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How to use consultation techniques to identify treatment objectives

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What are the different consultation techniques to identify treatment objectives

Posted on Jan 21, 2016

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Posted on Jan 02, 2017

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I HAVE SHINGLES VERY PAINFUL, WHAT MUST I TAKE


  • Overview Herpes zoster, also known as shingles, is a secondary condition of infection with the varicella zoster virus (VZV), a virus of the family herpesviridae that also causes chickenpox. Because shingles is a herpetic viral condition, antivirals are the backbone of treatment, although the sometimes severe nature of symptoms and the potential for lasting negative effects means that other symptoms must be managed while the infection is active. There is no cure for shingles or any other herpetic condition, but there are effective treatments and shingles often clears up without further complications.
  • Antivirals Antiviral drug therapy administered as soon as possible after the appearance of shingles rash (within 72 hours according to the Mayo Clinic) is one of the most important elements of treatment for herpes zoster and is the sole component that actually targets the cause of symptoms (vs. managing them). The same drugs used in treating other conditions caused by herpes viruses are used in the treatment of shingles: acyclovir, valacyclovir and famciclovir. Valacyclovir and famciclovir deliver their active ingredients more effectively than acyclovir and can be taken less often than acyclovir.
  • Corticosteroids Corticosteroids like prednisone are also used in the treatment of shingles. The American Academy of Family Physicians (AAFP) recommends a high initial dosage for several days which is slowly decreased over time. The AAFP reports that cortisone in combination with antiviral therapy reduces the pain associated with shingles. Prednisone may also decrease the chances of developing postherpetic neuralgia, a condition of severe and chronic pain that persists after the shingles rash has cleared up.
  • Pain Relief The AAFP recommends standard pain killers for shingles sufferers whose pain is not too severe, while reporting that narcotic analgesics may be necessary for severe pain sufferers. Other pain management techniques include the application of topical creams (calamine, capsaicin and lidocaine) and nerve blockers.
  • Postherpetic Neuralgia The Mayo Clinic reports that tricyclic antidepressants and anticonvulsant medications, along with capsaicin and lidocaine, are sometimes used to treat pain when it does not clear up along with the shingles rash (postherpetic neuralgia). D. Bowsher of the Pain Research Institute at Walton Hospital reports that traditional analgesics are not effective in managing the pain of postherpetic neuralgia and that the use of opioid may be necessary.
  • Other Treatments Bowsher recommends relaxation techniques alongside other treatments for postherpetic neuralgia. The Mayo Clinic recommends further techniques like transcutaneous electrical nerve stimulation (TENS), which may stimulate natural painkillers to be produced in the body, and a similar technique performed on the spinal cord or on peripheral nerves.


  • Read more: Herpes Zoster Shingles Treatment http://www.soyouwanna.com/herpes-zoster-shingles-treatment-5112.html#ixzz1862tzrKq

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