Failed back surgery syndrome is a condition in which the patient continues to feel pain after having back surgery. Spinal surgery is used to correct anatomical problems in the spine that cause pain with methods such as correcting deformed structures, decompressing pinched nerves, and stabilizing the spine for safe movement. Patients with failed back surgery symptoms may experience the same pain as before surgery and/or discomfort of a different kind (such as numbness, weakness, stiffness, sharper pain, or more diffuse pain) or in a different area of the body.
The causes of persistent pain may not be easily known -- it may be that the surgery was unsuccessful in decompressing the nerve, the cause of the original back pain was not addressed, there was unforeseen nerve damage, the patient has a recurring disc herniation, the spinal fusion failed, or the procedure was unsuccessful for some other reason.
Before moving forward with treatment, doctors will recommend a number of tests to pinpoint the cause of the persistent pain before recommending a treatment (and potentially another back surgery). According to the diagnosis, a physician may recommend any combination of anti-inflammatory medications, narcotics, neuromodulatory medications, nerve block injections, electrical stimulation of the spinal cord, and additional surgery.
MedStar Washington Hospital Center Medical-Surgical Unit Receives AMSN PRISM Award® for Exemplary Practice
Washington, D.C. – The 5E Medical Oncology/Hematology Unit at MedStar Washington Hospital Center has received the prestigious AMSN PRISM Award®, an honor recognizing exceptional nursing practice, leadership, and outcomes in hospital medical-surgical units.
The award, which stands for “Premier Recognition In the Specialty of Med-Surg,” is the first of its kind honoring med-surg nursing units in the United States and internationally. It is co-sponsored by the Academy of Medical-Surgical Nurses (AMSN) and the Medical-Surgical Nursing Certification Board (MSNCB). The award is given to outstanding acute care/med-surg units or adult/pediatric units classified as med-surg.
Andrea Melendez, MSN, RN, National Secretary of AMSN, presented the 5E Medical Oncology/Hematology team with the AMSN PRISM Award plaque during a ceremony Wednesday, August 14, on the unit.
“I am so proud of the 5E team. This is such a phenomenal accomplishment,” said Tonya R. Washington, MSN, RN, senior vice president of nursing and chief nursing officer at MedStar Washington Hospital Center. “We are so delighted that their excellent team work, patient care and outcomes are recognized with this prestigious award.”
Hoping to inspire nurses to strive for the highest levels of patient safety and quality, AMSN and MSNCB launched the award in October 2012. The award also reflects the compassion, commitment, and connection that characterize med-surg nurses.
There are more than 600,000 medical-surgical nurses practicing in the United States today, making them the single largest group of specialty nurses working in hospital settings, according to AMSN. Med-surg nurses oversee a broad spectrum of patient care responsibilities, another reason the acronym “PRISM” was chosen for the award.
MedStar Washington Hospital Center is a 912-bed, major teaching and research hospital. It is the largest private, not-for-profit hospital in the nation’s capital, among the 100 largest hospitals in the nation and a major referral center for treating the most complex cases. Its cardiology program is highly acclaimed and its cardiac surgery program has consistently earned the highest national rating–three stars–from the Society of Thoracic Surgeons. It also is a respected top facility in the areas of cancer, diabetes & endocrinology, Ear, Nose & Throat, gastroenterology & GI surgery, geriatrics, gynecology, nephrology, pulmonology and urology. It operates MedSTAR, a nationally-verified level I trauma center with a state-of-the-art fleet of helicopters and ambulances, and also operates the region’s only adult Burn Center.