logo

Challenge and response to body integrity - assignment

6 Pages966 Words133 Views
   

Added on  2021-04-21

Challenge and response to body integrity - assignment

   Added on 2021-04-21

ShareRelated Documents
Running head: CHALLENGE AND RESPONSE TO BODY INTEGRITYChallenge and response to body integrityName of the StudentName of the UniversityAuthor note
Challenge and response to body integrity - assignment_1
1CHALLENGE AND RESPONSE TO BODY INTEGRITYPhysiology of low back painSue has lower back pain as consequence of the physical demands of Fire and RescueService. Nocireceptors are common cause of pain radiating in back from the place of tissueinjury, via transmission of impulse from place of tissue injury. It is the physiologic responseof the body. The neuron makes connections in both spinal cord and brain and alerts us ofdamaging stimuli (via transduction, conduction, and transmission) followed by spinalmodulation, and relay the message to higher brain centres via electrical signals. These signalsare interpreted as pain by brain (CNS) and leads to supraspinal responses. The pain maycommonly arise from the herniated disc, which is the cause of the pain due to unwantedcontact between the nerve and the disc (Craft et al., 2015, pp.137-153). Lifting heavy materialsincreases the stress on the disc. Back pain is developed when the disc is herniated and some ofthe inner fluid is leaked (Parker et al., 2015). It is the wear and tear process of the disc mayoccur in lumbar spine resulting protrusion against spinal nerve root. This process is known asdegenerative cascade (Bhalla et al., 2016). The other possible reason may be the lumbar spinalstenosis. It occurs due to enlargement of the facet joints of the segment. The condition causescompression of the spinal nerve roots and is due to degenerative conditions such asspondylolisthesis and osteoarthritis, where the pain radiates from the lower back to the legs(Tobert & Harris, 2018). Pharmacological actions and effects of NSAIDS for Sue’s conditionNSAIDS are popularly used for the pain management. NSAIDS exhibit theirpharmacological action by inhibiting the Cyclooxygenase (COX), which in turn inhibits thesynthesis of the prostaglandin and other eicosanoid. COX1 play role of housekeeping and
Challenge and response to body integrity - assignment_2
2CHALLENGE AND RESPONSE TO BODY INTEGRITYregulates normal cellular process (protects kidney and stomach platelet aggregation). COX2 isresponsible for the increased Prostanoid production during inflammation (via cytokines). Theyplay a dominant role in the inflammation and cancer. It contributes to pain and swelling ofinflammation. Prostaglandins are consistently expressed in bones, kidney, brain and results ininflammation when expressed at other sites (Bryant & Knights, 2014, pp. 319 - 339).Consequently the homeostatic mechanism is disrupted with NSAIDS. In Sue, the NSAIDS willhelp lower the pain caused in lumbar spine. Arachdoinic acid is central to this pathway ofNSAIDS that exhibits anti-inflammatory effect at the site of injury of pain (lower back pain incase of Sue). Inflammation results in vasodilatation extravasation of protein exudates andnociception. In this process prostaglandins are key players in this process and are thus inhibitedduring lower back pain (Enthoven et al., 2016). Therefore NSAIDS lower pain andinflammation in lower back pain when administered to Sue. It is useful for reducing stiffness inSue. NSAIDS are administered in dose dependent manner. Higher dose is effective for thehigher degree of swelling, stiffness and pain. The therapeutic and toxic effects vary in differentdrugs. The side effects may include kidney damage. Liver damage is found in patients withalcohol use, when administered with acetaminophen. It might be risk for Sue as takes alcoholand is recommended to take for short period of time (Schilling, 2016).
Challenge and response to body integrity - assignment_3

End of preview

Want to access all the pages? Upload your documents or become a member.

Related Documents
Challenge and Response to Body Integrity Assignment
|4
|896
|59

[PDF] Sexual rights and bodily integrity as human rights
|4
|972
|24

Low Back Pain Physiology
|4
|985
|409

LBP Sensory System Physiology Doc
|5
|978
|59

(PDF) A Simple Approach of Low Back Pain
|3
|816
|164

Nursing Paper on Sciatica and Liver Dysfunction
|10
|3465
|35