Page 9 - 2021 IDMT Digital
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NECK PAIN CONTINUED
Objective:
• 3K\VLFDO ([DP
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o /LPLWHG 520 VHFRQGDU\ WR SDLQ
o 0RWRU DQG VHQVRU\ G\VIXQFWLRQ UHSUHVHQW UDGLFXODU V\PSWRPV DVVRFLDWHG ZLWK
QHFN SDLQ
o 3RVLWLYH 6SXUOLQJ WHVW
,QGLFDWLYH RI FHUYLFDO UDGLFXORSDWK\
• 7RROV
o ,I DYDLODEOH FRQVLGHU ; UD\V
:LWK ODFN RI WUDXPD ; UD\V ZLOO OLNHO\ QRW EH KHOSIXO LQ GLDJQRVLV
Assessment:
• 'LIIHUHQWLDO
o 6KRXOGHU SUREOHPV SDLQ PD\ EH UDGLDWLQJ IURP VKRXOGHU
o 3HULSKHUDO QHUYH HQWUDSPHQW &76 SRVLWLYH 3KDOHQ 7LQHO V DW HOERZ RU ZULVW
SDLQ UDGLDWLQJ SUR[LPDO WR GLVWDO
o &HUYLFDO UDGLFXORSDWK\ QXPEQHVV RU WLQJOLQJ LQ WKH 8(
o &HUYLFDO VSUDLQ VWUDLQ QHFN SDLQ ZLWKRXW DVVRFLDWHG V\PSWRPV
Plan:
• 5HVW LFH RU KHDW ZKLFKHYHU IHHOV EHWWHU
• *HQWOH 520 VWUHWFKLQJ
• 16$,'V
• 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
• 0XVFOH UHOD[DQWV LI PRVW OLNHO\ GLDJQRVLV LV VSDVP
o &\FOREHQ]DSULQH
• $YRLG QDUFRWLFV VWHURLGV
Patient Education:
• $YRLG DJJUDYDWLQJ DFWLYLWLHV
• *HQWOH VWUHWFKLQJ WKURXJKRXW 520
• 0RGLI\ SRVWXUH
• )ROORZ XS $FWLRQV
o 5HWXUQ LQ ZHHNV LI QR LPSURYHPHQW
&RQVLGHU SK\VLFDO WKHUDS\
o ,I JURVV PRWRU ZHDNQHVV LV SUHVHQW WKHQ (9$& RU WUDQVIHU
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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