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.The prevalence of chr
All prescriptions shall be created and recorded in the medical record and should be readily retrievable. The information should include date prepared, the desired fill date, dose, quantity, and expected duration of use. E-prescribing is preferred and will soon be a requirement in many states, including Michigan.Benzodiazepine and opioids – a safe
Transdermal fentanyl (Duragesic and generic) has limited use for treatment of chronic pain. Transdermal fentanyl is a short-acting opioid packaged in a long-acting delivery system, making patients on it especially prone to development of opioid tolerance.On the note of sugar: Fructose in particular is processed in the liver where it’s converted i
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For ice, use an ice pack, or put crushed ice in a plastic bag. Cover the bag with a towel before you place it on your skin. Apply ice for 15 to 20 minutes every hour or as directed.Speak with your doctor (GP): Your GP can discuss your options and give you a script for cheaper stop smoking medication.While there are two thresholds, aerobic and anaer