Management And Prevention Of Migraine Assignment

Management And Prevention Of Migraine Assignment

The patient is female, 45 years of age, and today, she is coming to the clinic because of migraines without aura. In the past year, she indicates that she has suffered from headaches of moderate severity at a rate of twice a month at most. The headaches are usually unilateral, of throbbing character, and exacerbated by physical exertion (Robbins, 2021)Management And Prevention Of Migraine Assignment. The patient does not report any complaints of visual disturbances, sensory changes or weakness before developing the headaches. Nonetheless, she explains that the pain is felt as a throbbing pain in the right temple, and it may persist for several hours. The patient explains that using painkillers from a chemist’s shop helps to some extent, while the headaches affect her ability to work and carry on everyday life.

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When asked whether the patient has had any recent history of head injury, fever, neck stiffness, altered vision, or focal neurological signs, the patient answers in the negative. She has not felt sick to the stomach or thrown up and has not been bothered by light or sound when she has had headaches. The patient has no family history of migraines or any other neurological disorders or illnesses to mention.

Medical history includes hypertension with medication the patient is taking to control the condition. He does not smoke; he drinks alcohol in moderation but has no history of illicit drug use. Finally, she describes herself as a computer programmer, leading a very inactive life since most of her time is spent behind a computer. The patient complains of headaches and how they have affected her work performance and other activities.. Management And Prevention Of Migraine Assignment

Objective:

Vital Signs:

– Blood Pressure: 130/82 mmHg

– Heart Rate: 72 bpm

– Respiratory Rate: 16 breaths/min

– Temperature: 98.6°F

– Weight: 150 lbs

– Height: 5’6″

General Appearance:

The patient is well-built and well-nourished, with no signs of acute illness. She is aware of her surroundings, can make good eye contact, and talks in complete sentences. Some of the findings include no signs of distress or abnormal movements Management And Prevention Of Migraine Assignment.

Neurologic Exam:

Cranial Nerves: II-XII intact

Motor: Strength 5/5 in all extremities

Sensory: Intact to light touch and proprioception

Reflexes: 2+ and symmetric throughout

Coordination: Standard heel-to-shin and finger-to-nose testing

Gait: Typical heel-to-toe and tandem walking

Assessment:

This patient, a 45-year-old woman, has previously been diagnosed with aura-free migraines, which cannot be deemed incurable. The headaches she is experiencing seem to be quite intense and episodic, greatly impacting her life. There were no concerning indications of neurologic abnormalities or subsequent headaches in the clinical history or physical examination.

Plan:

Migraine Management:

– Recommend a migraine diary to track headache frequency, triggers, and response to treatment.

– Explain the dietary changes needed, such as reducing stress levels and engaging in physical activities like exercising.

– Prescribe a migraine-preventing drug like amitriptyline or topiramate, depending on which the patient prefers and any other conditions that the patient has.

– Administer abortive treatment of first-line therapy using a triptan medication during acute migraine attacks (Noor et al., 2022)Management And Prevention Of Migraine Assignment.

Hypertension Control:

– Take your antihypertensive therapy and check your blood pressure periodically.

Follow-Up:

– Practical tips: Useful hints: In summary, patients should be told to schedule a follow-up visit in four weeks so that the treatment plan can be revised as needed and the response to therapy assessed.

Patient Education:

– Supply information about what causes migraines, signs that the migraines are worsening, and when to get professional help (Khan et al., 2021)Management And Prevention Of Migraine Assignment.

The treatment options were explained to the patient, and the importance of compliance with the medications and other necessary changes in his lifestyle were also discussed. She appreciated the effort and said that she was ready to employ the recommended measures. The patient will follow up when due, and the lady was advised to seek the clinic’s service when she develops complications or other associated symptoms.

References

Khan, J., Al Asoom, L. I., Al Sunni, A., Rafique, N., Latif, R., Al Saif, S., … & Borgio, J. F. (2021). Genetics, pathophysiology, diagnosis, treatment, management, and prevention of migraine. Biomedicine & Pharmacotherapy, 139, 111557. https://www.sciencedirect.com/science/article/pii/S0753332221003425

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Noor, N., Angelette, A., Lawson, A., Patel, A., Urits, I., Viswanath, O., … & Kaye, A. D. (2022). A comprehensive review of zavegepant as abortive treatment for migraine. Health Psychology Research, 10(2). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239361/

Robbins, M. S. (2021). Diagnosis and management of headache: a review. Jama, 325(18), 1874-1885. https://jamanetwork.com/journals/jama/article-abstract/2779823 Management And Prevention Of Migraine Assignment