patient including age, gender, comorbid conditions, and type of pain

Pain <a href=””>management</a> in the older adult can be a challenge due to the risk of adverse effects of opioids and other pain<a href=””> medications</a>. In the discussion this week, share an experience from clinical of a patient with pain that you had difficulty managing. Describe this patient including age, gender, comorbid conditions, and type of pain. How was the pain being managed? What changes did you implement? Review the CDC guidelines and other readings and indicate if you think your plan is consistent with the guidelines or if you should change your plan based on these resources. Need 3 references.

Sample answer

When considering older adults with pain, almost 50% have persistent pain and almost 65% of nursing home or community-dwelling residents report having inadequately or undertreated pain (Epplin, Higuchi, Gajendra &amp; Nadella, 2014). However, there are many factors related to pain including it is subjective and patient specific. Therefore, pain management can be challenging for health care providers. The impact of pain or persistent pain can greatly affect one’s quality of life. For some people, persistent pain can contribute to disability, financial hardships, despair, frailty, and increases chances of early mortality as well (Arnstein &amp; Herr, 2017). In my clinical, I visited a 74-year-old female with chronic and persistent pain along with CHF, essential hypertension, hyperlipidemia, diabetes mellitus, osteoarthritis, peripheral neuropathy, and depression. This patient’s pain is derived from a previous back surgery, bilateral knee replacements, osteoarthritis, and peripheral neuropathy. Currently her pain was unmanaged on Tramadol 50mg BID, Gabapentin 100mg TID, and topical capsaicin cream. For this patient, we performed a comprehensive medication review, pain assessment and a cognitive assessment prior to making any changes to the current medication regimen. The patient reports more pain at night which is interrupting her sleep, no side effects to current medications, and no cognitive impairment upon assessment. I recommended increasing the patient’s dose of Gabapentin and possibly adding Duloxetine to her treatment plan. My reasoning for adding Duloxetine, some adjuvant analgesic agents or neuromodulators, such as Gabapentin or duloxetine, can help target pain amplifiers and reduce neuropathic pain (Davies, 2017). Since the patient was not experiencing any side effects or adverse drug reactions with her current medication regimen then I think it is safe to increase her Gabapentin to 200mg TID and add Cymbalta 30mg Qday. Of course, we will monitor the patient to make sure she is tolerating the new medication. Finally, I think it’s important to always assess pain with all our patients to ensure wellness and a better quality of life.

Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

We value our customers and so we ensure that what we do is 100% original..
With us you are guaranteed of quality work done by our qualified experts.Your information and everything that you do with us is kept completely confidential.

Money-back guarantee

At, You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

The Product ordered is guaranteed to be original. Orders are checked by the most advanced anti-plagiarism software in the market to assure that the Product is 100% original. The Company has a zero tolerance policy for plagiarism.

Read more

Free-revision policy

The Free Revision policy is a courtesy service that the Company provides to help ensure Customer’s total satisfaction with the completed Order. To receive free revision the Company requires that the Customer provide the request within fourteen (14) days from the first completion date and within a period of thirty (30) days for dissertations.

Read more

Privacy policy

The Company is committed to protect the privacy of the Customer and it will never resell or share any of Customer’s personal information, including credit card data, with any third party. All the online transactions are processed through the secure and reliable online payment systems.

Read more

Fair-cooperation guarantee

By placing an order with at HomeworkCheg, you agree to the service we provide. We will endear to do all that it takes to deliver a comprehensive paper as per your requirements. We also count on your cooperation to ensure that we deliver on this mandate.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages