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Courtney has a passion for creating social change and improving the lives of children and families and the early childhood workforce. She brings diverse skills in community outreach, public health, prevention, marketing, and community problem-solving to this role, which builds on her work most recently as a Community Outreach Specialist in community health with Mt. She lives in Cavendish, Vermont, with her two sons and two cats. Northern Windsor and Orange. As the BBF regional manager for southeast Vermont, northern Windsor and Orange Counties, and the Springfield area, one of my roles is to build connections and respond to community needs, including one of the most basic and essential needs: food.

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Tramadol is a pain medicine similar to an opioid and is classified as a synthetic opioid. It acts in the central nervous system CNS to relieve pain. Tramadol is an FDA-approved medication for pain relief. It has specific indications for moderate to severe pain. Due to possible misuse disorder potential, limitations to its use should be for pain that is refractory to other pain medication, such as non-opioid pain medication. This activity outlines the indications, mechanism of action, methods of administration, important adverse effects, contraindications, toxicity, and monitoring, of tramadol so providers can direct patient therapy where it is indicated as part of the interprofessional team. Dosage should be individualized based on pain severity, therapy response, prior treatment experience and risk factors of addiction, abuse and misuse. Adults 17 years or older: 50 to mg orally every 4 to 6 hours as needed for pain -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Maximum dose: mg per day. Take tramadol exactly as prescribed by your doctor. Never use tramadol in larger amounts, or for longer than prescribed.

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Plantar fasciitis is diagnosed based on your medical history and physical examination. During the exam, your doctor will check for areas of tenderness in your foot. The location of your pain can help determine its cause. Usually no tests are necessary. Your doctor might suggest an X-ray or magnetic resonance imaging MRI to make sure another problem, such as a stress fracture, is not causing you pain. But many people who have bone spurs on their heels have no heel pain.

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