Pain management, shadow health medication education

1. Assessment  2. Recommendation and Monitoring 1. Assessment Mr Tanner Bailey is a 29 year old transgender male with no pertinent past medical history. He presented to the clinic with back pain for 13 weeks after lifting abox at work. He takes testosterone enanthate 100mg, once weekly injection and he doesn't miss a dose. He states taking ibuprofen prescribed to him by the healthcare provider during his emergency room visit. He also states taking hydrocodone he got from his friend cause the ibuprofen was not effective Model Note Mr. Bailey is a 31-year-old Transgender man with chronic lower back pain. Mr. Bailey was initially seeking opioids to treat his pain as they had been effective. Due to his lower income and lack of insurance, Mr. Bailey has had trouble receiving treatment for his chronic pain. Comments  1. Assessmen t  2. Recommendation and Monitoring 2. Recommendation and Monitoring Patient was prescribed Ibuprofen 800mg TID for 14 days to help with the back pain, he was also encouraged to restart physical therapy. Patient was educated on importance of taking only medication prescribed to him. Model Note I have prescribed Mr. Bailey 800 mg ibuprofen to be taken every 8 hours as needed. I have asked Mr. Bailey to follow up with his healthcare provider if the ibuprofen is not effective. or I have prescribed Mr. Bailey 600 mg of ibuprofen (3 tablets at a strength of 200 mg each) to be taken every 6 hours as needed. I have asked Mr. Bailey to follow up with his healthcare provider if the ibuprofen is not effective. I recommend that Mr. Bailey see a pain management clinic to consult about equal access, including free, walk-in physical and chiropractic therapy so that Tanner can learn therapeutic exercises on his budget. I also recommend that he seek community support through LGBT+ centered support groups. Comments Model Plan  (1 point) Take with food, milk, or antacids to prevent GI issues  (1 point) Higher than recommended doses are ineffective and dangerous  (1 point) Talk to all of your healthcare providers about the medications you are taking  (1 point) Avoid drinking alcohol  (1 point) Common but less serious side effects include upset stomach and dizziness Topics priorized for patient teaching Education Items  (1 point) Take with food, milk, or antacids to prevent GI issues