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7-year-old Greg Jones is a construction supervisor. He lives with his wife and three children in a s

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Asked by BrigadierFreedomWren27
7-year-old Greg Jones is a construction supervisor. He lives with his wife and three children in a suburban house.
Greg suffered a back injury at work two years ago which required laminectomy surgery for a herniated disc. This has now left him with persistent and ongoing lower back pain and sciatica down his right leg.
Greg’s Past Medical History:

             – Osteoarthritis

             – Depression

             – Body Mass Index (BMI) = 29 (overweight)

Greg is independent with usual Activities of Daily Living (ADL’s).
Greg has reduced mobility which restricts some of his normal physical activities. He can no longer play football, but enjoys some outdoor activities such as gentle walks and swimming.
The pain also restricts some of his usual work activities – Greg cannot stand for long periods of time and is unable to lift objects over 3kg in weight.
Greg reports he rarely attends social activities, has poor appetite, experiences difficulty sleeping and lacks energy/motivation at times.
Greg’s usual oral medications include:

             – Oxycodone SR 40mg OD

             – Celecoxib 200mg OD

             – Escitalopram 20mg OD and

             – Paracetamol 500mg QID as required

Allergies: Nil
Greg’s current vital signs:
Temperature (tympanic): 36.2 degrees C
Blood Pressure (BP): 135/75
Pulse Rate (HR): 68 bpm
Oxygen saturations (Sao2): 99% on room air
Respiratory rate (RR): 18 breaths/min, regular, equal air entry on auscultation with clear lung fields 
Pain score = 5/10 at rest, increasing to 8/10 with movement. Pain reported in lower back and down right leg                                                         Greg presents to his local General Practitioner (Doctor) seeking further advice and support.

outline and explain how the pathophysiology of chronic pain relates to Greg in the case study.

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 1003

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