pain management regimen

  PART 1: HPI: A 78-year-old man who is TO UNDERGO a left above the knee amputation due to a limb abscess PMH:  Peripheral artery disease for 18 years  Cardiomyopathy  BPH for 13 years FH: Mother had osteoporosis; father had diabetes SH: Lives with wife; has two grown children MEDS:  Aspirin 81mg daily  multivitamin 1 daily  pantoprazole (Protonix) (PPI) 40 mg daily  tamsulosin (Flomax) 0.4 mg daily  atorvastatin 80 mg at bedtime PAIN ASSESSMENT: Patient rates pain as 8 on a scale of 0 to 10 1. Based on the type of injury, what type of pain is this patient likely to experience? Based on the patient having a surgical amputation, he would have acute pain that would be severe initially. Further, I would expect him to experience nociceptive pain as a result of the surgical injuries to bone and soft tissues, as well as neuropathic pain as a result of the “changes in peripheral axon properties and neuronal circuitry in both the peripheral and central nervous systems” (Kuffler, 2018). “This [amputation] leads to a complicated, mixed, form of pain and a highly varied array of different postoperative pain syndromes” (Neil, 2016). 2. What type of pain management regimen would you suggest in the postoperative period? Explain your answer.