*NURSING > iHuman Case Studies > iHuman Case Study 30-Year-Old Reason for Encounter: Neck Pain | WEEK 9 CLASS 6512 (All)
iHuman Case Study 30-Year-Old Reason for Encounter: Neck Pain | WEEK 9 CLASS 6512 Case Analysis for iHuman Case Study: 30-Year-Old Female with Neck Pain o Patient is of average height and weight for ... her age. o No indications of obesity or malnutrition, suggesting general good health. o Height and weight may not be a direct concern in the case of neck pain, but it helps rule out any underlying health conditions (such as obesity or malnourishment) that could exacerbate musculoskeletal problems. Chief Complaint: • Reason for Encounter: Neck pain o The patient presents with neck pain, specifically in the front and slightly on the side, linked to a combination of physical strain from work and a traumatic event. o Pain duration and intensity are concerning, as it hasn’t improved significantly despite time passing. o The pain appears to be both musculoskeletal and possibly exacerbated by emotional stress (physical altercation with her husband). History of Present Illness (HPI): • Onset of Symptoms: o The patient mentions a gradual onset of neck pain related to physical exertion from her job as a dental hygienist. o Neck strain could be from repetitive motion and sustained neck positioning, which is common in healthcare professions that require prolonged bending or leaning. o Pain intensity increased following a traumatic episode where her husband physically grabbed her neck during an argument. This added emotional stress might have intensified the musculoskeletal discomfort. o Patient reports a combination of work-related strain and emotional stress contributing to her symptoms, which might indicate a need for multifaceted treatment involving both physical and psychological care. • Pain Characteristics: o Pain Type: Achy and sore ▪ Described as persistent, dull, and localized to the front and side of the neck, in the areas where her husband grabbed her. ▪ Soreness suggests soft tissue injury, such as muscle strain or ligament sprain. o Location: ▪ Front and side of the neck, where her husband held her. ▪ The description of localized pain after a physical altercation suggests possible trauma to the soft tissue or muscles in the neck area. o Severity: ▪ Pain is enough to affect her daily activities, but she is still able to perform her work duties as a dental hygienist. ▪ The intensity seems to be high enough to cause discomfort while performing tasks that involve neck movement, such as cleaning teeth. o Duration: ▪ The patient mentions the pain is persistent and has not improved much since it started, even after a week. ▪ Ongoing discomfort suggests the injury may be more than just muscle fatigue and could involve inflammation or muscle strain/tear. • Alleviating and Aggravating Factors: o Aggravating Factors: ▪ Extensive use of neck muscles in her dental hygienist job, including bending and twisting motions while leaning over patients. ▪ Emotional stress and physical confrontation with her husband worsened the symptoms. o Alleviating Factors: ▪ No specific mention of activities or interventions that have relieved the pain. ▪ Treatment options for neck pain (e.g., rest, stretching) could be explored further. [Show More]
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