Pain Clinical Observation Paper

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Alyssa Martin
Fall 2012
Observation Experience Summary: Pain Clinic
The mission and scope of the setting is to provide diagnosis and treatment of acute, chronic and cancer pain. Patients present to the pain clinic for relief and treatment for a variety of painful medical ailments which do not typically respond to conventional therapy ("Pain management center," 2012). Those in charge at the pain clinic are the two board-certified pain management physicians, Dr. Dwarakanath and Dr. Henkle. There is also a team of nurses, physical therapists, and other professionals specially trained in a variety of techniques to manage pain.

There are a number of techniques the pain clinic is able to perform, but there are two procedures that were the most widely used; the first being an Epidural Steroid Injection. This procedure is the number one pain management technique used in the clinic. It is specifically for radiating pain that is in the back/leg area or neck/arm area. The procedure essentially includes corticosteroids being injected into the epidural space in the spine and decreases the inflammation and swelling in the nerves that are irritated, causing relief. Pre-procedure teaching mainly includes explanation of the sensations patient will feel, which include a small pin stick as local anesthetic is used. In addition, they are instructed to have a light meal before coming in, but if they are requesting to receive IV sedation, they are instructed to not eat at all 6 hours prior to the procedure ("Pain management center," 2012). If they are diabetic or on blood thinners, it is important to know so that special considerations need to be made for that patient. The patient is also told that the procedure is performed with little discomfort and only takes about 5 to 10 minutes. After the injection, the patient may feel warmth or numbness in their legs or arms for about an hour due to the anesthetic. Because of this reason, patients are observed while they recover and are...
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