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Complex Regional Pain Syndrome Walden University NURS 6521 Advanced Pharmacology January 17, 2020
Complex Regional Pain Syndrome Pain is subjective. Perception of pain is different for each patient. The severity of pain depends on multiple factors, such as duration and intensity (Ortenburger & Szerla, 2015). As a nurse practitioner, it is our job to detect changes in a patient’s condition and change the treatment plan as needed. The nurse practitioner will prescribe appropriate medications to alleviate symptoms, control the pain, and improve the patient’s overall health to allow the patient to participate in his daily activities. In this specific scenario the patient is suffering from Complex Regional Pain Syndrome (CRPS). The patient is a 43-year-old male that had a fall seven years ago. It was further discovered that the patient had torn cartilage surrounding his right hip. Surgery was not an option, as well as a hip replacement due to his age. The patient reports having to use crutches to ambulate and refuses to use a wheelchair. The patient reports being depressed at times due to his current situation and it is also impacting his relationship with his fiancé. Patient reports being prescribed hydrocodone with the side effects feeling sleepy, loopy, and ineffectiveness for controlling the pain. Upon assessment the patient’s lower right extremity changes color (pink- purple) and toes curl inward every few minutes when a muscle cramp begins. CRPS affects approximately five percent of patients that have suffered a limb trauma (Mekonen, 2019). The patients perception of the affected limb is altered, making the patient feel as though their affected limb is larger in size and extremely painful (Mekonen, 2019). CRPS can lead to nervous system dysfunction of the affected limb (Mekonen, 2019). Researchers believe the brain perceives the affected limb as a threat (Mekonen, 2019).

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