|
Consultant. No. 12 Optimal Strategies for Pain Control in Elderly Patients
By MICHELE IANNUZZI-SUCICH, MD |
October 1, 2003
Modena Family Practice
Dr Iannuzzi-Sucich is a primary care physician and consultant in geriatrics at Modena Family Practice in Modena, NY. She is a graduate of
the University of Connecticut Center on Aging geriatrics fellowship program in Farmington, Conn.
CASE 1: A 20-year-old woman sustains
a fracture of the right
femur during a car accident. She is taken by
ambulance to the emergency department
(ED). On arrival in the ED, she is given intravenous
meperidine, which significantly relieves
her pain. The patient subsequently undergoes
surgical repair of the fractured femur and is
discharged to rehabilitation after an uneventful
hospital stay.
CASE 2: A 75-year-old woman
sustains a fracture of the
right femur during a car accident. She is taken
by ambulance to the ED. She has no significant
medical history and is otherwise healthy.
On arrival in the ED, she is given intravenous
meperidine, which initially relieves her pain.
After transfer to the medical-surgical floor, the
patient experiences tremulousness, dysphoria,
and myoclonus. Subsequently, she has a
seizure.
The injury and its treatment were identical in both cases.
What went wrong in Case 2?
|
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners Courtney H. Lyder, ND, May 17, 2013 With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy. VWhat Physicians Can Learn from the Allscripts EHR Lawsuit Marisa Torrieri, May 16, 2013 Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse? Eight Ways ICD-9 Will Still Matter to Medical Practices Brenda Edwards, CPC, May 15, 2013 What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it. Seven Ways Technology Can Speed Up Patient Collections Cheyenne Brinson, May 15, 2013 Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right. Four Reasons Private Medical Practice is Becoming Extinct Carol Stryker, May 15, 2013 It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
COMMENTS
|
CancerNetwork |
ConsultantLive |
Diagnostic Imaging |
Musculoskeletal Network |
OBGYN.net |
PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources
© 1996 - 2013 UBM Medica LLC, a
UBM company
Privacy Statement -
Terms of Service -
Advertising Information -
Editorial Policy Statement -
UBM Medica Network Privacy Policy