Sciatica plan of care

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Write a plan of care for case study in attached file per criteria in file

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The submission included the priority diagnoses- SCIATICA.. Plan of Care Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted. Evaluation of Priority Diagnosis The plan chose the priority diagnosis for the patient and differentiated the disorder from normal development. Discussed the physical and psychological demands the disorder places on the patient and family and key concepts to discuss with them. Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes. Facilitators and Barriers The submission interpreted facilitators and barriers to optimal disorder management and outcomes and strategies to overcome the identified barrier A 40-year-old Asian American male, who works as a roofer, complains that three days ago he was lifting a heavy object at work, following which he got low back pain. The pain is in the middle of the back near his waist. The pain increases when he bends forward and he is experiencing numbness and tingling in the toes of his right foot. He has had similar symptoms before, but it has not been so bad in the past. This is the worst he has had because in the earlier instances, he has never had the tingling sensation in his right foot before. In the past, he got better with rest and some Ibuprofen. He is worried that he will not be able to continue his work and make money. He is out of work as a result of the pain. He has a lot of difficulty getting sleep at night. He has started taking some of his friend’s medication and it seems to help. He has pain in the mid lumbar area, which radiates to the right buttock. He also has numbness and tingling down the back of his right thigh to his toes. The pain and numbness has been increasing since the problem started three days ago. He has tried over-the-counter Ibuprofen and some stretching exercises, but it does not seem to help. He has not sought any medical care yet. In the past, the pain had just gone away, but this time the pain is persistent. There is a gradual worsening of his symptoms and he is concerned about the pain that has been increasing steadily over the past three days. He is wondering whether he has a herniated disc. His major concern is that he has no health insurance and will be missing work. PMH He has had similar pain in the past, but it was not so severe. He saw a chiropractor around two or three years ago and that gave him some relief. Otherwise, the patient has no chronic medical problems. He does not seek medical care on a routine basis. He has had no diagnostic measures in the past. He has never had any blood work reports, CT scan reports, X-ray reports and so forth done in the past. He has been gaining weight over the past few years and does not do any stretching exercises before work. Patient does not have any other risk factors. There are no records of any past surgeries. He has neither had any significant illnesses in the past nor any hospitalizations. ROS Pain in the mid lumbar area radiating to the right buttock. There is a tingling sensation that goes down the back of his right thigh to the toes. He does not have urinary or bowel incontinence. No nausea, vomiting, or fever. He denies abdominal pain and pain with urination. There is no gross hematuria. MEDICATIONS Patient does not take any prescription medications, only over-the-counter Ibuprofen. He is using 800mg of Ibuprofen every four hours. Patient is compliant with the prescribed regimen; in fact, he could be using too much. Patient is seeking care because of the increasing pain. He has tried chiropractic manipulations in the past for low back pain. ALLERGIES/REACTIONS He is allergic to Penicillin. It has caused a rash in the past. SOCIAL HISTORY This patient works for a local roofing company and makes $30,000.00 per year, which is just a little over the minimum wage. He has a high school education certificate and makes just enough money to get by. He has no health insurance. The patient feels that the last thing that he wants to do is spend money on healthcare. He feels his body will get better on its own, and so he can just keep working. He made the appointment at this outpatient clinic because his friends told him about it. He was not sure where to go for help. He has decreased access to healthcare because he is not aware of the services available. The patient has had essentially no healthcare to date. The patient states that he is starting to realize that his body will not last forever at his current position as a laborer. The patient is divorced and thinks he was a failure as a husband. He is behind in alimony payments. His wife is alive and well without any medical problems. They do not communicate anymore. They have no children. He would like to try and get back together with her, but she refuses to speak to him. He has been holding himself back from expressing the amount of stress he has in life for many years. He thinks he is becoming depressed as a result of this. His parents still live in the area and he sees them every weekend. He has friends from work and they do social things together. The patient has not sought any emotional support from anybody. There is no element of family dysfunction. He becomes easily stressed out. He lives in social isolation from his community. The patient has always taken his health for granted and not thought much about it in the past. HABITS Smoking: Non smoker Alcohol: Drinks at bars on weekends to excess with his friends Substance abuse: He smokes marijuana. DIET HABITS He skips breakfast and eats at fast food restaurants twice every day. He sips coffee and caffeinated beverages throughout the day. The patient feels that his job gives him enough exercise and so he need not do anything else. He plans to go on a “diet” soon to lose the weight he has gained over the past few years, but is not sure about the diet he is going to follow. WORK HABITS The patient works as a roofer.
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Attached.

Running head: SCIATICA PLAN OF CARE

1

SCIATICA PLAN OF CARE
Student’s Name
Professor’s Name
Course Title
Date

SCIATICA PLAN OF CARE

2

Herniated Disc Pathophysiology
The dislodgment of material in intervertebral disc exterior of the disc space is 74Herniated
disc. Nucleus pulpous or Disc material that thrusts into nerve core aggravates inflammation that
bring about the pain at the back that patients might experience. “Stumpy back ache and leg ache
are common indicators. Majority of grown person have back ache at some while in their lifespan,
and roughly 10% of grown-ups account the back ache that has gone to under the knees in the
preceding three months”, (Demayo & Mirza, 2016, p.163). Herniated disc can trigger
Radiculopathy and Sciatica. Cure for herniated disc comprise oral prescriptions, physical
psychotherapy with probable steroid inoculation. The final option could be surgical procedure.
Musculoskeletal Care Plan
Age: ____40 years_____

Sex: _M_

Subjective Data:
“I have pain right in my lower back, inside my waist, once I bow down I get numbness and
prickly in my right foot toes”.
HPI:
40-year-old man Asian American. Patient is a roofer; patient comes to the treatment center
with pain in the lower back. He was at labor three days past when he raised a heavy item and felt
aching in the inner back near his stomach area. Aching is worsened when he bows frontward and
feels numbness and prickly in his toes on the right leg. He had a hurt parallel to the current in the
past. At that period, he had aching but no prickly. He cured the hurt with ibuprofen and relaxation.

SCIATICA PLAN OF CARE

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Patient not working and he is worried that he may never be capable of making money again
due to the injury. He whines of striving asleep and takes his associates medicine for the agony and
it appears to aid him. The aching is amid of right buttock and lumbar zone and it radiates. The
deadness and prickly starts from the thigh towards his toes. The man has tried distending workouts
and ibuprofen without assistance. The aching has each time just left previously. The man does not
health cover and is anxious he may have herniat...


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