Topics in PAIN SPRING 2016 PEER-REVIEWED EXCELLENCE in LIFE CARE PLANNING SINCE 2006 VOL

Total Page:16

File Type:pdf, Size:1020Kb

Topics in PAIN SPRING 2016 PEER-REVIEWED EXCELLENCE in LIFE CARE PLANNING SINCE 2006 VOL Spring 2014 vol. XIV, no.2 Spring 2016 vol. XVI, no.1 Topics in PAIN SPRING 2016 PEER-REVIEWED EXCELLENCE IN LIFE CARE PLANNING SINCE 2006 VOL. XVI NO. 1 Journal of Nurse Life Care Planning is the official peer- reviewed publication of the American Association of Nurse Life Care Planners. Articles, statements, and opinions contained herein are those of the author(s) and are not necessarily the official policy of the AANLCP® or the editors, unless expressly stated as such. JOURNAL OF NURSE LIFE CARE PLANNING ® The Association reserves the right to accept, reject, or alter SPRING 2016 manuscripts or advertising material submitted for TABLE OF CONTENTS publication. The Journal of Nurse Life Care 12 Book Review: ASPMN 34 Deep Brain Stimulation: Planning is published quarterly in spring, summer, winter, and Core Curriculum for Pain An Off-Label Surgical Therapy fall. Members of AANLCP® Management Nursing for Refractory Chronic Pain receive the Journal subscription Dawn L Cook RN, LNCP-C, CLCP, CLNC Laura Sperry MSN RN ANP-C , electronically as a membership benefit. Back issues are available Lin Zhang MD PhD, Kia Shahlaie in electronic (PDF) format on 13 Book Review: Being Mortal. the association website. Journal Medicine and What Matters in 41 Psychological Interventions for contents are also indexed at the the End by Atul Gawande Chronic Pain: A brief overview Cumulative Index of Nursing and Allied Health Literature Ann M. Peterson, RN, EdD, MSN, FNP- Whitney N. Pierce, RN, PsyD, BCB (CINAHL) at ebscohost.com. BC, LNCC Adam A. Kristevski, PsyD Please forward all email address 14 Chronic Pain: A Simple Review 45 Cognitive Behavioral Therapy changes to AANLCP® marked “Journal-Notice of Address For a Not So Simple Pathology (CBT) for Chronic Pain Update.” Kelly K. Campbell, RN, BSN, CP, CLCN, Michael Coupland CPsych, RPsych, CRC CLCP, Michael Stanton-Hicks, MD Contents and format copyright 52 Pain Management and by the American Association of Nurse Life Care Planners. All 21 Starting a life care plan for a Interventions: A Brief rights reserved. For permission patient with chronic pain Bibliography of Books to reprint articles, graphics, or Anne Sambucini RN, CCM, CDMS, Compiled by David Dillard BA MLS charts from this journal, please request to AANLCP® headed CNLCP, MSC-C “Journal-Reprint Permissions” 54 You CAN take it with you: citing the volume number, 23 A Child in Pain equipment and supplies for the article title, author and intended Kelly K. Campbell, RN, BSN, CP, CLCN, Nurse Life Care Planner, on the reprinting purpose. CLCP, Michael Stanton-Hicks, MD road again Neither the Journal nor the Dawn L Cook RN, LNCP-C, CLCP, CLNC Association guarantees, 28 Opioid Use In The Elderly warrants, or endorses any Tim R. Covington, MS, PharmD, product or service advertised in this publication nor do they Dane A. Higgins, MBA, PharmD guarantee any claims made by any product or service representative. DEPARTMENTS In order to make safe and effective judgments using 3 From the Editor 8 Contributors to this Issue NANDA-I nursing diagnoses it is essential that nurses refer to the definitions and defining 4 Information for Authors 11 Letters to the Editor characteristics of the diagnoses listed in this work. 6 A Message from the President 58 Issue Index AANLCP JOURNAL OF NURSE LIFE CARE PLANNING ISSN 1942-4469 2 SPRING 2016 PEER-REVIEWED EXCELLENCE IN LIFE CARE PLANNING SINCE 2006 VOL. XVI NO. 1 By the time this issue reaches you, I hope I’ll have had many opportunities to meet you at the annual conference in San Antonio. I’ve always had a good time at professional conferences. I’ll bet many of you have noticed a pattern to your conference attendance; it follows the same trajectory as Benner’s classic work on how nurses progress from novice to expert with the help of teachers along the way. The first conference you go to, you attend all the basic sessions— for me as a new grad in critical care, that meant fluids and electrolytes, basic arrhythmias, acid/base balance and blood gases, ventilator management, and some fun sessions on the new and exciting research on endogenous corticosteroids in stress (Hans Selye himself spoke that year), neurology weirdness, and hemodynamic monitoring. After a year or two, you notice you gravitate to more advanced topics. As your professional life goes on and you begin to take some formal or informal leadership roles, you pick up new subspecialties and want to attend associated conference topics. If you attend more basic ones it’s not for the knowledge, but to see how others teach them so you can help others learn what you know. Maybe you’re running a business where you teach your employees or your subcontractors. Gradually, you realize that your practice has reached the expert stage. You wonder if there’s going to be something new to learn at every conference you attend; you learn there is, even as you’ve discovered you’re getting asked to be a presenter with that augmented badge and all. As nurses, we began to teach in our first clinical rotations (even when we didn’t know very much at all). As life care planners now, though, we’re expected to teach not just patients but attorneys, triers of fact, trust officers, and others who need to know what we know. Let’s not forget the ones coming behind us. Newer nurse life care planners will be looking to us as role models and teachers. I’ve always felt that one of the great things about nursing is that it’s explicitly collaborative. We help each other out. I remember the day I decided to take up life care planning and cold-called two nurse life care planners in my area after finding them in Google. Each spent more than an hour with me, a perfect stranger, telling me about nurse life care planning, getting clients, education, and the association. They could have said, “Hmmm, a new competitor, I’ll just blow her off,” but they didn’t. I felt welcomed and encouraged to stay in touch with these women as colleagues, and I have. This is why I always have time to chat when somebody calls me with a question. Sometimes I don’t have a good answer, but I can usually send them to someone who does. Mostly, though, I just want to do what I can to help other people understand nurse life care planning, the power that the nursing process gives to all of us at every level. I’m easy to find on From the Editor From the ‘net, and I get these calls pretty often; I hope I can always be of use, like Homer in John Irving’s classic The Cider House Rules. You probably do too. We’re nurses. We can help. Hope you all had a great conference! Wendie A. Howland MN RN-BC CRRN CCM CNLCP LNCC Editor, JNLCP [email protected] AANLCP JOURNAL OF NURSE LIFE CARE PLANNING ISSN 1942-4469 3 SPRING 2016 PEER-REVIEWED EXCELLENCE IN LIFE CARE PLANNING SINCE 2006 VOL. XVI NO. 1 Information for Authors AANLCP® invites interested nurses figure, photo, or art should be on Manuscripts not published will be and allied professionals to submit a separate page, labeled to match returned to the author. Queries article queries or manuscripts that its reference in text, with credits may be addressed to the care educate and inform the Nurse Life if needed (e.g., Table 1, Common of the Editor at: whowland@ Care Planner about current clinical nursing diagnoses in SCI; Figure 3, howlandhealthconsulting.com practice methods, professional Time to endpoints by intervention, development, and the promotion American Cancer Society, 2003) Live Manuscript Review Process of Nurse Life Care Planning within links are encouraged. Please include the medical-legal community. the full URL for each. Submitted articles are peer Submitted material must be reviewed by Nurse Life Care original. Manuscripts and queries Editing and Permissions Planners with diverse backgrounds may be addressed to the Editorial The author must accompany the in life care planning, case Committee. Authors should use the submission with written release management, rehabilitation, following guidelines for articles to be from: and the nursing profession. considered for publication. Please ◾ Any recognizable identified Acceptance is based on note capitalization of Nurse Life Care facility for the use of name or manuscript content, originality, Plan, Planning, etc. image suitability for the intended ◾ Any recognizable person in a audience, relevance to Nurse Life Text photograph, for unrestricted use Manuscript length: 1500 – 3000 of the image Care Planning, and quality of the words ◾ Any copyright holder, for submitted material. If you would ◾ Use Word© format (.doc, .docx) copyrighted materials including like to review articles for this or Pages (.pages) illustrations, photographs, journal, please contact the Editor. ◾ Submit only original manuscript tables, etc. not under consideration by other AANLCP® Journal publications All authors must disclose any Reviewers for this issue ◾ Put the title and page number relationship with facilities, Dawn Cook RN LNCP-C CLCP CLNC in a header on each page (using institutions, organizations, or the Header feature in Word) companies mentioned in their Mariann Cosby DNPg MPA MSN RN ◾ Use Times, Times New Roman, work. All accepted manuscripts PHN CEN NE-BC LNCC CLCP CCM or Ariel font, 12 point are subject to editing, which MSCC ◾ Place author name, contact may involve only minor changes information, and article title on of grammar, punctuation, Linda Husted MPH RN CNLCP LNCC a separate title page, so author paragraphing, etc. However, some CCM CDMS CRC name can be blinded for editorial editing may involve condensing Shelly Kinney MSN RN CCM CNLCP review or restructuring the narrative.
Recommended publications
  • Martin Steinhoff Dirk Roosterman, Tobias Goerge, Stefan W
    Dirk Roosterman, Tobias Goerge, Stefan W. Schneider, Nigel W. Bunnett and Martin Steinhoff Physiol Rev 86:1309-1379, 2006. doi:10.1152/physrev.00026.2005 You might find this additional information useful... This article cites 963 articles, 265 of which you can access free at: http://physrev.physiology.org/cgi/content/full/86/4/1309#BIBL Medline items on this article's topics can be found at http://highwire.stanford.edu/lists/artbytopic.dtl on the following topics: Biochemistry .. Transient Receptor Potential Channel Biochemistry .. Endopeptidases Biochemistry .. Proteolytic Enzymes Oncology .. Inflammation Medicine .. Neurogenic Inflammation Physiology .. Nerves Updated information and services including high-resolution figures, can be found at: http://physrev.physiology.org/cgi/content/full/86/4/1309 Downloaded from Additional material and information about Physiological Reviews can be found at: http://www.the-aps.org/publications/prv This information is current as of February 8, 2008 . physrev.physiology.org on February 8, 2008 Physiological Reviews provides state of the art coverage of timely issues in the physiological and biomedical sciences. It is published quarterly in January, April, July, and October by the American Physiological Society, 9650 Rockville Pike, Bethesda MD 20814-3991. Copyright © 2005 by the American Physiological Society. ISSN: 0031-9333, ESSN: 1522-1210. Visit our website at http://www.the-aps.org/. Physiol Rev 86: 1309–1379, 2006; doi:10.1152/physrev.00026.2005. Neuronal Control of Skin Function: The Skin as a Neuroimmunoendocrine Organ DIRK ROOSTERMAN, TOBIAS GOERGE, STEFAN W. SCHNEIDER, NIGEL W. BUNNETT, AND MARTIN STEINHOFF Department of Dermatology, IZKF Mu¨nster, and Boltzmann Institute for Cell and Immunobiology of the Skin, University of Mu¨nster, Mu¨nster, Germany; and Departments of Surgery and Physiology, University of California, San Francisco, California I.
    [Show full text]
  • A Review of Hyperacusis and Future Directions: Part I. Definitions and Manifestations
    AJA Review Article A Review of Hyperacusis and Future Directions: Part I. Definitions and Manifestations Richard S. Tyler,a Martin Pienkowski,b Eveling Rojas Roncancio,a Hyung Jin Jun,a Tom Brozoski,c Nicolas Dauman,d Claudia Barros Coelho,a Gerhard Andersson,e,f Andrew J. Keiner,a Anthony T. Cacace,g Nora Martin,a and Brian C. J. Mooreh Purpose: Hyperacusis can be extremely debilitating, and at Results: Hyperacusis encompasses a wide range of present, there is no cure. We provide an overview of the reactions to sound, which can be grouped into the field, and possible related areas, in the hope of facilitating categories of excessive loudness, annoyance, fear, and future research. pain. Many different causes have been proposed, and it will Method: We review and reference literature on be important to appreciate and quantify different subgroups. hyperacusis and related areas. We have divided the Reasonable approaches to assessing the different forms of review into 2 articles. In Part I, we discuss definitions, hyperacusis are emerging, including psychoacoustical epidemiology, different etiologies and subgroups, and measures, questionnaires, and brain imaging. how hyperacusis affects people. In Part II, we review Conclusions: Hyperacusis can make life difficult for many, measurements, models, mechanisms, and treatments, forcing sufferers to dramatically alter their work and social and we finish with some suggestions for further habits. We believe this is an opportune time to explore research. approaches to better understand and treat hyperacusis. yperacusis can be devastating for those who suf- refereed publications, books, and conference proceedings. fer from it. This review is intended to clarify what We highlighted what we believe are key issues that are im- H is known at present about hyperacusis and its portant to move forward, sometimes even drawing from underlying mechanisms to focus research and to promote areas not normally associated with hyperacusis.
    [Show full text]
  • Interview and History Taking Strategies CHAPTER 2 Physical Examination Strategies CHAPTER 3 Documentation Strategies
    Part 1 Strategies for Eff ective Health Assessment CHAPTER 1 Interview and History Taking Strategies CHAPTER 2 Physical Examination Strategies CHAPTER 3 Documentation Strategies 1 © Jones & Bartlett Learning, LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION 9781284131390_CH01_Pass01.indd 1 24/09/16 12:24 PM Chapter 1 Interview and History Taking Strategies “In taking histories follow each line of thought, ask no leading questions. Never suggest. Give the patient’s own words in the complaint.” Sir William Osler (1849–1919) (Bean & Bean, 1968) Functions of the Interview and Health History Interviewing and taking health histories serve fi ve major functions: 1. Establishing the initial bond between provider and patient (Figure 1-1) 2. Laying the foundation for subsequent clinical decision making 3. Providing a legal record of the subjective and objective data (Box 1-1) elicited during the clinical interview, which drive clinical judgments 4. Fulfi lling a critical component of the documentation required for third-party payer reimbursement for clinical services 5. Serving as an essential element in the peer review process for evaluation of clinical practice, such as application of evidence-based practice and identifi cation of desired patient outcomes As the primary goal of this text is to help the reader to develop expertise in advanced health assessment, this chapter will focus primarily on functions one and two. Legal and reimbursement requirements mandate meticulous, comprehensive, and complete documentation of all the components of care, including patient teaching and counsel- ing provided at each provider–patient encounter. These include not only the traditional face-to-face encounters, but also other means of care, such as interaction via e-mail and telephone.
    [Show full text]
  • Functional Sensory Symptoms
    Handbook of Clinical Neurology, Vol. 139 (3rd series) Functional Neurologic Disorders M. Hallett, J. Stone, and A. Carson, Editors http://dx.doi.org/10.1016/B978-0-12-801772-2.00024-2 © 2016 Elsevier B.V. All rights reserved Chapter 24 Functional sensory symptoms J. STONE1* AND M. VERMEULEN2 1Department of Clinical Neurosciences, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK 2Department of Neurology, Academic Medical Center, Amsterdam, The Netherlands Abstract Functional (psychogenic) sensory symptoms are those in which the patient genuinely experiences alter- ation or absence of normal sensation in the absence of neurologic disease. The hallmark of functional sen- sory symptoms is the presence of internal inconsistency revealing a pattern of symptoms governed by abnormally focused attention. In this chapter we review the history of this area, different clinical presentations, diagnosis (including sensitivity of diagnostic tests), treatment, experimental studies, and prognosis. Altered sensation has been a feature of “hysteria” since descriptions of witchcraft in the middle ages. In the 19th century hysteric sensory stigmata were considered a hallmark of the condition. Despite this long history, relatively little attention has been paid to the topic of functional sensory disturbance, compared to functional limb weakness or functional movement disorders, with which it commonly coexists. There are recognizable clinical patterns, such as hemisensory disturbance and sensory disturbance fin- ishing at the groin or shoulder, but in keeping with the literature on reliability of sensory signs in neurology in general, the evidence suggests that physical signs designed to make a positive diagnosis of functional sensory disorder may not be that reliable.
    [Show full text]
  • Prognosis of a Case with Paresthesia Associated with Prolonged Touching of an Endodontic Paste to the Inferior Alveolar Nerve
    J Clin Exp Dent. 2011;3(Suppl1):e377-81. Inferior alveolar nerve paresthesia. Journal section: Oral Surgery doi:10.4317/jced.3.e377 Publication Types: Case Report Prognosis of a case with paresthesia associated with prolonged touching of an endodontic paste to the inferior alveolar nerve M. Cemil Buyukkurt 1, Hakan Arslan 2, H. Sinan Topcuoglu 2, M. Melih Omezli 3 1 PhD, DDS. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sifa University, İzmir, Turkey 2 DDS. Department of Endodontic, Faculty of Dentistry, Ataturk University, Erzurum, Turkey 3 DDS. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ataturk University, Erzurum, Turkey Correspondence: Department of Endodontic, Faculty of Dentistry, Ataturk University, Erzurum, 25240, Turkey E-mail address: [email protected] Received: 10/02/2011 Accepted: 08/05/2011 Buyukkurt MC, Arslan H, Topcuoglu HS, Omezli MM. Prognosis of a case with paresthesia associated with prolonged touching of an endodontic paste to the inferior alveolar nerve. J Clin Exp Dent. 2011;3(Suppl1):e377- 81. http://www.medicinaoral.com/odo/volumenes/v3iSuppl1/jcedv3iSu- ppl1p377.pdf Article Number: 50506 http://www.medicinaoral.com/odo/indice.htm © Medicina Oral S. L. C.I.F. B 96689336 - eISSN: 1989-5488 eMail: [email protected] Abstract Paresthesia is described as an abnormal sensation, such as burning, pricking, tickling, tingling, formication or num- bness. Several conditions can cause paresthesia. This article presents a case of paresthesia caused by the extrusion of endodontic paste (Endomethasone®) into the mandibular canal. The clinical manifestations comprised the numb- ness on the right side of the mandible and right lower lip, appearing after endodontic treatment.
    [Show full text]
  • HSVMA Guide to Congenital and Heritable Disorders in Dogs
    GUIDE TO CONGENITAL AND HERITABLE DISORDERS IN DOGS Includes Genetic Predisposition to Diseases Special thanks to W. Jean Dodds, D.V.M. for researching and compiling the information contained in this guide. Dr. Dodds is a world-renowned vaccine research scientist with expertise in hematology, immunology, endocrinology and nutrition. Published by The Humane Society Veterinary Medical Association P.O. Box 208, Davis, CA 95617, Phone: 530-759-8106; Fax: 530-759-8116 First printing: August 1994, revised August 1997, November 2000, January 2004, March 2006, and May 2011. Introduction: Purebred dogs of many breeds and even mixed breed dogs are prone to specific abnormalities which may be familial or genetic in nature. Often, these health problems are unapparent to the average person and can only be detected with veterinary medical screening. This booklet is intended to provide information about the potential health problems associated with various purebred dogs. Directory Section I A list of 182 more commonly known purebred dog breeds, each of which is accompanied by a number or series of numbers that correspond to the congenital and heritable diseases identified and described in Section II. Section II An alphabetical listing of congenital and genetically transmitted diseases that occur in purebred dogs. Each disease is assigned an identification number, and some diseases are followed by the names of the breeds known to be subject to those diseases. How to use this book: Refer to Section I to find the congenital and genetically transmitted diseases associated with a breed or breeds in which you are interested. Refer to Section II to find the names and definitions of those diseases.
    [Show full text]
  • Management of Frey Syndrome Using Botulinum Neurotoxin: a Case Report
    Clinical P RACTIC E Management of Frey Syndrome Using Botulinum Neurotoxin: A Case Report Contact Author Samson Ng, BSc (Pharm), MSc, DMD, FRCD(C), FDSRCSEd, Dip ABOMP, Dip ABOM; Dr. Ng Cathy Torjek, CDA; Allan Hovan, DMD, MSD, FRCD(C), Dip ABOM Email: [email protected] ABSTRACT Frey syndrome is manifested clinically by hemifacial flushing and sweating after a gus- tatory stimulus. Frey syndrome is usually secondary to traumatic injury in the parotid region and is thought to be the result of misdirected re-sprouting of damaged auto- nomic nerve fibres. In this case report, we highlight the clinical and psychosocial aspects of Frey syndrome from a patient’s perspective, outline the pathophysiology of the condi- tion and current management strategies, and describe the use of botulinum neurotoxin in the treatment of Frey syndrome. For citation purposes, the electronic version is the definitive version of this article: www.cda-adc.ca/jcda/vol-75/issue-9/651.html rey syndrome (also referred to as gusta- Case Report tory sweating or auriculotemporal syn- A female patient presented with intermit- Fdrome) presents clinically as unilateral tent flushing and sweating in the left preaur- facial sweating and flushing on salivary stimu- icular region of her face at mealtimes. In 2001, lation and mastication. It was first described she had had a left superficial parotidectomy by Duphenix in 17571 as a condition following for treatment of pleomorphic adenoma. Two injury to the parotid gland and, subsequently, years after her surgery, she began noticing explained by Dr. Lucja Frey, a neurologist.2 moisture, redness and a warm sensation at Frey syndrome commonly occurs fol- the operative site after eating certain foods.
    [Show full text]
  • Case but One Hyperesthesia and Anesthesia, in One Case I Have To
    rice-mill in its present form and suggests boiling the Health and Marine-Hospital Service for permission to rice before milling to cause adhesion of the pericarp as report these, cases, and also the medical officer in com- a prophylaxis against beri-beri. He is of the opinion mand, U. S. Marino Hospital, Port of San Francisco, that the growth of beri-beri in this country will depend California, for copies of the case histories. on the methods of milling employed in the rice-growing states. So insistent, indeed, is Braddon on his rice theory that he is inclined to discredit any reported cases HYPERNEPHROMA OF THE KIDNEY, of beri-beri occurring in the absence of a rice factor in the diet. He out two ways by which the rice fac- WITH METASTASIS TO THE MANUBRIUM STERNI, SIMU- points AORTA. tor may have been unwittingly introduced : LATING ANEURISM OF THE 1. By the use of foodstuffs adulterated with rice-pow- AUGUSTUS A. ESHNER, M.D. der. Professor of Clinical Medicine in the Philadelphia Polyclinic and College for Graduates in Medicine; Physician to the Phila- 2. the use has stored in bins By of food which been delphia General Hospital; Assistant Physician to the once occupied by rice. Philadelphia Orthopedic Hospital and Infirmary He also describes a ship disease, a form of ptomain for Nervous Diseases. poisoning, with gastric symptoms, fatigue and edema, PHILADELPHIA. but no nerve implication. The term hypernephroma has been applied to a new To return to the crew of the Nederland. These men growth that, while exhibiting considerable variability in lived on ship's bread, salt meat, and beans.
    [Show full text]
  • Clinical Examination of a Patient with Possible Neuropathic Pain
    Clinical Examination of a Patient with Possible Neuropathic Pain Maija Haanpää, MD, PhD18 Helsinki University Hospital, Department of Neurosurgery, Helsinki, Finland; Etera Mutual Pension Insurance Company, Helsinki, Finland Educational Objectives Th is chapter explains the crucial role and prac- tical performance of the bedside examination of a pain 1. State the defi nition of neuropathic pain and de- patient with suspected neuropathic pain. Despite the scribe grading methods to determine clinical cer- development of neurophysiological and neuroimaging tainty of neuropathic pain. methods, taking a history and performing a clinical ex- 2. Give an overview of the clinical examination for di- amination of a patient, using simple tools, remain the agnosing neuropathic pain. most important step in the diagnostic process. Basic knowledge of neuroanatomy, suffi cient practical train- 3. Discuss the limitations and challenges of clinical ing in neurological examination, and an analytic ap- examination in diagnosing neuropathic pain and in proach in the patient are needed. Th e accompanying diff erentiating it from other types of pain. chapters by Truini and Meier review laboratory tools, quantitative sensory testing, and confocal corneal mi- Th e Rationale for Diagnosing croscopy in assessing patients with possible neuropath- Neuropathic Pain ic pain. Neuropathic pain causes suff ering and disability for Defi nition of Neuropathic Pain many patients and is a well-known public health prob- lem. Neuropathic pain diff ers from nociceptive pain IASP defi nes neuropathic pain as “pain caused by a le- in terms of symptoms, mechanisms, and therapeutic sion or disease of the somatosensory system.” Com- management [2]. Early diagnosis is a prerequisite for pared to the former defi nition, “pain initiated or caused adequate management.
    [Show full text]
  • Somatosensory Testing in Pediatric Patients with Chronic Pain: an Exploration of Clinical Utility
    children Article Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility 1,2, 1,2, 1,2 1,2 Anna Kersch y, Panchalee Perera y, Melanie Mercado , Andrew Gorrie , David Sainsbury 1, Tara McGrath 3, Phillip Aouad 1,2, Sara Sarraf 1, Tiina Jaaniste 1,2 and David Champion 1,2,* 1 Department of Pain, Sydney Children’s Hospital, Randwick, NSW 2031, Australia; [email protected] (A.K.); [email protected] (P.P.); [email protected] (M.M.); [email protected] (A.G.); [email protected] (D.S.); [email protected] (P.A.); [email protected] (S.S.); [email protected] (T.J.) 2 School of Medicine, University of New South Wales, Sydney, NSW 2052, Australia 3 Stollery Children’s Hospital, University of Alberta, Edmonton, AB T6G 2R3, Canada; [email protected] * Correspondence: [email protected] These authors contributed equally to this work. y Received: 8 October 2020; Accepted: 3 December 2020; Published: 5 December 2020 Abstract: We aimed to evaluate the utility of clinical somatosensory testing (SST), an office adaptation of laboratory quantitative sensory testing, in a biopsychosocial assessment of a pediatric chronic somatic pain sample (N = 98, 65 females, 7–18 years). Stimulus–response tests were applied at pain regions and intra-subject control sites to cutaneous stimuli (simple and dynamic touch, punctate pressure and cool) and deep pressure stimuli (using a handheld pressure algometer, and, in a subset, manually inflated cuff). Validated psychological, pain-related and functional measures were administered.
    [Show full text]
  • Long Term Neurologic Sequelae in a Mexican Rocky Mountain Spotted
    braz j infect dis 2 0 1 9;2 3(2):121–123 The Brazilian Journal of INFECTIOUS DISEASES www.elsevier.com/locate/bjid Case report Long term neurologic sequelae in a Mexican rocky mountain spotted fever case a,∗ a b Karla Rossanet Dzul-Rosado , Cesar Lugo-Caballero , Alejandra Salcedo-Parra , c d Raymundo Daniel López-Soto , Álvaro A. Faccini-Martínez a Universidad Autónoma de Yucatán, Emerging and Re-emerging Diseases Laboratory of Regional Research Center “Dr. Hideyo Noguchi”, Yucatán, Mexico b Universidad Autonoma de Yucatán, Graduate and Research Unit, Nursing Faculty, Yucatán, Mexico c IMSS Campeche, Servicio de Neurología Hospital General, Campeche, Mexico d Universidade Federal do Espírito Santo, Health Science Center, Postgraduate Program in Infectious Diseases, Vitória, ES, Brazil a r t i c l e i n f o a b s t r a c t Article history: During the second half of the twentieth century, neurologic sequelae associated with cen- Received 4 March 2019 tral nervous system impairment caused by Rickettsia rickettsii were studied widely and Accepted 10 April 2019 exclusively in the United States. We present the case of a Mexican pediatric patient with Available online 16 May 2019 neurologic sequelae 10 years after an acute infection by R. rickettsii. © 2019 Sociedade Brasileira de Infectologia. Published by Elsevier Espana,˜ S.L.U. This is Keywords: an open access article under the CC BY-NC-ND license (http://creativecommons.org/ Rocky mountain spotted fever licenses/by-nc-nd/4.0/). Rickettsia rickettsii Neurologic manifestations Rocky mountain spotted fever (RMSF), caused by Rickettsia and differences in virulence of the R.
    [Show full text]
  • Tooth Hypersensitivity Associated with Paresthesia After Inferior Alveolar Nerve Injury: Case Report and Related Neurophysiology
    pISSN 2383-9309❚eISSN 2383-9317 Case Report J Dent Anesth Pain Med 2021;21(2):173-178❚https://doi.org/10.17245/jdapm.2021.21.2.173 Tooth hypersensitivity associated with paresthesia after inferior alveolar nerve injury: case report and related neurophysiology Tae Min You Department of Advanced General Dentistry, School of Dentistry, Dankook University, Cheonan, Korea Inferior alveolar nerve (IAN) injury is usually caused by stretching or crushing of the neurovascular structures and postoperative intra-alveolar hematoma or edema after dental procedures. This results in paresthesia in the ipsilateral chin, lip (vermilion border, skin, and mucosa), and labial or buccal alveolar mucosa of the mandibular anterior teeth. However, there are no reports of sensory alterations in the teeth, especially tooth hypersensitivity, after IAN injury. I report a case in which paresthesia of the lower lip and hypersensitivity of the lower anterior teeth occurred simultaneously after the removal of the third molar that was located close to the IAN. In addition, I discuss the reasons for the different sensory changes between the tooth and chin (skin) after nerve injury from a neurophysiological point of view. Since the dental pulp and periodontal apparatus are highly innervated by the inferior alveolar sensory neurons, it seems necessary to pay attention to the changes in tooth sensitivity if IAN injury occurs during dental procedures. Keywords: Dentin Hypersensitivity; Inferior Alveolar Nerve; Paresthesia. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
    [Show full text]