Dolores de cabeza Trabaje con su doctor para evitar las visitas a la Sala de Emergencia

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1 Headaches, Working with your Doctor to Avoid the Emergency Room Dolores de cabeza Trabaje con su doctor para evitar las visitas a la Sala de Emergencia Conozca a su equipo de cuidados para los dolores de cabeza Todas las personas con dolores cabeza frecuentes deberían tener un equipo de cuidados para los dolores de cabeza. Entre los miembros de ese equipo se incluyen: Usted. Su doctor de cuidados primarios. Si no tiene un doctor de cuidados primarios, es importante que consiga uno. Este doctor es la persona a la que debe llamar primero cuando tenga cualquier tipo de problema médico. Algunos pacientes también trabajan con un especialista de cuidados para los dolores de cabeza. Es posible que necesite este tipo de asistencia si sus dolores de cabeza no responden al tratamiento estándar. Hable con su doctor sobre el problema Si tiene dolores de cabeza frecuentes y tiene problemas para aguantar el dolor, debe hacer una cita con su doctor sólo para discutir sus dolores de cabeza. Si usted usa la visita para tratar otros problemas, es posible que no tenga el tiempo que necesita para hablar sobre sus dolores de cabeza. Esté preparado para proporcionar detalles sobre sus dolores de cabeza. Su doctor también querrá saber qué otros problemas médicos tiene y qué medicamentos está tomando. Tome anotaciones sobre sus dolores de cabeza Para ayudar a su doctor en el diagnóstico y tratamiento de sus dolores de cabeza, necesita saber tanto como le sea posible sobre ellos. Es útil mantener un diario o calendario de los dolores de cabeza. Asegúrese de incluir detalles sobre cada uno de los dolores de cabeza. Incluya: Fecha y hora del día. Vio luces centelleantes u otra cosa inusual de cualquier tipo antes o durante el dolor de cabeza? En qué área de la cabeza estaba ubicado el dolor?

2 Tuvo otros problemas (náusea, vómito, sensibilidad a la luz, etc.)? Tomó algo para el dolor? Qué tomó, cuánto, y le ayudó o no? Fue el dolor de cabeza producido por algo en particular, tal como el estrés, los olores, un viaje, o su período menstrual? Faltó al trabajo, la escuela, o no realizó sus actividades sociales debido al dolor de cabeza? Desarrolle un plan de tratamiento con su doctor Cada paciente y sus dolores de cabeza son distintos, por lo tanto todos los pacientes necesitan tener su propio plan de tratamiento. El objetivo del tratamiento es tener menos dolores de cabeza y que estos sean más leves mientras uno se vuelve más activo y funcional. Hable con su doctor sobre sus dolores de cabeza y cómo desea que su plan de tratamiento le ayude. Conozca los desencadenantes de sus dolores de cabeza. Conozca sus medicamentos para los dolores de cabeza y sus efectos secundarios. La mayoría de los pacientes usará medicamentos de prevención (para reducir el número de dolores de cabeza) y un medicamento para detener el dolor de cabeza cuando comience. Sepa cómo prevenir sus dolores de cabeza usando tanto los medicamentos como los tratamientos sin medicamentos (relajación, control del estrés, otros). Sepa cuándo debe tomar su medicamento (con frecuencia debe tomarlo cuando aparece el primer signo de un dolor de cabeza). Sepa qué hacer si su medicamento no funciona. Sepa qué hacer si su dolor de cabeza es mucho peor de lo normal o distinto. Siga su plan de tratamiento Tome su medicamento siguiendo las indicaciones. No use excesivamente el medicamento. El uso excesivo puede producir más dolores de cabeza. No se salte las dosis del medicamento. Mantenga un diario de los dolores de cabeza para que pueda discutir su tratamiento con su doctor. Mantenga un registro de cualquier efecto secundario del medicamento. Evite los desencadenantes de los dolores de cabeza cuando le sea posible. Reduza el estrés. Encuentre formas de tratar el estrés, tal como el ejercicio o la meditación. Consuma comidas regulares y saludables. Duerma suficiente. Haga citas de seguimiento con su doctor para hablar sobre su progreso. Proporcione información sobre su plan de tratamiento Su plan de tratamiento formará parte del expediente médico de su doctor de cuidados primarios. Será utilizado por otros proveedores médicos tras la solicitud. Esto ayuda a asegurar que usted

3 reciba cuidados médicos óptimos y más consistentes si tiene problemas con sus dolores de cabeza. Lleve consigo una copia de su plan de tratamiento. Si necesita ver a un doctor distinto a su doctor de cuidados primarios cuando esté de viaje, o si su doctor de cuidados primarios no está disponible, debe informar a ese doctor sobre su plan de tratamiento para asegurar que recibe los mejores cuidados médicos. Evite las visitas a la Sala de Emergencia o la Clínica de Cuidados Urgentes La clínica de su doctor es el primer lugar a donde debe ir para recibir ayuda para sus dolores de cabeza. Si sigue su plan de tratamiento, debería ser capaz de evitar las visitas a la Sala de Emergencia o la Clínica de Cuidados Urgentes. Lleve sus medicamentos con usted en todo momento. No permita que se le acabe el medicamento. Surta su medicamento con receta médica antes de que se le acabe. Si su medicamento no está funcionando, llame a la clínica de su doctor. Incluso después de las horas regulares, hay doctores de guardia que pueden ayudarle. Hable con su doctor de cuidados primarios sobre los efectos secundarios del medicamento u otros problemas con el tratamiento. No deje de tomar su medicamento sin antes hablar con su doctor. Otros recursos para los dolores de cabeza: Consejo Americano para la Educación sobre los Dolores de Cabeza (American Council for Headache Education) (609) o Fundación Nacional para los Dolores de Cabeza (National Headache Foundation) (312) o FAX (312) Copyright 1/2013. La Autoridad del Hospital y las Clínicas de la Universidad de Wisconsin. Todos los derechos reservados. Producido por el Departamento de Enfermería. Traducido al español por Beatriz Fernández-Jordá. HF#6766

4 Headache Working With Your Doctor to Avoid the Emergency Room Know your headache care team Everyone with frequent headaches should have a headache care team. The members of that team include: You. Your primary care doctor. If you do not have a primary care doctor, it is important that you get one. This doctor is the first person to call when you have any kind of health problem. Some patients also work with a headache care specialist. You may need this kind of help if your headaches do not respond to standard treatment. Tell your doctor about the problem If you have frequent headaches and have trouble dealing with the pain, you should make an appointment with your doctor just to discuss your headaches. If you use the visit for other issues, you may not have the time you need to talk about your headaches. Be prepared to give details about your headaches. Your doctor will also want to know what other health problems you may have and any medicines you are taking. Take notes about your headaches To help your doctor diagnose and treat your headaches, you need to know as much as possible about them. It is helpful to keep a headache diary or calendar. Be sure to include details about every headache. Include: Date and time of day. Before or during the headache, did you see flashing lights or other unusual things of any kind? Where in your head was the pain located? Did you have other problems (nausea, vomiting, light sensitivity, etc.)?

5 Did you take anything for the pain? What, how much, and did it help? Was your headache brought on by anything in particular, such as stress, smells, travel, or your period? Did your headache make you miss work, school, or social activities? Develop a treatment plan with your doctor No two patients and their headaches are alike, so all patients need their own treatment plans. The goals of treatment are to have fewer and milder headaches while getting more active and functional. Talk to your doctor about your headaches and what you want your treatment plan to do for you. Know your headache triggers. Know your headache medicines and their effects. Most patients will use a preventive medicine (to reduce the number of headaches) and a medicine to stop a headache when it begins. Know how to prevent your headaches using both medicines and non-medicine treatments (relaxation, stress management, others). Know when to take your medicine (often at the first sign of a headache). Know what to do if your medicine does not work. Know what to do if your headache is much worse than or different from usual. Carry out your treatment plan Take your medicine as directed. Do not overuse your medicine. Overuse can cause more headaches. Do not skip medicine doses. Keep your headache diary so you can discuss your treatment with your doctor. Keep track of any medicine side effects. Avoid headache triggers where possible. Reduce stress. Find ways to deal with stress, such as exercise or meditation. Eat regular, healthy meals. Get enough sleep. Make follow-up appointments with your doctor to talk about progress. Share your treatment plan Your treatment plan will be part of your primary care doctor s medical record. It will be used by other health care providers upon your request. This helps make sure that you get the best and most consistent care if you have problems with your headaches. Keep a copy of your treatment plan with you. If you need to see a different doctor than your primary care doctor when you are traveling, or if your primary care doctor is unavailable, you should share your treatment plan with that doctor to make sure you get the best care.

6 Avoid the emergency room (ER) or urgent care center Your doctor s office is the first place to go with help for your headaches. If you follow your treatment plan, you should be able to avoid using the ER or urgent care center. Keep your medicine with you at all times. Do not run out of medicine. Get your prescription filled before you run out. If your medicine is not working, call your doctor s office. Even after hours, there are doctors on call who can help you. Talk to your primary doctor about medicine side effects or other problems with your treatment. Do not stop taking your medicine without first talking with your doctor. Other headache resources: American Council for Headache Education (609) or National Headache Foundation (312) or FAX (312)

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