Page 309 - 2021 IDMT Digital
P. 309

MIGRAINE HEADACHE CONTINUED
          Subjective Continued:
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                  o  3HUVRQDO RU IDPLO\ KLVWRU\ RI PLJUDLQHV
                  o  .QRZQ SHUVRQDO RU IDPLOLDO WULJJHUV
          Objective:
            •  3K\VLFDO ([DP
                  o  5HTXLUHV IXOO QHXURORJLFDO HYDOXDWLRQ
                  o  ,I SDWLHQW is experiencing an DXUD  PD\ ILQG YLVXDO ILHOG DEQRUPDOLWLHV  QXPEQHVV
                    speech GLVWXUEDQFHV  DWD[LD
                  o  3DWLHQW PD\ DSSHDU XQFRPIRUWDEOH DQG SUHIHU O\LQJ GRZQ LQ D GDUN  TXLHW URRP
          Assessment:
             •  'LIIHUHQWLDO
                  o  7HQVLRQ KHDGDFKH  SHULFUDQLDO WHQGHUQHVV ³EDQGOLNH´  WLJKW TXDOLW\  GDLO\
                    KHDGDFKHV  ZRUVH ZLWK VWUHVV/IDWLJXH, PRVW LQWHQVH DW QHFN  FDQ RYHUODS ZLWK
                    PLJUDLQH
                  o  &OXVWHU KHDGDFKH  VHYHUH  LQFDSDFLWDWLQJ KHDGDFKH WKDW RFFXUV LQ UHFXUULQJ
                    SDWWHUQV
                  o  3RVW FRQFXVVLYH  IROORZV KHDG LQMXU\  UHIHU
                  o  0HQLQJLWLV  IHYHU  QHFN SDLQ DQG VWLIIQHVV
          Plan:
             •  0HGLFDWLRQV
                  o  ,QLWLDO WUHDWPHQW  DFHWDPLQRSKHQ RU 16$,'s
                       ƒ  ,I DERYH LQHIIHFWLYH  WKHQ CDIHUJRW RU D WULSWDQ
                  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  1DXVHD YRPLWLQJ  RQGDQVHWURQ RU SURPHWKD]LQH

          Education:
             •  (OLPLQDWLRQ RI WULJJHUV
             •  )RU VWUHVV  EHKDYLRUDO LQWHUYHQWLRQV
             •  .HHS D ZULWWHQ KHDGDFKH MRXUQDO
             •  )ROORZ XS $FWLRQV
                    5HWXUQ LI V\PSWRPV GR QRW LPSURYH ZLWKin    KRXUV
                  o
                  o  ,I KHDGDFKH UHPDLQV XQFRQWUROOHG RU LQFUHDVHV LQ VHYHULW\  FRQVLGHU (9$& RU
                    WUDQVIHU
                  o  (9$& RU WUDQVIHU IRU ³UHG IODJ´ V\PSWRPV
          Preceptor Directive:
             •  Blue Directive: Contact Preceptor Immediately














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