BACK PAIN
Instructed in new medication Plavix to reduce atherosclerotic events. In addition, warned of possible S/E such as headache, dizziness, fatigue, depression, pain, edema, hypertension, rhinitis, epistaxis, abdominal pain, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
Instructed in various factors that help alleviate pain without, or in addition to, analgesics such as frequent position changes, relaxation techniques, heat or cold, regular rest periods, pillows to support painful area, etc.
Instructed in management of chest pain, to sit or lie down and rest immediately at onset of pain, if NTG available to take as instructed and/or call 911.
Instructed patient on management of chest pain. These steps are to be followed in case of occurrences: sit or lie down and rest immediately at onset of pain, if NTG available take as instructed and/or call 911.
Patient was instructed on Passive exercises or ROM exercises. All exercises are done smoothly and gently. Never force, jerk or over-stretch a muscle. This can hurt the muscle or joint instead of helping. Move the joint slowly. This is especially important when having muscle spasms. ROM exercises should never cause pain or go beyond the normal movement of the joint. Stop them if the person feels pain.
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Patient instructed in setting a daily time aside for relaxation that will in turn break the pain-cycle.
Patient instructed in following a daily exercise routine but to avoid exertion as this may worsen pain.
Patient was instructed on pain management. Diabetes alters sensation in the smallest nerves, which happen to lie at the end of the peripheral nervous system, in the hands and feet. Diabetes starves these tiny nerves. As a result the nervous system becomes confused about what is and isn