Pain Management in a Polytrauma Patient Essay Example | Topics and Well Written Essays - 1750 words

Pain Management in a Polytrauma Patient - Essay Example Nociceptive pain comprises of two other classes: radicular and somatic pain. Radicular pain primarily stems from nerve roots irritation such as a disc herniation (PubMed). It follows the leg down to the nerve distribution from the root nerve at the spinal cord. In most scenarios, this class of pain associates with radiculopathy (numbness, weakness, loss of reflexes in nerve distribution). Somatic pain essentially affects the thigh and back. The problem with back pain is that polytrauma patients may not be in a position to provide appropriate history. However, doctors usually provide exact diagnosis in few cases even with appropriate information. Patients suffering from neuropathic pain display characteristics of complete or partial changes in the innervations territories that correspond to the central nervous or peripheral system pathology. Additionally, there is paradoxical occurrence of hypersensitivity and pain in denervated zones and their surroundings (Thomas 125). These nerve p roblems occur in different conditions and different locations of the nerve lesion. Consequently, there is no single mechanism entirely responsible for maintaining and generating all the signs and symptoms in neuropathic pain. Overall treatment of neuropathic pain remains a problem, though the increasing evidence of effective neuropathic pain treatment makes it important for clinicians to know the effective drugs in relieving pain as well as their side effects. Additionally, there is need for a treatment algorithm based on evidence for treating neuropathic conditions. A direct comparison of different drugs in both their side effects and efficacy will ideally lead to the best drug for the... Patients suffering from neuropathic pain display characteristics of complete or partial changes in the innervations territories that correspond to the central nervous or peripheral system pathology. Additionally, there is paradoxical occurrence of hypersensitivity and pain in denervated zones and their surroundings (Thomas 125). These nerve problems occur in different conditions and different locations of the nerve lesion. Consequently, there is no single mechanism entirely responsible for maintaining and generating all the signs and symptoms in neuropathic pain. Overall treatment of neuropathic pain remains a problem, though the increasing evidence of effective neuropathic pain treatment makes it important for clinicians to know the effective drugs in relieving pain as well as their side effects. Additionally, there is need for a treatment algorithm based on evidence for treating neuropathic conditions. A direct comparison of different drugs in both their side effects and efficacy w ill ideally lead to the best drug for the algorithm. However, the availability of such comparisons is limited. The other viable option is to estimate relative safety and efficacy using the number needed to harm (NNH) and the number needed to treat (NNT) approach. Past research and studies using this approach appraise four pharmacological drug classifications that prove important in the management of neuropathic pain: antidepressants, anticonvulsants, opioids, and NMDA antagonists (Medscape).

Information Overload and Intelligence Operations Essay

Information Overload and Intelligence Operations - Essay Example I agree that one of the key areas of definition is the development of the issues that are directly related to intelligence operations. I believe that intelligence collection and analysis operate hand in hand, arguing that too much collection and little analysis would only lead to ineffective intelligence operations, and the opposite has the same result. It is true that the issue of mass data collection and the appropriate measures that can be taken to analyze mass data. The post focuses on the noise created by the mass data collected, when you comment, "†¦ there is difficulty presented within intelligence analysis in the context of mass data collection and the amount of â€Å"noise† created by an overwhelming amount of information." Intelligence analysis is more time and resource consuming as compared to data collection as recurrently referenced by the student. However, you ignore assessing the technological innovations created to make an analysis easier, which are less t ime-consuming. Regardless, I agree with the student who argues that the analysis is as equally critical to intelligence operations as collection of appropriate data is. I agree that data analysts are responsible for incorrect information or the incomprehensive information because thorough analysis is rather tasking for analysts. It is good when you introduce the concept of information overload, which is a rather clever approach to address the topic. Information overload has been noted to cause most analysts make poor judgments or ignore a series of vital components of information. You did a great job by going to the extent of showing the worst effects of information overload. According to the post, information overload that overwhelms the analysts poses a critical security threat to the country. â€Å"Our nation becomes less secure because analysts are more indecisive, stressed, and pose â€Å"less effective analysis of decisions." All in all, I agree that the analysis is a mental process and that exhaustion is highly likely to affect the productivity of analysts. I think that this is an exceptional piece.