Pain is an unpleasant sensory experience associated with actual or potential tissue damage. It serves an important protective function but can limit functions. Pain is classified based on location, type, duration and origin, and is assessed through patient reports and observations. Management involves non-drug approaches like repositioning and relaxation, as well as drug therapies ranging from over-the-counter drugs for mild pain to opioids for severe pain. Ongoing reassessment is needed to adjust the pain management plan effectively over time.
this topic explains the nature of pain, signs and symptoms of pain, different types of pain, factors influencing pain, assessment of pain and pharmacological and non pharmacological management of pain.
this topic explains the nature of pain, signs and symptoms of pain, different types of pain, factors influencing pain, assessment of pain and pharmacological and non pharmacological management of pain.
Effective pain management in terminally ill requires
Understanding of pain control strategies
Ongoing assessment
Diagnosis of pain
Breakthrough pain relief
Fine adjustment of medications
Opioid rotation
Unresolved psychosocial or spiritual issue can be great impact to pain management
Introduction to musculoskeletal physical therapy principles and concepts.
MSK physical therapy is a speciality of pt. that deals with diagnosis, management and treatment of disorders and injuries of the musculoskeletal system including:
Rehabilitation after orthopedic surgery
Acute trauma such as sprains, strains
Injuries of insidious onset such as tendinopathy and bursitis.
This speciality of physical therapy is most often found in the out-patient clinical setting.
Orthopedic therapists are trained in the treatment of post-operative orthopedic procedures, fractures, acute sports injuries, arthritis, sprains, strains, back and neck pain, spinal conditions, and amputations.
Comprehensive description of pain pathways which covers related definitions, benefits, theories, classification and mechanism of pain with factors that affect pain and diagnosis of pain. Also covers assessment and management of pain along with brief description of ascending and descending pain pathways.
In this presentation I have tried to explain in brief about pain management, different types of pain, its diagnostic criteria, its physiology, and its treatment approaches both pharmacological and non pharmacological
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
3. PAIN
An unpleasant sensory and
emotional experience
associated with actual or
potential damage *
POENA = Penalty / Punishment
*International Association for Study of Pain, 1979
4. Pain limits function
• Limited range of
motion
• Decreased attention
span
• Confusion
• Fear of being touched
5. Why there is Pain ?
1. Irritation Of Peripheral Nr. Endings In
Superficial Tissue By Harmful Stimuli.
2. Irritation Of Sensory Nr. Trunk Or Root.
3. Excessive Tension.
4. Ischemia Of Deeper Tissue Or Viscera.
5. Sensation Originating In The Brain Causing
Psychogenic Pain
6. CLASSIFICATION
1. Superficial - Irritation to Peripheral Nr.
Endings / Sensory Nr. Trunk Or Root. Sharp
2. Segmental – occurs in particular
dermatome supplied by particular sensory
nr. Trunk or root.
3. Deep – Irritation of deep st. (Organ pain)
pain conveyed to brain by ANS (somatic nr.)
4. Psychogenic – functional, emotional,
lesion in spinothalamic tract.
7. Recognizing Pain
• ASK - Asking patients about pain.
• LOOK - Observation of the patient,
especially of any changes from the normal
appearance of that person.
• INVESTIGATE - Investigation of any changes
in behavior that might be related to pain.
This is especially important in the person
with dementia or confusion.
8. feature
Common Feature
1. Site
2. Type
3. Origin
4. Duration.
5. Progress
Specific Feature
1. Movement
2. Aggravating Factor.
3. Reliving Factor,
4. Relation To Normal
Act.
5. Associated Symptoms
18. ORIGIN
a) Acute onset - pain reaches its
maximum intensity with in hours.
E.g. Acute inflammation
b) Chronic onset – starts insidiously &
takes weeks to reach its maximum
intensity.
23. REFERRED PAIN
Cortical Confusion – Inability of the CNS to differentiate
between the visceral & somatic sensory impulses having
common area of representation in the brain.
24. Referred pain
Cortical Confusion – Inability of the CNS to differentiate
between the visceral & somatic sensory impulses having
common area of representation in the brain.
25. Shifting or migration of Pain
Peri-umblical referred pain shifted to rt. Iliac fossa due
to involvement of parietal peritoneum
26. AGGRAVATING FACTOR
• Hot spice food – peptic ulcer
• Jolting – billiary, renal colic
RELIEVING FACTOR
• Propped up position – hiatus hernia with reflux
oesophagitis
RELATION TO NORMAL ACT
• Exertion – myositis.
• Pain at the end of micturition – trigonitis, prostatitis
ASSOCIATED SYMPTOM
• Fever – acute inflammation
• Sweating & cold limb – hemorrhagic pancreatitis
27.
28. Pain scales
A variety of scales can be used to
describe the intensity of pain:
• Numeric: From 0-10
• Word labels: “No pain" to "worst
possible pain“
• Cartoons: A series of facial
expressions
40. The Pain Assessment in Advanced Dementia (PAINAD)
Total scores range from 0 to 10 with a higher score indicating more severe pain
(0=“no pain” to 10=“severe pain”).
41. Why is Pain Management
Important ?
• Relief of pain can
improve function.
• Good pain control
allows better
interactions with
family
• Relief of pain improves
quality of life
42. Management of pain:
Non-drug therapy
Physical
• Reflexology or
therapeutic touch
• Repositioning
• Exercise/Activities
• Back rub
• Relaxation breathing
• Comfort foods
Environmental
• Quiet environment
• Soft music
• Dim lights
• Aromatherapy
• Imagery or
visualization
43. Management of pain:
Non-drug therapy
Psychosocial
• Verbal support
• Reassurance
• Distraction
• Visitors
• Imagery
Visualization
Spiritual
• Prayer or other
ritual, spiritual
reading as indicated
• Spiritual support
and counseling
44. Five rights
• Right person?
• Right drug?
• Right dose?
• Right/best route of
administration?
• Right time?
45. Management of mild pain: Drug therapy
• OTC (over-the-counter) medications
resolve mild pain
• Relief varies with the person
• Duration is 4 to 6 hours for most
products
• Caution: No more than 2 grams of
acetaminophen in 24 hours
46. Drug therapy: Moderate pain
• Pain of this severity is common
in frail older adults
• Regular interval dosing may
result in less total medication
• Often requires opiod (narcotic)
medications
47. Drug therapy: Severe pain
• Less common
• More often associated with an
acute problem
• Often requires long-acting opioid
(narcotic) with short acting
opioid for ‘breakthrough’ pain
48. Management of Pain:
Drug therapy
Different medications are selected based on
severity of pain
• Mild: OTC drugs can be used
• Moderate: Drugs that combine a mild opioid
(narcotic) with OTC
• Severe: Opioid (narcotic)
over the counter (OTC) drugs like aspirin, acetaminophen,
naproxen or ibuprofen.
49. Side effects of Opioids
• Constipation
• Confusion
• Slowed breathing
• Rash or nausea
51. Ongoing Care
• Medicines may become less effective
with time,
• The pain itself may change, and
• The person’s response to medicine
may also change.
With reassessment, the pain management
program can be adjusted so that it
continues to be effective.
52. Summary of pain management
• Non drug therapies can be very
effective
• Drug management depends on
–Level of pain
–Tolerance of individual patient
–Side effects
• Continuous reassessment is vital