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This document reviews the available evidence regarding the effectiveness, utility, and recommendations for the use of greater occipital nerve blocks in the context of cervicogenic headache treatment
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How to fill out Considered Judgement Form: Nerve Block- Greater Occipital

01
Start by identifying the patient who will receive the nerve block.
02
Check the patient's medical history for any contraindications.
03
Obtain informed consent from the patient prior to the procedure.
04
Fill out the patient's demographics including name, date of birth, and medical record number.
05
Specify the procedure date and time in the appropriate fields.
06
Document the indication for the nerve block, including specific symptoms or diagnosis.
07
Include any previous treatments or therapies the patient has undergone.
08
List any allergies and current medications the patient is taking.
09
Outline the planned approach and technique for the nerve block.
10
Sign and date the form to finalize the documentation.

Who needs Considered Judgement Form: Nerve Block- Greater Occipital?

01
Patients experiencing chronic headaches or migraines.
02
Individuals who have not responded to conservative treatments for occipital neuralgia.
03
Patients undergoing surgical procedures in the head or neck requiring nerve block for pain management.
04
Healthcare providers performing the nerve block procedure as part of a treatment plan.
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A greater occipital nerve block (GON-block) involves injecting an anesthetic near the greater occipital nerve to relieve pain and inflammation.
Successful occipital nerve blocks typically improve pain 20 to 30 minutes after the injection and can last for several hours to several months. Lasting pain relief for occipital neuralgia and cervicogenic headache can require a series of several injections.
The local anesthetic will wear off in about four hours. After that, you may feel a return of your usual level of pain until the steroid starts working. That may take up to two weeks. After your occipital nerve block, you can take an over-the-counter pain medicine such as acetaminophen or ibuprofen.
Occipital Neuralgia is a condition in which the occipital nerves, the nerves that run through the scalp, are injured or inflamed. This causes headaches that feel like severe piercing, throbbing or shock-like pain in the upper neck, back of the head or behind the ears.
A greater occipital nerve block (GON-block) involves injecting an anesthetic near the greater occipital nerve to relieve pain and inflammation.
What is an occipital nerve block? An occipital nerve block is an injection of steroid (methylprednisolone) and local anaesthetic (lidocaine) around the occipital nerve. The occipital nerve runs from the back of the neck, up and over the top of the head.

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The Considered Judgement Form for Nerve Block - Greater Occipital is a document used by healthcare professionals to assess and document the need for a nerve block procedure to relieve pain in the occipital region of the head, often used in patients suffering from migraines or other types of headaches.
Healthcare providers, typically anesthesiologists or pain management specialists, who are planning to perform a greater occipital nerve block on a patient are required to file this form prior to the procedure.
To fill out the Considered Judgement Form, the healthcare provider must provide patient information, clinical history, specific indications for the nerve block, prior treatments attempted, and any potential risks associated with the procedure, ensuring all fields are completed accurately.
The purpose of this form is to document the clinical justifications for performing the greater occipital nerve block, ensuring that appropriate criteria are met and that the procedure is necessary for the patient's treatment plan.
The information that must be reported includes patient identification details, medical history relevant to headaches, previous treatment responses, reason for the nerve block, and any other pertinent clinical observations that support the need for the procedure.
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