By Marie Fallon, Lesley A. Colvin
Persistent discomfort is a truly universal challenge, impacting on many sufferers. evaluate and administration might be not easy. The ABC of Pain specializes in the discomfort administration concerns frequently encountered in basic care.
Covering significant persistent ache displays, reminiscent of musculoskeletal soreness, low again soreness and neuropathic ache, the ABC of Pain additionally presents suggestions at the administration of ache in being pregnant, childrens, older adults, drug dependency and the terminally in poor health. starting with an outline of the epidemiology of persistent soreness, soreness mechanisms and the evaluation of soreness, it then offers useful suggestions on interventional techniques and techniques of potent ache management.
The ABC of Pain is a entire, evidence-based reference. it's excellent for GPs, junior medical professionals, nurse experts in fundamental care, palliative care experts, and in addition medical institution and hospice employees coping with chronically and terminally ailing patients.
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Extra resources for ABC of Pain
Thorax Auscultate the thorax using a stethoscope to assess the presence of pulmonary or cardiac problems. Listen to the heart first. Make a note of the rate and rhythm of the heartbeat. Listen for murmurs of abnormal sounds. The normal heart sound is described to sound like ‘lub-dub’. Inform the veterinary surgeon if the heart sounds are muffled. This may indicate pleural effusion, intrathoracic masses or diaphragmatic hernias. Take a femoral pulse whilst listening to the heart to confirm synchronicity.
4. INTRAVENOUS FEEDING (PARENTERAL NUTRITION) Nutrition may be provided by the intravenous route. e. inflammatory bowel disease, pancreatitis and peritonitis). Special liquids suitable for intravenous administration are used. There is a high risk of infection using this method and so solutions must be mixed aseptically and 24·hour nursing provided. TH E WA R D 1. 1 Naso-oesophageal tube in a Doberman dog. 2 Gastrostomy tube feeding. 29 TH E WA R D Nutritional Support Fig. 3 Gastrostomy tube feeding.
Hound gloves are used on short-haired breeds to remove the dead undercoat and give the coat a shine. Stripping combs have a razor blade or serrated metal blade encased in teeth. These are used to help pull out dead hair. The hair is grasped between the thumb and the comb and removed with a twisting motion. Hand stripping or plucking is a technique used by some owners and groomers to remove hairs. P R E PAR AT ION FOR B AT H I N G • Before dogs are bathed, their coats should be brushed out and their claws clipped • Hair from inbetween the pads can be trimmed using clippers if possible (safer than scissors) • Severe mats and tangles should be cut out before they are wet because they become much more difficult to remove after they have become wet • The anal sacs should be palpated and expressed if necessary • The ears should be examined • Pledgets of cotton wool may be placed into each ear before bathing to prevent soap and water entering and causing irritation • Do not apply any ointments or oils to the eyes (this used to be popular; however, it is more difficult to rinse an irritant from the eye) Select shampoo agent suitable for each particular case.