleep at night. She has been doing some walking exercise. …show more content…
She has lumbosacral tenderness greater on the left. Patient Opioid Misuse Index score is 0/6, indicating the patient is not a potential misuser of opioids. Graded Chronic Pain Scale score shows current pain level of 8/10, and worst and average pain for the last 30 days is 9/10. Pain interference with ability work or housework is 10/10, with recreational, social and family activities is 7/10 and with daily or general activities is 6/10, for the last 30 days. Current medications include Norco 10/325 four tablets a day. Of note, last urine drug screen was obtained on
Methadone Case Study Summary
229 Words | 1 PagesPt. is currently in Phase 7 of the tx program. Pt. has been able to maintain abstinence from mood-altering substances, her drug screen results has shown no evidence of ongoing BZP use. During the recent quarter, Pt. has maintained a positive balance in his AMS account. Pt. maintained his full-time employment status and self-reported that he has no issues or concerns with his current financial status. Pt. remains at 130 mg.
Room 3b Case Study
859 Words | 4 PagesQEP 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
Duncan V. Scottsdale Medical Imaging Ltd: Case Study
776 Words | 4 PagesOn the day of her MRI procedure, June 19, 1998, Ms. Duncan presented herself at Scottsdale Medical Imaging where she underwent an MRI examination. Ms. Duncan requested sedative for her back condition in order to undergo an MRI examination. As Ms. Duncan mentioned prior to her visits at the facility that she only accepts demerol or morphine as the sedation for her procedure. She was assured by a nurse over the phone that she will only be administered by the two drugs mentioned above for her procedure. However, she was administered with fentanyl in lieu of demerol or morphine as she demanded by Nurse Gary Fink, despite the facts that Duncan repeated herself three times that if it is not demerol or morphine then she would have to reschedule her MRI appointment.
Methadone Case Summary
177 Words | 1 PagesIntroduction: A patient was bought into the emergency room for emergent care following a motor vehicle accident. The parents or guardian of the 16-year-old male were not present because he had recently escaped from a nearby detention center. The doctor administered what he considered life saving measures without adult consent. Patient was administered 40 mg of methadone because he reported that he was in a methadone treatment program and suffering from withdrawals. Patient was alert and oriented at the time of questioning.
Opioid Medications: A Case Study
977 Words | 4 PagesHydrocodone and hydrocodone combination medications were rescheduled from Schedule III controlled substance to Schedule II controlled substances on October 6, 2014. This shift brought about several changes in prescribing practices and has produced several issues for patients who require pain control. Hydrocodone and hydrocodone combinations products should be reclassified as Schedule III controlled substances because patients who truly need this type of pain medication are being denied adequate pain control, in some states mid-level practitioners are no longer able to prescribe these medications, and emergency room physicians often avoid prescribing them even to those who present with obviously painful injuries or conditions. There are many patients who have become addicted to hydrocodone, due to it being an opioid medication and these addiction problem are what ultimately brought about the decision to change its classification, however those who take their medication properly are suffering as well. Hydrocodone, is a form of medication used to treat many types of pain.
To Kill A Mockingbird Case Summary
897 Words | 4 PagesWe reviewed differential diagnosis and at this point, because her pain has been persistent now for the last couple of weeks, it is mainly in the left and right upper quadrant, I have recommended that we move forward with an abdominal ultrasound and I will review those results when available. She will also be doing some laboratory studies. She knows that if her symptoms worsen acutely, she will seek care particularly if has vomiting, fevers or worsening abdominal pain. We also talked about possibly having her follow up with Dr. Maher, as well, but we will start the evaluation here. I am going to have her also do a trial of a proton pump inhibitor either Nexium or Prilosec over-the-counter to use for about a week to see if that helps her symptoms, also.
Opioid Abuse Case Studies
1223 Words | 5 PagesPresenting Problem Christina sought treatment from the PATHway program to address her opioid use disorder. She reported misusing benzodiazepines and heroin since the age of 15. Since the onset of her drug use, she reported experimenting with a myriad of other drugs before settling on the use of benzodiazepines and heroin as her primary substances. She reported her method of use for heroin is intravenous and orally for the benzodiazepines.
Case Study: Bledsoe Surgery
167 Words | 1 PagesThe patient is a 89-year-old female who is sent to the ER because of a fall with acute pain, swelling and tenderness St. at home for the patient intravenous unable to bear weight left leg injury occurred approximately 4 hours before presentation. Her medical history is significant for Bell's Palsy, depression, hypothyroidism, peripheral neuropathy, macular degeneration, she has had a knee replacement on the left and the right and she has also had previously periprosthetic fracture on the left side in August of 2014. She was again has a periprosthetic fracture on the left side. The decision was made to treat the patient nonoperatively.
Pain Management Case Study: A 55-Year-Old Patient
493 Words | 2 PagesConservative treatment has been tried for more than 3 months but it failed. Pain scale is 10 without medications and 6 if with medications. There is 50% improvement with opioid medications. With medications, the patient is able to ambulate 5 feet as baseline and with medications, he is able to ambulate 100 feet. The location of pain is at the left knee, shoulder, and back pain.
Opioid Analgesics
246 Words | 1 PagesStep two, for moderate pain, expresses that mild opioid analgesics would be given. The synthetic narcotics can be consumed with or without a nonopioid drug. Hydrocodone (e.g. Vicodin, Lortab, Hydrocet, Lorcet) and
Six Aims Of Quality Patient Care Essay
574 Words | 3 PagesAlthough it may seem easier to the family to push the analgesia for the patient, they must be reminded that the patient is the only one who can truly determine the type and feeling of pain they are experiencing and then have the authority to decide if they need additional medication or
Pain Intervention Case Study
511 Words | 3 PagesUpon assessment, Chris vital signs are now within the normal range however, he is still verbalising pain. Chris reported that there is a slight reduction of pain, from a pain score of 7, it is now 4 out of 10. After an hour, a second dose of analgesia was given to Chris and after 30 minutes another pain assessment was conducted. During the assessment Chris voiced out that he is comfortable and his pain score is now 1 out of 10, he also mentioned that before we came and checked up on him he was doing deep breathing exercises for 10 minutes, Chris said it helped him “soothes his body and reduce his pain.” These interventions are effective in managing Chris’s pain because his pain is now minimal and almost diminished compared to what he was experiencing before.
Epigastric Pain Case Study
221 Words | 1 Pagesa. Possibly the patient requires an increased level of pain control with increased opiate dose, which should be discussed with the patient’s primary care physician. 2. End-stage liver disease. - We need to discover the cause of the liver cirrhosis.
Medical Ethics: My Personal Code Of Ethics
894 Words | 4 PagesHe opts for the chiropractic care and seeing the massage therapist. We agree that if he is not better in several visits he will see his primary care doctor. We discuss that imaging is not indicated at this point as the pain is reproduced with palpation of the area and the exam is essentially normal. Clinically it is reasonable to assume that subjectively and objectively the area is a strain and would likely resolve in a 5-7 days. The patient consents, he is treated in our office and receives chiropractic care and massage therapy and leaves the office “feeling better” and the pain now being “+4/10”.
Lower Back Disability Literature Review
3586 Words | 15 PagesJ Am Acad Orthop Surg 21, 99-107. OSTELO, R. W. & DE VET, H. C. 2005. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol, 19, 593-607. ROCCHI, M. B. L., SISTI, D., BENEDETTI, P., VALENTINI, M., BELLAGAMBA, S. & FEDERICI, A. 2005.
More about Hydrocodone Case Summary
Methadone Case Study Summary
229 Words | 1 PagesRoom 3b Case Study
859 Words | 4 PagesDuncan V. Scottsdale Medical Imaging Ltd: Case Study
776 Words | 4 PagesMethadone Case Summary
177 Words | 1 PagesOpioid Medications: A Case Study
977 Words | 4 PagesTo Kill A Mockingbird Case Summary
897 Words | 4 PagesOpioid Abuse Case Studies
1223 Words | 5 PagesCase Study: Bledsoe Surgery
167 Words | 1 PagesPain Management Case Study: A 55-Year-Old Patient
493 Words | 2 PagesOpioid Analgesics
246 Words | 1 PagesSix Aims Of Quality Patient Care Essay
574 Words | 3 PagesPain Intervention Case Study
511 Words | 3 PagesEpigastric Pain Case Study
221 Words | 1 PagesMedical Ethics: My Personal Code Of Ethics
894 Words | 4 PagesLower Back Disability Literature Review
3586 Words | 15 Pages