Exam (elaborations)
Tanner Bailey Pain Management Shadow Health Focused Exam- Transcript 2024
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Tanner Bailey Pain Management Shadow Health Focused Exam- Transcript 2024
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Tanner Bailey PainManagement Shadow Health
Focused Exam- Transcript
2024
Overview:
In the Tanner Bailey Pain Management exam, you'll be assessing a patient experiencing pain,
gathering subjective and objective data, and developing a care plan based on your findings. The
focus is on evaluating pain, understanding the patient's experience, and managing it effectively.
Key Areas to Focus On:
1. Subjective Data Collection:
○ Pain Assessment: Ask about the onset, location, duration, characteristics,
aggravating and relieving factors, and the severity of Tanner’s pain using a pain
scale (e.g., 0-10 scale).
○ Impact on Daily Life: Explore how the pain affects Tanner's daily activities,
sleep, mood, and overall quality of life.
○ Medical History: Gather information on any previous pain experiences, chronic
conditions, medications, and treatments Tanner has undergone.
○ Psychosocial Factors: Assess any stress, anxiety, or depression that may be
influencing Tanner's pain experience.
2. Objective Data Collection:
○ Physical Examination: Conduct a focused physical examination based on the
reported pain location. Assess for any signs of inflammation, tenderness, or
abnormal findings.
○ Vital Signs: Check Tanner's vital signs to see if there are any physiological
indicators of pain or distress.
3. Pain Management Plan:
○ Pharmacological Interventions: Consider medications Tanner is currently
taking and discuss any adjustments, such as analgesics, anti-inflammatory
drugs, or other pain-relieving medications.
, ○ Non-Pharmacological Interventions: Recommend complementary therapies
like physical therapy, heat/cold application, relaxation techniques, or cognitive-
behavioral strategies.
○ Education: Provide Tanner with education on pain management techniques,
medication adherence, and lifestyle modifications that may help alleviate pain.
4. Evaluation and Follow-Up:
○ Pain Reassessment: Develop a plan for reassessing Tanner’s pain regularly to
ensure the management plan is effective.
○ Patient Collaboration: Involve Tanner in decision-making about his pain
management plan, ensuring that it aligns with his preferences and goals.
Sample Questions & Responses:
1. Question: "Can you describe your pain for me? Where is it located and what does it feel
like?"
○ Tanner's Response: "The pain is in my lower back. It’s a constant, dull ache that
sometimes gets sharp when I move."
2. Question: "On a scale of 0 to 10, with 0 being no pain and 10 being the worst pain
imaginable, how would you rate your pain right now?"
○ Tanner's Response: "I’d say it’s around a 6 right now."
3. Question: "How has this pain been affecting your daily life?"
○ Tanner's Response: "It’s hard to sleep at night, and I’m having trouble focusing
at work because of the pain."
4. Question: "Have you tried anything to relieve the pain? If so, what’s worked and what
hasn’t?"
○ Tanner's Response: "I’ve tried over-the-counter painkillers, but they only help a
little. Heat pads seem to help more, but the relief doesn’t last long."
Tips for Success:
● Active Listening: Pay close attention to Tanner’s descriptions of his pain. Use his
words to guide your follow-up questions.
● Empathy: Show understanding and empathy for Tanner's experience, validating his
feelings and concerns.
● Clinical Reasoning: Use your knowledge to identify the most appropriate interventions,
both pharmacological and non-pharmacological.
● Documentation: Ensure thorough and accurate documentation of all findings and plans.
:
Detailed Breakdown of Each Section:
1. Subjective Data Collection:
● Pain History:
○ Ask about the history of the current pain episode, including when it started, how it
has progressed, and if Tanner has experienced similar pain in the past.
○ Example Question: “When did you first notice this pain, and how has it changed
since then?”
● Pain Description:
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