Lisa Calhoun tried… massage, acupunture, yoga, physical therapy, over the counter medications BUT everything she tried either......did nothing OR made the pain worse...
Until she discovered the 12-second “Neural Pain Switch” that finally erase the nonstop, throbbing joint pain stealing her independence, freedom, and confidence – FOR GOOD!
This video is geared toward healthcare organizations, and housed on the Riskologic.org website to help healthcare leaders understand implementation of the medication safety vest for nurses giving medications so they are not interrupted or distracted. This practice has been demonstrated by Dr. Pape and other nurse researchers to be effective at reducing medication errors and their resultant risk to the organization. The author Dr. Pape includes some background information on medication safety, the invention of the medication safety vest, and rationale for nurses wearing the vest during medication rounds. Lastly, Dr. Pape describes tips and tricks for implementation. Watch this video if you are a healthcare administrator and go to the website www.riskologic.org
Sciatic pain or sciatica is pain that radiates down the sciatic nerve. A TENS unit can be a good way to help relieve this pain. Buy an iReliev Wireless TENS/EMS unit at: https://ireliev.com/product/therapeutic-wearable-system?uid=2&oid=1&affid=17 (affiliate link)
It’s important to know where the sciatic nerve pain is originating from for the best treatment.
When the sciatic nerve is pressed, you might feel pain, numbness, tingling, shooting, or sharp pain. The nerve can get compressed at the spine or at the piriformis muscle. When it’s getting compressed at the spine, it can be from a herniated disc, stenosis, bone spurs, or degeneration. Once you know where the pain is originating from it is easier to target treatment areas.
Transcutaneous electrical nerve stimulation (TENS) can be a good way to help relieve sciatic pain so stretches and exercises can be done that are needed to help the healing process. When TENS is used at the spine, it’s best to not feel any muscle contractions.
Wireless TENS units are a great option for the back and spine area because you don’t have to worry about getting the cords tangled. The iReliev TENS / EMS wireless unit is not only wireless, but it also has 14 different modes to help you get the best option for pain relief. Their large pads also make it easy to place over a larger area, like your back, to get the best coverage.
TENS units have channels (usually one or two), each channel controls two electrodes. With a wireless unit, often the channel has one larger electrode for easier placement. If you are using a wired TENS unit, you want each channel to cross in an X pattern to get the best coverage.
Other Ask Doctor Jo Videos:
iReliev Wireless TENS / EMS Therapeutic Wearable System Review
How to Use a Percussion Massager for Shoulder & Neck Pain Relief
https://www.youtube.com/watch?v=KJWHYO_59FM
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Dr. Jo is a Physical Therapist and Doctor of Physical Therapy.
SUPPORT Ask Doctor Jo on Patreon for as little as a month, and get cool rewards: http://www.patreon.com/askdoctorjo
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How to Use a TENS Unit for Sciatic Nerve Pain Relief:
DISCLAIMER: This content (the video, description, links, and comments) is not medical advice or a personalized treatment plan and is intended for general education and demonstration purposes only. Perform the moves in this content at your own risk. These moves may not be appropriate for your specific situation, so get approval and guidance from your own healthcare provider before beginning. If anything is painful or doesn’t feel right, stop immediately and contact your healthcare provider.
Don’t use this content to self-diagnose or self-treat any health, medical, or physical condition. Don’t use this content to avoid going to your own healthcare provider or to replace the advice they give you. You agree to indemnify and hold harmless Ask Doctor Jo, LLC, its officers, employees, and contractors for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Ask Doctor Jo, LLC makes no representations about the accuracy or suitability of this content.
PRODUCT PLACEMENT DISCLAIMER: This video contains paid product placement. Thank you to iReliev for sponsoring this video and providing Doctor Jo with a free Wireless TENS/EMS Unit to use. Video Rating: / 5
In this video we show how to identify common tablets, capsules and pills you may come across around the house that you may have forgotten about or are not familiar with.
Email: drjd@thefreshpharmacist.com
Video is for informational purposes only please consult your local pharmacist or physician before engaging or taking any medication or medical advice of which you are not familiar. The use of Epocrates App is to used as a supplement to engaging with your health provider. Video Rating: / 5
Opioid drugs are a well-known class of drug due to both their ability to kill pain and kill people. Watch part 2 of this two-part series to learn how opioid drugs can cause addiction and overdose, as well as a bit of the history behind the opioid epidemic in North America.
Watch Part 1 here: https://youtu.be/s60KzN4GJdQ
*Two great articles about the opioid crisis:*
The Promotion and Marketing of OxyContin: Commercial Triumph, Public Health Tragedy (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2622774/)
The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction (https://www.annualreviews.org/doi/full/10.1146/annurev-publhealth-031914-122957)
*Mechanism of cAMP*
Two key functions of cAMP have been discovered in neurons. The first is the activation of ion channels to let positive charge into cells, called a “pacemaker current”, which depolarizes the neuron to activate it. Increased cAMP makes it easier for ion channels to open. Without cAMP, it is harder for these channels to open, resulting in less positive charge entering the neuron to depolarize and activate it. The second function of cAMP in neurons is to increase neurotransmitter release. Certain neurotransmitters are released via a protein kinase A dependent pathway, which is initiated by cAMP. Without cAMP, these neurotransmitters are not released. These two functions combined point to cAMP acting as a neuron activator, and thus when opioids decrease cAMP levels, neuron function is also inhibited.
*Methadone and Buprenorphine Mechanisms*
Methadone (Dolophine) is a long-acting opioid receptor activator that does not cause as much euphoria as morphine. Patients with opioid use disorder patients can enroll in a “methadone maintenance” program, in which they receive a dose of methadone every day. This prevents withdrawal symptoms and unsafe activities obtaining and administrating illicit drugs, helping patients get their lives back on track. Its ability to activate NMDA receptors may also be a reason why this drug is effective at eliminating addiction, tolerance, and withdrawal, but the true mechanisms are still being investigated.
Buprenorphine is a partial agonist of the opioid receptor. This means at low doses it can activate the receptor, but at high doses it inhibits the receptor. Thus, the risk of overdose is limited with buprenorphine and thus can also be used to wean patients off of opioids, albeit slower than methadone.
References:
Kosten TR, George TP. 2002. The neurobiology of opioid dependence: implications for treatment. Science and Practice Perspectives, 1(1): 13-20
Kolodny A, Courtwright D, et al. 2015. The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annual Review of Public Health, 36: 559-574
Williams JT, Christie MJ, Manzoni O. 2001. Cellular and synaptic adaptations mediating opioid dependence. Physiological Review, 81(1):299-343
Medication routes of administration and medical abbreviations nursing NCLEX review.
As a nurse or healthcare professional, you’ll need to know some of the common routes of medication administration, as well as abbreviations used to identify those routes.
Before using abbreviations, it’s important to check your facility’s protocols, as abbreviation use can vary. Most healthcare facilities keep a sheet of approved abbreviations for nursing and other healthcare staff.
Some common medication administration routes/abbreviations include the following:
PO (by mouth)
NPO (nothing by mouth)
Bucc (buccal)
IV (Intravenous)
IVPB (intravenous piggyback)
NGT (Nasogastric Tube)
TD (transdermal)
ID (Intradermal)
Subq (Subcutaneous)
IO (Intraosseous)
ETT (Endotracheal tube)
Rect (Rectal)
Vag (Vaginal)
PEG (percutaneous endoscopic gastrostomy)
INH (inhaled)
and more…
