PAIN MANAGEMENT IN THE EMERGENCY MEDICINE DEPARTMENT Associate Professor Peter Manning Emeritus Consultant Emergency Medicine Department National University Hospital‚ Singapore Jan 2004 Revised Aug 07 / Feb 08 / Nov 09 / Dec 11 / Dec 12 Accepted practice patterns must be questioned – implementation of pain score to vital signs We underestimate the pain produced by common practical procedures Analogy – just as we vary antibiotics according to sensitivities‚ perhaps we should be prepared
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Unilever in Brazil- Marketing plan for low-income consumers in the Northeast of Brazil This report analyses Unilever Brazil and provides a full marketing plan for the expansion of Unilever into the northeast of Brazil. First‚ a situational analysis is performed‚ followed by a strategic analysis and final a market and 4Ps analysis of the strategic recommendation. 1. Situational Analysis Unilever Brazil In the section an analysis of the market facing Unilever is preformed that includes an assessment
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Case 9-4 Trueblood Case 09-4 Solution Case 9-4 How should NeedsSpace account for the two obligations noted as provisions in the lease agreement? ● Provision 1: “Lessor may require the lessee to perform general repairs and maintenance on the leased premises.” By entering the lease agreement‚ NeedsSpace (the lessee) becomes legally and contractually responsible for performing general repair and maintenance on the leased premises. Assuming that the lessee is required to make deposits to financially
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Pain Management Joshi‚ G.‚ & Kehlet‚ H. (2013). Procedure-specific Pain Management: The Road to Improve Postsurgical Pain Management?. Anesthesiology‚ 118(4)‚ 780-782. . This article explained that good pain management is known to produce many benefits for the postoperative patient. However‚ the article goes on to explain that treating postoperative pain is still a major issue with inadequate postoperative patient pain relief remaining high. The article discussed how the Joint Commission declared
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You Can’t Fire Me! Check your policy How about a 900 Percent Raise? Mia Fernandez Keiser University HR Management Case Study # 2 - You Can’t Fire Me! Check Your Policy 1. What role‚ if any‚ should Mary’s past work record play in this case? Explain. As a general rule‚ in termination cases for absenteeism‚ the seniority and past work record of the employee have been factors influencing the decision of labor arbitrators to either uphold or modify the discharge penalty. It is believed that long service
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Joy Cannot Exist Without Pain “It is always by way of pain one arrives at pleasure”-Marquis de Sade. This quote describes life and the obstacles throughout it. The people who have been through the most pain truly know what joy is. A lot of people go through struggles and pain at more than one point of their life. For some people‚ it is more enduring than others. However‚ everybody must suffer some sort of pain and must struggle at some point in their life in order to truly experience joy and
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What is sciatica? It is the pain which affects the hip‚ back‚ leg and is produced by a pinched nerve root present in the lower back. This extremely painful condition may also be caused by deterioration of a bone. There are numerous reasons which can trigger sciatica which is no doubt quite traumatic and hurting. Some of the other common causes for sciatica are Spinal stenosis‚ Degenerative disc disease‚ not exercising regularly‚ Spondylolisthesis and sleeping on soft mattress. The symptoms which
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No evidence exists to suggest that older individuals perceive pain to a lesser degree or that sensitivity is diminished. Although pain is a common experience among individuals 65 years of age and older‚ it is not a normal process of aging. Pain indicates pathology or injury. Pain should never be considered something to tolerate or accept in one’s later years. Unfortunately‚ many clinicians and older adults wrongfully assume that pain should be expected in aging‚ which leads to less aggressive treatment
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Lyrical Pain Laura AM Peffer Virginia College Lyrical Pain Music dates back over 40‚000 years where most music was influenced by natural surroundings like animal sounds and wind whistling through the trees. Now‚ most musical influence comes from the experiences and emotions the songwriter faces at the time. A quote of Bob Marley‚ a well-known Rastafarian singer‚ states “One good thing about music: when it hits you‚ you feel no pain.” This quote envelops the idea that
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The Spine Changes With Age And Causes Of Back Pain As we age‚ changes back - the spine to age. At the doctor will call signs of aging for degenerative changes. Such changes can be seen‚ among other things‚ on radiographs. With age‚ the joints will often gradually thinner cartilage. It called for cartilage wear or osteoarthritis‚ the x-ray called it usually intervertebralledsartros. The bone in the joints edges becomes stronger and the formation of "pimples". Even vertebral edges are over the years
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