Discussion: Chronic Back Pain
Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain.
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To prepare:
- Review this week’s media presentation on evaluating back pain, as well as Chapter 222 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain.
- Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse.
- Reflect on the ethical implications of prescribing narcotics for chronic back pain.
- Think about what you would prescribe and why.
By Day 3
Post a description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why
Please make sure to have this:
- Post a description of the history that you need to obtain from the patient in the case study. Include a list of questions that you might ask the patient.
- Describe types of physical exams and screening tools
- Describe types of diagnostics (tests, labs, screening tools) that might be appropriate for evaluation of the patient.
- Make a diagnosis and explain your diagnosis.
- Write a treatment plan for this patient
Prescriptions(s)
Interventions/ lifestyle changes
Referrals
Follow up
Education( Minimum of 2 referenc
