NR 603 Week 6 Assignment_Clinical Education Associates CEA Pre-Diagnostic Case Study - Part 2 - Tension-Type Headache TTH

▪ Ibuprofen 400-400 mg PO ▪ Naproxen sodium 220-550 mg PO ▪ Aspirin 500-650 mg PO ▪ Acetaminophen 1000 mg PO (preferred as opposed to ibuprofen among patients with renal insufficiency). ▪ Pharmacologic therapies (Chronic – occurring > 15 days a month for >6 months) ▪ Tricyclic antidepressants: Amitriptyline (Elavil) 10 mg Po QHS x 14 days, increased by 10 mg increments to a total of 50 mg if necessary. ▪ Non-pharmacological therapies ▪ Intermittent ice and heat application to the head, neck, or shoulders for tension alleviation ▪ Swedish massage therapy ▪ Rest in a dark and quiet space ▪ 10% peppermint oil application to the forehead, back of the ears, back, and back of the neck. ▪ Suggested Consults / Results ▪ Physical therapy referral for further identification of musculoskeletal triggers and development of treatment exercises targeting muscle tension ▪ Neuropsychology referral for further evaluation and treatment including cognitive behavioral therapy ▪ Client Education ▪ Lifestyle modifications ▪ Stress reduction and management such as the implementation of 30–60-minute daily exercise, yoga, massage therapy, and stress counseling. ▪ Avoidance of inflammatory diet (red meats, sugary foods & drinks) ▪ Avoidance of caffeine and alcohol intake, with increased daily water intake. ▪ Smoking cessation future practice. Furthermore, as providers, we must provide additional teaching regarding holistic approaches to care for women living with this chronic disease. As per Desai et al. (2024), the recommendation of a gluten-free diet rich in omega-3 fatty acids aids pain reduction secondary to a decrease in inflammation, utilization of transcutaneous electrical nerve stimulation (TENS) can assist during excess dyspareunia exacerbation, obtaining a referral to CBT to help with depression associated with endometrial complex lifestyle changes and pain, and recommendation of support groups through community-based programs to provide emotional and psychological guidance. Great job this week and thank you! Heather Reference Desai, J., Strong, S., & Ball, E. (2024). Holistic approaches to living well with endometriosis. F1000Research, 13, 359. https://doi.org/10.12688/f1000research.142586.2Links to an external site . Response Post Hello Nicole, Thank you so much for your response. Your contribution towards recommending acupuncture as a holistic remedy is highly appreciated as I will consider that in my future practice. Heather Response Post Hello Dana, I enjoyed your post as it was highly informative regarding a disease, we often witness too much in our nursing practices. Following your management plan, a multidisciplinary care approach is imperative in continued care for post-stroke patients in conjunction with severe lifestyle modifications. As per Kernan et al. (2021), the provision of patient resources in accessing high- quality care is essential for the prevention of secondary stroke. Furthermore, strong emphasis on adherence to preventive factors including co-morbidity management, regular aerobic exercise, reduction alcohol intake, smoking and vaping cessation, and a diet rich in omega-3 fatty acids, lean proteins, low sodium, whole grains, and high in vegetables all contribute towards overall enhanced patient outcomes. Wonderful job this week! Thank you, Heather Reference Kernan, W. N., Viera, A. J., Billinger, S. A., Bravata, D. M., Stark,