Question

Pain and End of Life

Question Set 1 (typed please) this is for fundamentals about pain and end of life, thanks.

You are a nurse working in primary care office. Your patient, Mr. Trent du le Berg, has requested an appointment due to increasing pain. Mr. du le Berg had a right BKA 6 months ago due to an MVA, and has had intermittent phantom limb pain ever since.

Mr. du le Berg works as an accountant and has been experiencing a high amount of stress at work. The stress has made his pain worse. Mr. du le Berg has been taking a long acting opioid twice a day. His partner is concerned that he will become addicted to the medication, so she argues with Mr. du le Berg, which causes more stress.

How would you describe Mr. du le Berg’s pain?

How could his partner’s concern be handled?

Answer 1

ANSWER

Mr.du le berg pain is a phantom limb pain and it coming from the part of the limb which already amputated.

It occurs due to rewiring of nerves in the brain and

Spinal cord when they not get proper signals from

the amputated extremity.

During this process brain send pain signals result in

experience pain on amputated area.

* His partner's concern can handled by

* Explanation given to the partner that opioids

are given for managing pain on amputated

area and it is for a short period of time so it

will not cause addiction in short period of time.

* The physician will terminate opioid usage of

Mr.berg by slowly reducing the dosage based

on his tolerance to pain.