Pain and Sleep/Wake Disorders Assessing and Treating Clients with Pain Walden University NURS-6630D-3/NURS-6630N-3/NURS-6630F-3-Approaches to Treatment of Psychopathology April 12, 2019 Dr. Earl Reome 1
Pain and Sleep/Wake Disorders Assessing and Treating Patients with Pain Pain is a signal from the nervous system, caused by damaging or intense stimuli. Pain is felt, when particular nerves, which detect tissue damage, signaling transmitters to the brain. The nerves, nociceptors, triggers a series of events in response to a noxious stimulus. These signals transmit to a specialized part of the spinal cord, called the dorsal horn, where they dampened or amplified being relayed to the brain. Decides to handle the pain. Pain is the benign way to inform the client, something is wrong. According to the International Association for the Study of Pain (IASP), pain is classified as acute or chronic. Acute pain results from inflammation, injury to tissues or disease (Treede,et al 2019) . The pain is self-limiting and confined to time and severity (30 days or less), such as trauma or surgical wounds. Acute pain can become chronic. Chronic pain (30 days or more), is believed to be a chronic disease condition and treated like other chronic diseases (i.e., hypertension, diabetes, asthma, etc.). Chronic pain can be intensified (Treede,et al 2019), by physical, psychological and environmental factors. Pain can be experienced as a tingle, “ache, sting” burn, pain is a protective response to tissue injury, overuse, environmental stressors or disease (Treede,et al 2019). Pain is the most common reason; physicians and providers seek treatment. It can interfere with a client’s quality of life and activities of daily living (dressing, grooming, bathing, eating, etc.). This paper will discuss a 43YO Caucasian male, white male with a seven- year history of pain, after a traumatic fall. The client was diagnosis with Complex regional pain disorder (reflex sympathetic dystrophy) (Birklein,2015). 2
Pain and Sleep/Wake Disorders My Client The client is a,43YO Caucasian male, presents to the clinic, ambulating with crutches, and was referred by a family physician for psychiatric assessment “pain was in my head.” The physician believes he is “making stuff up” “wanting narcotics to get high.” Who fell seven years ago at work, and “hurt” his right hip. The client reports pain started after falling at work seven years ago while at work, hurting his right hip (Laureate.,2016). The client has received multiple diagnostics test such as CT scans, MRI and X-rays, diagnosis with 75% tear within the cartilage, surrounding the right hip joint. The client wanted a total right hip replacement; at this time no orthopedic surgeon will agree to the procedure due to his age, possible healing of the hip. His symptoms are “cooling” and “severe cramping” of the hip and leg. The client reported a neurologist, diagnosed with Complex Regional Pain Syndrome (CRPS), also known as Reflex Sympathetic Dystrophy (RDS), which was untreated and referred back to the family physician.
- Spring '19
- Week 7 Pain 43yo Male , Pain