The focus in chronic pain assessment differs from the evaluation of acute pain, which assumes a specific underlying injury or disease that treatment will cure. Begin chronic pain assessment with the history and physical examination. Important components of the initial evaluation are summarized in Table 3 and are detailed below.
Tolerance, as defined by either of the following: (a) a need for markedly increased amounts of opioids to achieve intoxication or desired effect, or (b) markedly diminished effect with continued use of the same amount of an opioid.
Having a baby can sometimes trigger a thyroid disorder. This is known as postpartum thyroiditis. It is usually temporary but can return each time you have a baby.
Sometimes there are very few symptoms. A blood test from your doctor will confirm whether or not you have a thyroid disorder.
The foundation of quitting smoking successfully lies in a strong will. Recognizing that smoking is harmful is important, but committing to quit is what truly matters. Once you make up your mind, stay determined and remind yourself why you started this journey.
When you’re attempting to quit, consider throwing away your ashtrays, lighters website and other items that you use to smoke.
Chronic pain differs from acute pain. Chronic pain is not acute pain that failed to resolve. It is a distinct condition that is better understood as a disease process than as a symptom. Use a biopsychosocial approach in assessment and management.
If you’re feeling short of breath, sleep can be tough — propping yourself up or sleeping on your side may help
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Painful procedures: common in pediatric ICU patients, preterm neonates, and children with malignancy IV cannulation
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Have you try a different prescription sleeping pill if the first medicine you take doesn't work after the full prescribed course
The feeling of pain and the emotional, physical, and social impact of pain are interrelated, but can be separated for treatment purposes. Therefore, problems with functioning related to pain can be addressed even if pain is not targeted directly and remains unchanged.
Non-pharmacologic therapy and non-opioid pharmacologic therapy are preferred for the treatment of chronic pain.11 There is insufficient evidence to support the use of long-term opioid use for chronic pain. Opioids carry substantial risks of harm.