Lower back pain - Difficult patient
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Managing Back Pain in Triage
Introduction and Initial Assessment
Hello, good morning. I'm Lutene, one of the triage nurses. We'll do a quick assessment and direct you to the right place.
Confirmation of Details: Can you confirm your name and date of birth, please?
Brendan King, 14th of June, 1960.
Discussion on Symptoms
Presenting Complaint: Brendan, what has brought you in today?
Back pain.
Duration and Changes: How long have you had this back pain?
Years. Brendan mentioned it hurts more today than usual.
Current Medication: Are you taking any painkillers for the back pain?
Yes, Amitriptyline, co-codamol, and naproxen.
Effectiveness: Are these medications helping?
No, they don't do anything.
Further Assessment and Plan
Additional Symptoms: Any numbness or issues with urination?
Brendan experiences pain down his right leg.
Examination: Checking blood pressure and general condition.
Pain Management: Brendan rates his pain at 10 out of 10.
Next Steps
Referral: We will get you seen by a GP in the urgent care centre.
Direction: Head out of the department, left, then right towards the urgent care centre.
Conclusion: Thank you, Brendan, for your cooperation. The GP will be waiting for you there.