Pain can be defined as an unpleasant sensory and
the emotional experience that is associated with actual or potential tissue damage.
Accurate assessment of pain is necessary if pain management is to be effective. Patients with pain are often undertreated
Pain can be defined as an unpleasant sensory and
the emotional experience that is associated with actual or potential tissue damage.
Accurate assessment of pain is necessary if pain management is to be effective. Patients with pain are often undertreated
Ems world expo pain management 11112014.handoutMichael Dailey
Acute pain management is one of the keys to quality patient care. Over the course of the last 10 years there has been a steady evolution of prehospital pain management protocols and use of different medications. Currently, we are on the verge of a national standard of care for treatment of pain in ambulances. What has changed over that time? What medications are currently being used across the country? How are these medications being given? Dr. Dailey will discuss a national dataset of pain management protocols and discuss the goals for optimal pain management for the acute pain of medical or traumatic pain in the prehospital arena.
Pain definition, Pain pathways, pain modulation, the endorphin system, Types of Pain, current trend of Drugs used for pain management. New Drugs for pain
this is an important topic in palliative care. a form of care each of us may need when we suffer terminal illness and severe trauma at one point in our life time.
Fibromyalgia is characterized by chronic widespread pain, increased tenderness at specific sites known as “tender points,” unrefreshing sleep, fatigue and cognitive dysfunction not attributable to other disease states.
Fibromyalgia affects 2–4% of the general population and of those affected, 80–90% are female. In general, symptom onset occurs between the ages of 30 and 60.
While the etiology of fibromyalgia is not entirely clear, associations with trauma, adverse life events, impaired mood (e.g., depression), anxiety, irritable bowel syndrome, irritable bladder syndrome, cold intolerance, paresthesias and other medical condition have been described. Consequently, a patient tailored approach to treatment is ideal to address both symptoms of fibromyalgia and any associated conditions.
Medical management of neuropathic painSudhir Kumar
This presentation looks at medical therapies for the treatment of neuropathic pain. Neuropathic pain is commonly caused by diabetes, herpes zoster, trigeminal neuralgia, cancer, vitamin B12 deficiency, vasculitis, etc.
Anti epileptic drugs used for non-epileptic disorders : Dr. Ashok Kumar BathamDrAshok Batham
This presentation highlights the uses of anti-epileptic drugs in non-epileptic disorders, such as painful neuropathies like diabetic polyneuropathy, post-herpetic neuralgia, sciatic pain with spinal cord disease, trigeminal neuralgia; bipolar disorder; generalised anxiety disorder; cardiac arrhythmias, migraine prophylaxis; obesity etc. It would be useful to students of pharmacology studying in medical, pharmacy, Ayurvedic and homeopathic colleges, and those working in pharmaceutical industry.
Embark on a journey to better understand and conquer pain with our comprehensive Pain Management presentation. Pain is a universal human experience, and this expertly crafted PowerPoint (PPT) offers a multifaceted exploration of pain, its causes, assessment, and various strategies for effective pain management.
Our presentation begins by introducing the complexity of pain, encompassing its various types, from acute and chronic to neuropathic and nociceptive. It delves into the physiological, psychological, and social dimensions of pain, providing a holistic perspective on this intricate phenomenon.
Learn about the underlying mechanisms of pain, including nociception, pain pathways, and the role of neurotransmitters. With this foundational knowledge, you'll be better equipped to understand how pain can manifest in different medical conditions and situations.
The assessment and diagnosis of pain are crucial components of effective pain management. Our PPT guides you through a comprehensive overview of pain assessment tools, emphasizing the importance of a patient-centered approach. Explore the significance of pain scales, questionnaires, and patient self-reporting to accurately evaluate pain intensity and quality.
One of the key strengths of our Pain Management presentation is its focus on diverse strategies for pain relief. You'll discover an array of treatment options, from pharmacological interventions and non-pharmacological approaches to alternative therapies and interventional procedures. This wealth of information is invaluable for healthcare professionals and individuals seeking pain relief.
Furthermore, the presentation includes insights into the management of specific pain conditions, such as chronic pain, cancer pain, and postoperative pain. These sections offer evidence-based guidance on tailoring treatments to individual needs and circumstances.
Pain doesn't only affect the body—it also has profound psychological and emotional implications. Our PPT explores the psychosocial aspects of pain, including the biopsychosocial model, pain-related anxiety and depression, and the importance of psychological support in pain management.
As you delve into the Pain Management presentation, you'll encounter real-life case studies, practical tips, and the latest advancements in pain management, ensuring you stay current with evolving practices in the field.
For both healthcare professionals and patients, this presentation serves as an indispensable resource. It empowers individuals to take control of their pain management journey and equips healthcare providers with the knowledge and tools necessary to deliver the best possible care.
With our visually engaging and informative PPT, you'll acquire a profound understanding of pain and the means to manage it effectively. Begin your journey towards pain relief and improved quality of life with our Pain Management presentation today.
Ems world expo pain management 11112014.handoutMichael Dailey
Acute pain management is one of the keys to quality patient care. Over the course of the last 10 years there has been a steady evolution of prehospital pain management protocols and use of different medications. Currently, we are on the verge of a national standard of care for treatment of pain in ambulances. What has changed over that time? What medications are currently being used across the country? How are these medications being given? Dr. Dailey will discuss a national dataset of pain management protocols and discuss the goals for optimal pain management for the acute pain of medical or traumatic pain in the prehospital arena.
Pain definition, Pain pathways, pain modulation, the endorphin system, Types of Pain, current trend of Drugs used for pain management. New Drugs for pain
this is an important topic in palliative care. a form of care each of us may need when we suffer terminal illness and severe trauma at one point in our life time.
Fibromyalgia is characterized by chronic widespread pain, increased tenderness at specific sites known as “tender points,” unrefreshing sleep, fatigue and cognitive dysfunction not attributable to other disease states.
Fibromyalgia affects 2–4% of the general population and of those affected, 80–90% are female. In general, symptom onset occurs between the ages of 30 and 60.
While the etiology of fibromyalgia is not entirely clear, associations with trauma, adverse life events, impaired mood (e.g., depression), anxiety, irritable bowel syndrome, irritable bladder syndrome, cold intolerance, paresthesias and other medical condition have been described. Consequently, a patient tailored approach to treatment is ideal to address both symptoms of fibromyalgia and any associated conditions.
Medical management of neuropathic painSudhir Kumar
This presentation looks at medical therapies for the treatment of neuropathic pain. Neuropathic pain is commonly caused by diabetes, herpes zoster, trigeminal neuralgia, cancer, vitamin B12 deficiency, vasculitis, etc.
Anti epileptic drugs used for non-epileptic disorders : Dr. Ashok Kumar BathamDrAshok Batham
This presentation highlights the uses of anti-epileptic drugs in non-epileptic disorders, such as painful neuropathies like diabetic polyneuropathy, post-herpetic neuralgia, sciatic pain with spinal cord disease, trigeminal neuralgia; bipolar disorder; generalised anxiety disorder; cardiac arrhythmias, migraine prophylaxis; obesity etc. It would be useful to students of pharmacology studying in medical, pharmacy, Ayurvedic and homeopathic colleges, and those working in pharmaceutical industry.
Embark on a journey to better understand and conquer pain with our comprehensive Pain Management presentation. Pain is a universal human experience, and this expertly crafted PowerPoint (PPT) offers a multifaceted exploration of pain, its causes, assessment, and various strategies for effective pain management.
Our presentation begins by introducing the complexity of pain, encompassing its various types, from acute and chronic to neuropathic and nociceptive. It delves into the physiological, psychological, and social dimensions of pain, providing a holistic perspective on this intricate phenomenon.
Learn about the underlying mechanisms of pain, including nociception, pain pathways, and the role of neurotransmitters. With this foundational knowledge, you'll be better equipped to understand how pain can manifest in different medical conditions and situations.
The assessment and diagnosis of pain are crucial components of effective pain management. Our PPT guides you through a comprehensive overview of pain assessment tools, emphasizing the importance of a patient-centered approach. Explore the significance of pain scales, questionnaires, and patient self-reporting to accurately evaluate pain intensity and quality.
One of the key strengths of our Pain Management presentation is its focus on diverse strategies for pain relief. You'll discover an array of treatment options, from pharmacological interventions and non-pharmacological approaches to alternative therapies and interventional procedures. This wealth of information is invaluable for healthcare professionals and individuals seeking pain relief.
Furthermore, the presentation includes insights into the management of specific pain conditions, such as chronic pain, cancer pain, and postoperative pain. These sections offer evidence-based guidance on tailoring treatments to individual needs and circumstances.
Pain doesn't only affect the body—it also has profound psychological and emotional implications. Our PPT explores the psychosocial aspects of pain, including the biopsychosocial model, pain-related anxiety and depression, and the importance of psychological support in pain management.
As you delve into the Pain Management presentation, you'll encounter real-life case studies, practical tips, and the latest advancements in pain management, ensuring you stay current with evolving practices in the field.
For both healthcare professionals and patients, this presentation serves as an indispensable resource. It empowers individuals to take control of their pain management journey and equips healthcare providers with the knowledge and tools necessary to deliver the best possible care.
With our visually engaging and informative PPT, you'll acquire a profound understanding of pain and the means to manage it effectively. Begin your journey towards pain relief and improved quality of life with our Pain Management presentation today.
Mechanical Ventilation Cheat Book for Internal Medicine ResidentsThe Medical Post
This short cheat book talks about basic concepts and physiology of artificial ventilation and also elaborates on point guided approach in maneuvering different modes of mechanical ventilation. Consider this as a basic overview and is intended for all internal medicine residents.
Salient features of the book are -
- The book provides a shortcut to understand and remember certain specific formulae and points you require to interpret the 12-lead ECG.
- Treatment protocols (in green boxes) for most of the important conditions are also included.
- View sample ECGs as you read along the topics.
- The content is explained in a very simple language to provide good conceptions, written from a student’s point of view.
- People can gain their belief in the book after going through sample ECGs which would be available at www.themedicalpost.net/ecg
- The book competes with the other books available in the market in simplicity, summaries, treatment protocols, live diagrams and regularly updated sample ECGs on the website.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. Pain management
To be pain free is the right of every patient and should be the first step of management regardless of the
diagnosis. In this post we discuss various pharmacological agents that are commonly used as analgesics.
WHO has coined the term pain ladder which classifies pain according to the severity and helps a clinician
to manage pain in a better way. It was originally described for the management of cancer pain, but is
now widely used by medical professionals for the management of all types of pain.
The principle is to start from the bottom of the ladder, and to climb the ladder if pain is still present.
Figure showing WHO pain ladder principle for management of pain.
Let us discuss commonly used analgesics –
Non opiods
Paracetamol: It has a well-known analgesic property and a week anti-inflammatory effect. It is
better toleratedin patients in whom excessive gastric acid secretion or prolongation of bleeding
time may be a concern.Paracetamol hepatotoxicity the most common cause of acute liver
failure in both the United States and the United Kingdom.The common adult dose is 500 mg to
1000 mg. The recommended maximum daily dose, for adults, is 4000 mg.
NSAIDs
Ibuprofen: Ibuprofen blocks the enzyme that makes prostaglandins (cyclooxygenase), resulting
in lower levels of prostaglandins. As a consequence, inflammation, pain and fever are reduced.
The usual adult dose is 200 or 400 mg every 4 to 6 hours.Ibuprofen should be taken with meals
to prevent stomach upset.
Diclofenac: Very commonly given analgesic. It is mostly given in acute conditions in an
intramuscular form at a dose of 75 mg. Also available as sustained released tablets.
2. Aspirin: often used as analgesic to relieve minor aches and pains, as an antipyretic to reduce
fever, and as an anti-inflammatory medication.
Weaker opioids
Tramadol: is a centrally acting synthetic opioid analgesic used in treating severe pain.Like
morphine, tramadol binds to receptors in the brain (opioid receptors) that are important for
transmitting the sensation of pain from throughout the body to.
Codeine: is an opiate used for its analgesic, antitussive, and antidiarrheal properties.
Strong opioids
Morphine: is a potent opiate analgesic medication. Morphine is primarily used to treat both
acute and chronic severe pain. It is also used for pain due to myocardial infarction and for labor
pains. Common side effects are addiction and constipation.
Adjuvant drugs
Antidepressants: Antidepressants increase the levels of certain brain chemicals that improve
mood and regulate pain signals. Low doses of antidepressants also relieve pain, although it is
not known exactly how. Commonly used drugs are Amitriptyline and Imipramine.
Anticonvulsants: Anticonvulsants control cancer pain by changing the way sodium and calcium
travel across the surface of nerve cells in the brain. The nerve cells send fewer signals, and the
brain senses less pain. Commonly used drugs are Carbamazapine, Gabapentine and Phenytoin.
Steroids: Steroids are particularly useful as adjuvant therapy for metastatic bone pain,
neuropathic pain, and visceral pain. Dexamethasone is the most commonly prescribed
corticosteroid for pain, but prednisone or prednisolone can also be used.
Muscle relaxants: Muscle relaxants include drugs that reduce muscle spasm (for example
benzodiazepines such as diazepam, alprazolam, lorazepamand non-benzodiazepines such as
metaxalone or a combination of paracetamol and orphenadrineand drugs that prevent
increased muscle tone (baclofen and dantrolene).
Exercises.
Psychological support.
Acupuncture.