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Original Question

Janis Ian is a 45 year old female who come to the health clinic on a regular basis. She has been suffering from back pain for the last two years due to degenerative disc disease. The pain she reports as being “sharp” in her lower back. The doctor has prescribed Percocet which is acetaminophen/oxycodone for her back pain. Janis also has arthritis and suffers from pain due to inflammation. She reports this type of pain as “throbbing” and “achy” throughout her body. In addition, she has diabetes and reports tingling/burning in her extremities. She also has a history of GI ulcers. A: Identify her pain levels (acute, chronic, etc): Back pain for two years Tingling/burning pain in extremities from diabetes Sharp back pain Throbbing/achey pain from arthritis B: She has been prescribed Percocet (an opioid) for back pain Do opioids work at the CNS level of the peripheral level? What should Janis know about taking Percocet? Consider precautions and possible side effects C. Can she use acetaminophen/Tylenol for inflammation due to arthritis? Is there a better choice? If so, what? Is aspirin a good alternative? Consider her GI condition

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