Page 311 - 2021 IDMT Digital

TENSION HEADACHE
Introduction:
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PXVFXODU IDWLJXH
Subjective:
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SKRWRSKRELD RI D PLJUDLQH
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Objective:
• 3K\VLFDO ([DP
o 5HTXLUHV IXOO QHXURORJLFDO H[DP
o 0XVFOH WHQGHUQHVV LQ WKH KHDG QHFN RU VKRXOGHUV
Assessment:
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o 3RVW FRQFXVVLYH IROORZV KHDG LQMXU\ UHIHU
o 0HQLQJLWLV IHYHU QHFN SDLQ DQG VWLIIQHVV
o &OXVWHU KHDGDFKH VHYHUH LQFDSDFLWDWLQJ KHDGDFKH WKDW RFFXUV LQ UHFXUULQJ
SDWWHUQV
Plan:
• $FHWDPLQRSKHQ RU 16$,' LPPHGLDWHO\
• 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
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o 70- G\VIXQFWLRQ
o 1HFN SDLQ RU H\HVWUDLQ
Patient Education:
• 5HGXFH VWUHVV UHJXODWH VOHHS F\FOH HDW UHJXODU PHDOV K\GUDWH
• $YRLG WULJJHUV LI SRVVLEOH
• ,QFUHDVH H[HUFLVH DYRLG WREDFFR DQG DOFRKRO
• )ROORZ XS $FWLRQV
o 5HWXUQ LI V\PSWRPV GR QRW LPSURYH ZLWKin KRXUV
o ,I KHDGDFKH UHPDLQV XQFRQWUROOHG RU LQFUHDVHV LQ VHYHULW\ FRQVLGHU
(9$& WUDQVIHU
o (9$& WUDQVIHU IRU ³UHG IODJ´ V\PSWRPV
Preceptor Directive:
• Blue Directive: Contact Preceptor Immediately for approval if considering
battlefield acupuncture (BFA)
• Green Directive: Routine Review by Preceptor IAW AFI 44-103 if not
considering battlefield acupuncture (BFA)

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