Henry Baker IF Chronicity and Complexity
Activity
Tutorial
Henry is a 57 year old man whom you have seen four times in the past ten years because of back pain episodes initially diagnosed as lumbar strain. With each episode, there has been a period of work disability ranging from two to six months. Henry now attends at your office again complaining of longstanding generalized back pain and stiffness. He has pain across the lumbar area, radiating down the lateral aspect of the left thigh, calf and foot and to a lesser extent, the lateral aspect of the right leg. He also has some pain in the shoulder blades, neck, and headaches. He complains of constipation, can't sleep, and spends most of his day lying down, because all activity aggravates his pain.

Curriculum Block

Complexity and Chronicity / Integration Foundation / Part 5 / Week 1
- Indicates most relevant

Objectives

General Objectives
Global Objectives

Assessments

End-Unit Tutorial Assessment
Concept Application Exercise (CAE)

Tags

Basic Sciences
Epidemiology Etiology Prevention and control Therapy
Curriculum Block
Complexity and Chronicity Integration Foundation Part 5 Week 1
Curriculum Week
IF Week 6
Discipline
Orthopedics Psychiatry
General MCC Objectives
Investigations Management Skills
MCC Blueprint
Chronic Psychosocial Aspects
MCC Presentations
Back Pain and Related Symptoms (e.g., Sciatica) Depressed Mood Substance Use or Addictive Disorders
McMaster Program Competencies
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals 4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics 5.2 Demonstrate compassion, integrity, and respect for others 7.2 Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served
MeSH
Analgesics, Opioid [D27.505.696.663.850.014.520] Rehabilitation [E02.831] Alcoholism [F03.900.100.350] Analgesics, Opioid [D27.505.954.427.040.325] Back Pain [C10.597.617.152] Chronic Disease [C23.550.291.500] Chronic Pain [C23.888.592.612.274] Constipation [C23.888.821.150] Cost of Illness [N03.219.151.165] Depression [F01.145.126.350] Disease Management [N04.590.607] Exercise Therapy [E02.779.483] Headache [C10.597.617.470] Irritable Mood [F01.470.047.110] Opioid-Related Disorders [C25.775.675] Pain Management [E02.745] Pain Management [N04.590.607.500] Pain, Intractable [C10.597.617.788] Patient Education as Topic [N02.421.143.827.407.680] Practice Guidelines as Topic [N05.700.350.650] Psychosocial Support Systems [I01.880.853.500.600.500] Sexual Dysfunctions, Psychological [F03.835] Sick Leave [N01.824.417.700.662] Sleep Initiation and Maintenance Disorders [C10.886.425.800.800] Social Environment [I01.880.853.500]

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