Page 15 - 2021 IDMT Digital
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LUMBAR DISK HERNIATION CONTINUED
Plan:
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o 5HVW LFH RU KHDW ZKLFKHYHU IHHOV EHWWHU
o *HQWOH 520 VWUHWFKLQJ
o 16$,'V
o If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence,
consider administering up to 10 treatment sessions as an alternative to NSAIDs
as long as there is clinical benefit and no worsening of the patient’s condition
o 0XVFOH UHOD[DQWV
• $YRLG QDUFRWLFV VWHURLGV
• ,I UHG IODJ V\PSWRPV DUH SUHVHQW
o (9$& RU WUDQVIHU LPPHGLDWHO\
Patient Education:
• &RUH VWUHQJWKHQLQJ H[HUFLVHV
• 'DLO\ VWUHWFKLQJ
• %DFN SDLQ ZLOO OLNHO\ UHVROYH RQ LWV RZQ RI WKH WLPH LQ ZHHNV
• %HG UHVW LV FRQWUDLQGLFDWHG
o 3K\VLFDO WKHUDS\ DQG KRPH H[HUFLVHV FDQ LPSURYH SRVWXUH DQG VWUHQJWKHQ \RXU
EDFN PXVFOHV WR UHOLHYH WKH QHUYH URRW
• )ROORZ XS $FWLRQV
o 5HWXUQ LQ ZHHNV LI QR LPSURYHPHQW
,I QR LPSURYHPHQW LQ SDLQ SK\VLFDO WKHUDS\ LI DYDLODEOH
,I SK\VLFDO WKHUDS\ XQDYDLODEOH FRQWLQXH VWUHWFKLQJ FRQVLGHU FKDQJLQJ
PXVFOH UHOD[DQWV RU 16$,'
o 5HWXUQ DW ZHHNV LI VWLOO LQ SDLQ
; UD\V LI DYDLODEOH
&RQVLGHU (9$& WUDQVIHU RUWKRSHGLFV FRQVXOW
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP LI UHG IODJ V\PSWRPV
• Blue Directive: if no red flag symptoms, Contact Preceptor Immediately for approval
if considering battlefield acupuncture (BFA)
• Green Directive: if no red flag symptoms, Routine Review by Preceptor IAW AFI
44-103 if not considering battlefield acupuncture (BFA)
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