Nurse Treatment of Back Pain

The nurse with a patient complaining of back pain should screen the individual or treatment and therapeutic approach. Back pain, especially in the elderly or the very young, can be a red flag for more extreme disorders or more involved and complicated medical problems. Nurses studying the symptoms of back pain disorders and related conditions should review the list of symptoms and therapies. There is a tendency to medicate back pain, which can shield the patient from being diagnosed with more complex attention to the patient’s more overall health. Smoking and depression, for example, have been linked with diagnosis of back pain.

A nurse’s advice is the first line of defense when back pain strikes or rears up. A nurse should be fiercely protective of any patient complaining of unusual amounts of back pain, especially when they seem to have no basis in normal causes. Backaches after pregnancy and fibromyalgia, for example, would be considered expected. But a nurse will be able to single out over time that a patient has experienced serve back pain during some phases of their condition, and less or none in other stages of their admission. Nurses should be careful to fit the bed positioning to suit the best rest position for that particular patient‘s size and height.

A patient will rely (consciously or unconsciously) on the nurse’s ability to relate this occurrence of symptoms with the physician or other nurses. The nursing staff can plot from the chart when and under what stress the patient reports the most pain. The nurse can review notes from other nurses concerning the most serious incidents of back pain in a patient and analyze the cause. Does the pain result from exercise or inaction? Too much bed rest or not enough in the right position? Too many hours straining over a hot laptop, and not enough restful sleep in a bed meant for the purpose?

A change in bathing habits or a change in the weather could activate arthritis nerves, escalating back pain for a patient who previously only generally complained of it. Turning a mattress or finding a different sort of pillow may be ease the neck tension that cause the surprise of back pain for a patient. The patient may be so used to their particular daily habits in sitting or standing, sleeping and resting, that they have not noticed that these may have damaged best posture or their sleep rhythm. Even temporary daily adjustment to a poorly formed car seat could cause problems over time.

The usual amounts of back pain every adult processes can be due to stress, weight gain in the abdomen, rare syndromes, and poor sitting postures. But unusual pain experienced when the patient is sitting down or lying down can be cause for concern. The spinal cord and related nerves, and the pelvic bones and the sternum area, all come into play. Neck tension and postural neck pain can become the cause of tensed nerve in the lower back, often related to motion in the bed during sleep hours. Nurses should survey the patient upon waking about how their neck and back feels.

Patients with back pain should embrace alternate technologies as well as a consult with e specialty physician. Some habits can be cured, such as reading in bed and poor posture. Homeopathic alternatives for pain treatment have enjoyed a resurgence lately. Such patients should be monitored and the intervention be written for nursing prompts for better posture or “lights out” for less reading in bed, for example. Movement and grooming should be evaluated for best posture and less strain on lower back positioning for long periods of time. Nurses should be particularly attentive to fall/injury risks for back pain sufferers, such as dressing, transitioning from bed to standing without support, and in-bed movement without a rail.

Reflexology, meditation, and acupuncture can give significant relief for back pain sufferers, and many HMOs and insurance types cover these regimens. And massage can often do wonder for back pain victims. Thoracic exercise, lumbar spine exercise, Pilates, and Yoga can contribute to better overall back health. But the conventional medical approach still matters. Surgery and injections may be necessary, depending on the level of the condition. A hybrid approach can work well.

A general physician or custodial doctor may refer the back pain patient for an X-ray, MRI or CT scan. A bone scan or discography may be necessary to evaluate the cause of the back pain. The general physician may refer the patient to a specialty physician. Several physicians may need to be seen before the right one grasps the needs of a specific patient. The pain doctor or chiropractor may direct the patient to multiple modalities, such as stress management, physical therapy, holistic directions, as well as improved posture while sleeping, a better mattress and better neck rest from incorrect arrangement of pillows. And an evaluation of the patient’s coverage can allow for further options.

A nurse should be concerned with an over-reliance on medications to solve these pain problems. Chronic pain can be a condition too often medicated for, and not analyzed enough. Too often, many patients are impressed with commercialized depictions of pain-free lives in pharmaceutical advertisements. A nurse may have to parse these ideals down to simple English for a patient eager to accept the pill path of pain treatment. The dispute over NSAID therapy, more widely advertised drugs, and clinical trial results marches on.

Persons with back pain should be encouraged to try non-pharmaceutical approaches like yoga for strengthening the back, stretching, environment, or focused breathing. The level of attachment a patient has to their back pain can affect their willingness to employ various methods to lessen it or get rid of it entirely. Lifting the tent flap of back pain can reveal unpleasant truths a patient may be unwilling or unable to deal with. Bridging the gap between current pain symptoms and a pattern of anti-pain practices should be the care plan goal of many patient dealing with such issues.

Back pain is also a symptom of tense nerves, chronic stress, and harmful relationships. A watchful nurse can plot a record of just when the patient complains of back pain symptoms and analyze what occurred that might have prompted spasms or a cramped lower back. During times of medical issues and their tendency to create unrelated crises, the relatives and friends of a patient can create havoc with their emotions and concerns “dumped” on the patient. A nurse should observe when a certain phone caller or visitor makes the patient distraught.

Of course, energy vampires suck the energy from an empathic patient who does not have a filter to stop the onslaught of verbal disputes and arguments that occur when medical planning and family conflicts persist. Too often, a nurse will see the patient giving attention to a person who will deflate the and overload them with complaints and problems.

A person suffering from back pain must have a strategy to eliminate harmful inputs that worsen their symptoms. The intervention in the care plan will indicate to a nurse what steps they are authorized to take, such as moving abusive family members on and providing hints for coping.

Student nurses should know that duodenum ulcers, kidney problems, osteoporosis, and inappropriate headrests can cause back pain. Lifestyle choices such as a heavy shoulder bag or handbag, heavy lifting or stooping, or overstuffed pillows can disturb delicate rhythms in spinal function and rest. The causes of back pain and the conditions resulting in untreated back pain should be a regular course of study and a basis for materials review.

 

 

What Nursing Students Need to Know-The Ancillary Tasks Expected on The Job

Student nurses are taught the ways to absorb and retain key nursing modules of knowledge and practical skills in blocks. But the actual practice of nursing is not so easily compartmentalized. Often skills can be packaged to fill overflow needs that become just part of every nurse’s workday. Student nurses can study their sections better when they understand how the interaction between knowledge and their job description intersect.

  1. MDS Documentation

The Medical Data Sheet comprises all of the elements of a patient’s case history and present conditions. The treatment history and current condition of the patients, the statistics of the vitals and the medication schedule are also cited. These are painstakingly compiled details that are critical in allowing the insurer to evaluate the patient’s case and future coverage, as well as the facility’s ability to perform required services. A nurse that can absorb this work when needed is a hiring gem.

The career path for a MDS Coordinator allows a nurse to train specifically for this position, although man nurses are assigned this duty as a matter of course. Resident assessment in long-term care is a monthly reporting process whereby a facility must sustain an error-free technique and perform a  mechanized reporting schedule that repeats every month for every patient in the facility. While  a specialist in MDS coordination can do this work full-time, in case of staff shortages or peak reporting times (like then end of the month), various nurses may be asked to volunteer for these tasks.

  1. Patient Scheduling Coordination

A hospital, skilled nursing unit or long-term care facility houses patients who need specialist and off-site services frequently. Even patients who receive Home Health or in-home nursing need professionally handled schedules from medical offices used to speaking with trained nurses who know how to deal with authorizations, No-Prior-Authorization providers, and patient needs. And confirmation of appointments and transportation is key to maintaining and improving patient health.

Nurses learning how to schedule patient appointments will learn to be patient with busy switchboards, other duties, and multi-tasking confirming and informing the appointment dates with the patient or case manager. Student nurses might think, “I’m not a secretary!” But a mere secretary cannot be trusted with HIPPA data and patient confidences, or make such calls, without a license. And only nurses can be allowed contact with patient chart medical data and the documents and information needed to complete this task.

  1. Pain Assessment

A pain assessment is triggered by observation of symptoms of pain in a patient, or by patient’s request, or by a scheduled recurrence for a patient suffering acute or chronic reported pain. Nurses are trained observe the symptoms of pain in  a patient, such as nonverbal sounds, vocal complaints, and facial expressions. Clenched teeth and wincing matter. Shortness of breath, rapid breathing, and other indicators of pain can be valuable, especially when endorses to other nurses to make them watchful of the same.

An attentive nurses picks up on these things. Patients who perform protective body movements or postures, or actual repeated complaints and nurse’s recorded and reported highest pain scores of pain ranges. The chart data for pain assessment can be extremely valuable when planning a pain management therapy strategy. And the integrity of thematically chart for the patient’s record can be maintained.

  1. Incident Reporting

The documents fabricate a narrative for evaluation and discussion. Staff at a nursing home often review the chart and an incident report can be valuable in planning the environment and actual care and nursing acuity for specific patients. Accuracy of simple facts like dates and times, clarity of writing, overall commitment to highest and best practices and student nursing preparation from the beginning of their career will allow the patient the best chance at an accord to the benefit of all.

  1. Health Insurance Case Investigation

Often patient or anonymous complaints generate a grievance or abuse allegation. Utilizing these grievance processes does not prohibit the legal rights of a patient, but will commit a facility to relate facts known and committed o the medical chart. Confidentiality is of the utmost concern in these situations. Nurse known to be capable of keeping secrets and handling important situations with poise and skill will be noticed for promotion and special recognition.

  1. Public Oversight Agency

The oversight agencies such as the Ombudsman programs involve the prompt and detailed investigation of any incident or claim. The recommendation of a case manager or family member can prompt further investigation of abuse claims or environmental violations. Civil code violations for patient care become a matter of record when allegations are substantiated by the investigating agency.

  1. Law Enforcement Testimony

During the course of any nursing shift, extreme incidents will arise. Patients will have altercations that become violent or abusive. Residents rights demand that such extreme incident be reported to local law enforcement. Often a patient’s family or a relative will be an outcry witness if they are present. To build a strong case, the attorney will review the police record. What a nurse says at this time will be key or the plaintiff or the defense.

So, when student nurses hear about MDS Documentation, they should understand that will be them someday. The first time they have to stay on hold for a doctor’s office longer than twenty minutes, to schedule one appointment, they should have anticipated this as part of a nursing career. When student nurses see a co-worker or stranger complain of pain or evidence nonverbal complaints, they should feel the prompt to perform a pain assessment.

     All of the book work and practical exams, intern ships and training sessions must combine to deliver skill sets that measure up to these challenges, as well as regular nursing chores. And student nurses should understand from the outset, that in any nursing career, that command of the facts is pivotal. A nurse managing information related to patient incidents, nursing investigations, and medical facility’s oversight agency communications are of ultimate importance. These combined tasks and skills,  as well a nursing student‘s learned abilities on the job, will make any nurse outstanding in her field.