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Problem
In this journal exercise, you will incorporate concepts of pain mechanisms, pathophysiology, and treatments in your patient's care. An older adult male patient presents for a follow-up visit after hospitalization for the management of foot ulcerations after a recent diagnosis of type 2 diabetes mellitus (DM). The patient's ulcerations are slowly healing; however, he reports a burning sensation to bilateral lower extremities that keeps him up most nights, stating, "It is very painful." The practitioner collects additional data related to the patient's pain. The patient currently rates the pain as a 3 of 10 using a numerical scale; however, he states, "The pain is often an 8 or 9 at night."
I. What classification of pain is the patient likely experiencing based on the current clinical data?
II. In addition to burning, what symptoms should the practitioner include when collecting subjective and objective data regarding the patient's pain? What is your rationale? Get the instant assignment help.
III. What type of pharmacological management is effective for neuropathic pain? How would you order this? What patient teaching would you provide?
IV. What opportunities for interdisciplinary or patient collaboration would be appropriate to manage this patient?
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