Year Comes Acute Assignment Help: How to Answer This Question
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How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
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Original Question
J. C. is a 41-year old man who comes to the ED c/o acute low back pain. He states that he did some heavy lifting yesterday, went to bed with a mild backache, and awoke this morning with terrible back pain. He admits to having had several episodes of similar back pain each year overthe last 10 years. In the past, the pain has been treated by diazepam, codeine, and several weeks of bed rest. J. C. has a PMH of duodenal ulcerand takes Prilosec for symptom relief. He is 6 ft. tall, weighs 265 lbs. and has a prominent “pot belly”. The ED admitting clerk calls J. C.’s insurance company to authorize payment for treatment at yourfacility. J. C.’s HMO has identified him as a consumer of “high cost care” with poor prior outcome. The ED is authorized to perform emergency treatment only and the case manager will make a home visit within 24 hours to devise a treatment plan. The ED physician diagnoses muscular strain of the lower back and orders the following: cyclobenzaprene (Flexeril) 10 mg QID, Feldene 20 mg QD; bed rest for 2 days then gradually increase activity; ice packs to the lower back 30 minutes out of every hour. If you are the case manager and you make your visit to J.C.’s residence. His wife lets you in and you find J. C. lying on the sofa with his knees flexed and watching videos. 1. What questions would be appropriate to ask J. C. in evaluating the extent of his back pain and injury? 2. What observable characteristic does J. C. have that makes him highly susceptible to low back injury and chronic pain? 3. Why do you think that cyclobenzaprine was prescribed instead of diazepam? 4. What does J. C. need to know concerning Feldene considering his PM? You determine that. C. needs an interdisciplinary approach to treatment and rehabilitation for his chronic back problem. Your goal is to minimize J. C.’s long-term health care costs by rehabilitating his back, helping him reduce his weight to reduce stress on his back, and treating his current injury. You coordinate referrals for J. C. to see four healthcare experts on yourteam. 5. You referJ. C. to a physiatrist. What is a physiatrist, and what can a physiatrist do to helpJ. C.? 6. What expert would work with J. C. to help him lose weight? What are her/his credentials?
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