Southern Discomfort Case Analysis Jim Malesckowski remembers the call of two weeks ago as if he just put down the telephone receiver: “I just read your analysis and I want you to get down to Mexico right away‚” Jack Ripon‚ his boss and chief executive officer‚ had blurted in his ear. “You know we can’t make the plant in Oconomo work anymore‚ the costs are just too high. So go down there‚ check out what our operational costs would be if we move‚ and report back to me in a week.” At that moment‚ Jim
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Unit 47 - Understand approaches to managing pain and discomfort (Knowledge questions only (missing numbers observations) 1.1 explain the importance of a holistic approach to managing pain and discomfort There is more to taking care of an individual than just the physical needs which have caused them to need your care. A holistic approach is about taking care of their mental‚ emotional‚ social and even spiritual needs as well to ease their mind and alleviate any worries or negative feelings that
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DOI: 08/18/2007. Patient is a 53-year-old male registered nurse who sustained a work-related injury to his neck when he tried to pull a patient. Per OMNI‚ patient is diagnosed with back pain. IW was declared P & S in 2009. He is status post C5 to C6 fusion in 2005 and C3 to C5 anterior fusion in 2008. MRI of the cervical spine obtained on 10/29/14 showed postoperative changes from C3-6. At C6-7‚ there are mild degenerative disc space changes along with a broad- based disc bulge and some posterior
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dated 08/18/2016‚ patient was prescribed with Norco. Based on the progress report dated 09/06/16‚ the patient presents for ongoing evaluation of her chronic low back pain. The patient states that her back pain radiates down to the lift hip‚ and her pain is 10/10 when most bothersome without medication. With medication‚ her pain is able to be rated to a 5/10. When she takes her medication‚ she is able to get up and take a shower‚ she is able to go to the grocery store‚ she is able to do some laundry
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Health management r/t lack of knowledge of chronic pain management aeb. patient relates consistent pain at a 5-9 on a scale of 0-10 ten being worst‚ statement of having “a lot of pain most of the time”‚ inability to relate pain management alternatives to medications that work “part of the time”‚ states that pain “gets in the way” of daily functioning two to three times a week on a regular basis CLIENT
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Pain Questions to ask: Where? When did it start? Quality? Quantity? Duration? Inciting event? Was it present on admission? What did they get for pain already? Did the pain improve with medication? Allergies to pain medications? If headache‚ chest or abdominal pain is present‚ refer to the respective sections for further questions. Rule out: Sudden acuity of worsening pain. Refer to the respective sections for headache‚ chest or abdominal pain. What to order: Depend on which area is hurting
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he heard cracking sound and felt pain and burning in his low back. He is status post anterior retroperitoneal exposure of the L5-S1 space with mobilization of the bilateral iliac vein and artery on 10/02/12. Per OMNI‚ he was declared MMI on 09/18/13. Based on the progress report dated 03/02/16‚ the patient reports increased pain for about a week. He rates the pain 5/10 with medications and 8/10 without. He is interested in some PT to help with the pain. The pain is in the low back and occasionally
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radiculopathy‚ lumbar region. As per OMNI notes‚ the patient is diagnosed with history of right L5-S1 tear‚ low back pain‚ right quadratus lumborum strain‚ and paresthesias. He underwent lumbar laminectomy at L5-S1‚ and L3-L4 and L4-L5 decompression of the nerve root on 2/24/2016. As per progress report dated 6/6/2016‚ the patient complains of lumbar pain. He states that the symptoms are mild. The pain is aggravated by extended walking. He returns after 3 months postoperative
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complaining of neck pain. HPI The patient tells me her symptoms started in early August. She had been away on vacation. She was sleeping on an air mattress. One night realized that the air mattress was not fully inflated‚ but slept anyway and she awoke the next morning‚ she was having some neck pain. She said initially she attributed just to sleeping wrong. She had pain for a couple of days. She took a few days worth of Advil and felt better. She said following that‚ the pain restarted without
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CASE FOR ANALYSIS ~ SHOE CORPORATION OF ILLINOIS OVERVIEW: This case deals with a manufacturer of women’s shoes that purposely changes styles frequently to take advantage of the flexibility of a small organization. However‚ decision making in the organization follows such a convoluted pattern that conflict is a given. Work flow needs to be re-examined‚ and adjusted for efficiency. DISCUSSION QUESTIONS TO ASSIGN: 1. Analyze organizational structure. 2. What suggestions do you have for improvement
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