Danielle Young Bear FEEDBACK LOG/ This scenario presents a 32-year-old Native American female at an outpatient
clinic with a persistent cold. The patient is taking prescription medication for
chronic low back pain and depression, but she is also self-medicating with overthe-counter medication for her cough and using herbal therapies.
relievers (analgesics) are generally
effective for nociceptive pain but may be
effective for neuropathic pain.[newline] The use of analgesics (pain relievers)
other medications is the most common method of chronic pain treatment.
medications can be helpful for some patients in chronic pain, but they are
effective. In fact, in some individuals, pain medications may
worsen their symptoms over time or cause unwanted or dangerous side
[newline][newline]The best available evidence advocates for the use of
antidepressant along with analgesics for chronic back pain.
(serotonin-norepinephrine reuptake inhibitor (SNRI)) help manage chronic pain
nondepressed people as for those with depression. They do not work equally
for all types of pain. Antidepressants tend to be helpful for fibromyalgia,
and pain due to nerve (''neuritic'') damage (e.g.,
neuropathy), generally they are less helpful for most acute musculoskeletal
sportstype injuries.[newline][newline]By increasing levels of chemicals
and serotonin) at nerve endings, antidepressants appear to strengthen the system
that inhibits pain transmission. Antidepressants that increase norepinephrine seem
to have better pain-relieving capabilities than those that increase serotonin. Many
antidepressants act as sedatives to promote a good night's sleep. Sleep
deprivation is often one of the major obstacles in coping with chronic pain.
Antidepressants help relieve anxiety and panic attacks and increase the effect of
other pain-relieving drugs or analgesics.[newline] Students will be expected to
perform medication reconciliation and recognize interactions between prescribed
medications and additional over-the-counter and herbal medications taken by the
patient at home. Also students should calculate the maximum daily amount of
over-the-counter analgesic medications, and educate the patient about pain