Case Management Solution?” “Among the many concerns that confront a nurse case manager is finding health care assistance for a patient who: a. may be simply drug seeking b. is not truly interested in recovery or c. sees the injury as an opportunity to end working for a specific employer This is especially problematic if …
Those of us who deal with patients in pain regularly see the broad range of behaviors that accompany the patient’s pain complaints. These vary from an almost catastrophic presentation where the patient appears in almost continual spasm, cannot arise and openly wails in the expression of his/her agony. We also see those who put forth …
“Early Life Adversity” There is no doubt that too often psychological evaluations are incomplete, inaccurate and disappointing. The focus is almost always upon the individual following an injury with little reference to early life. There is also the erroneous belief that if there has been past early life trauma that all current problems are …
“The Acute/Chronic Differences” We use the experience of pain to signal that a problem exists and must be addressed. There are those who are unable to experience pain (Eg. congenital analgesia). It is a rare disorder, although there is a village in Sweden with a high incidence of the condition. For the rest of us, …
“Antidepressant Medication” The occurrence of a work-related injury can result in pain, financial devastation and destruction of family. To relegate this upheaval to a dosage of the proper medication suggests that the patient cannot learn to solve the problems which have arisen. I ask the patient “was your father ever depressed?” The patient replies “Never! …
Those of us who deal with patients in pain regularly see the broad range of behaviors that accompany the patient’s pain …
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Major Depressive Disorder is diagnosed after two weeks or more of a major depressive episode in which there is not only depressed …
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Cocaine abuse is a Substance Use Disorder. It is a disorder of choice and cannot arise from injury. Bottomline _ You have …
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