Evidencebased Guideline Treatment Of Painful Diabetic Neuropathy

Peripheral Neuropathy Overview Full Information and Treatment of Peripheral Neuropathy

Peripheral Neuropathy is a commoncondition occurring when injury or disease damagesyour peripheral nervous system originating from your brain and spinalcord peripheral nerves extends to your skinmuscle and tissues or peripheral nervous system relaysvital information between your body and the brain in theform of electrical impulses there are three types of peripheralnerves motor nerves regulate the movements loveyour body skeletal muscles

sensory nerves transmit sensations such as heat vibration touch and pain to the brain comic nerves regulate the activities upinternal organs and glands each nerve is made up of manyinterconnected cells called neurons that transmit impulses at lightning speed this constantexchange allows your brain to respond to vitalinput from your body

however damage to the nerves disruptsthis critical link resulting in peripheral neuropathy damage to a single nerve called MononaRobert B usually results from injury orrepetitive stress an example %uh Monona Robert E is carpaltunnel syndrome repeated impact to the nerve in yourwrist may cause tingling pain and weakness in your hand arm and shoulder

government have multiple nerves calledPaulina Robert the is far more common damaged typically begins in the nervesfarthest from the central nervous system and progresses symmetrically Paulina Robert the can be caused bydiabetes and other systemic diseases infections or exposure to toxic substances

one or all the three nerve types may be affectedand symptoms are specific to each damage to sensory nerves characteristic have diabetes can lead to numbness inyour hands and feet with diminished ability to detecttemperature insensitivity to pain or over sensitivity to pain Paulina Robert the may also cause damageto your motor nerves

which can result in muscle weakness twitching and pain common signs %uh nerve damage include intolerance to heat loss of bladder control gastrointestinal disturbances impairment a breathing

Medical Coding for Pressure Ulcers

Alicia: Pressure ulcers these are fun,not quite as much fun as neoplasms, but most people that start out in the medical fieldwhen they're young they end up working in, they used to be called nursing homes now.They are skilled facilities and stuff like that. So most of us have time in there, andpressure ulcers are something that is kind of the bane of the healthcare profession becausethey are very hard to treat and prevent. Q: It was asked by one of the students previously,pressure ulcers, how do we code them? You have to code the site where it's located andyou have to code the stage. So, she wanted to know is it site stage, site stage; or isit site, site, stage, stage?

A: First, let's figure out what a pressureulcer is. Pressure ulcers on the skin reduce blood flowto the area. Without enough blood, the skin can die and an ulcer may form. An ulcer isliterally like how you get a cold sore on your lip or something like that. That's what'shappening. You are more likely to get a pressure ulcerif you are in a wheelchair. It doesn't matter how old you are but you've got constant pressureon your buttocks, in your sacrum and stuff. Usually if you're in a wheelchair you can'tfeel, so you don't know when it's starting to go numb.

If you're an older adult, cannot move certainparts of your body without help because of a spinal injury or multiple sclerosis, havea disease that affects blood flow including diabetes or vascular disease like PVD orneuropathy or stuff like that and you're not able to feel. You have Alzheimer's diseaseor another condition that affects your mental status. In other words, you're sitting fora long period of time and you don't think to get up. You have fragile skin, the older you get,if you've noticed if you look at somebody that's a whole lot older than you, you'llnotice their skin gets papery thin and you

can see the vessels and stuff. You have urinaryincontinence or bowel incontinence. Again, this goes with Alzheimer's disease, if you'resitting in a chair and Alzheimer's isn't like you forgot where your keys are. Alzheimer'sis like when you can't remember what a key is used for. If you can't remember that youhave to go to the bathroom when you feel that discomfort, you have urinary incontinence.You do not get enough nutrition (malnutrition) that's another keyway to have problems. Here are the main places that pressure ulcersoccur: The back of the neck, the head because of the bed, on your elbows. If you've everhad to be bedridden like if you were pregnant

or something, they made you stay in bed fora long time and you're constantly pushing yourself, sliding yourself up in the bed,you'll get pressure ulcers on the elbows. Your sacrum (the tailbone), buttock area,because that's where people like to lay on their back and stuff, or on their sides orsacrums; that's why they say you have to move every two hours or more often. The ankle andthe heel, you don't think about that, but if you're not moving and your foot sits fortwo hours in one position, your foot can go numb. So, that's the most common places. Let's get into the coding aspect of it. Theseare the common codes for pressure ulcers:

You've got 707.00 and they start with a zero.It goes all the way down to different body parts and they mainly list those red bulletedareas that we were talking about. Then, there are stages. Now these are going to be 707.02codes and each one of those is going to indicate a different. I did list all of these becauseI wanted to give you this description so you have a better understanding. Stage 1 is considered a superficial lesionwith discoloration of the skin, but the lesion is not actually an ulcer at this point. Itpresents as a nonblanching reddened area on the skin. Stage 1 indicates a higher riskfor serious pressure ulcer but does not cause

Category: Neuropathic Pain

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