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Migraine Headache — Discharge Instructions and Follow-up — Clinical Pathway: Inpatient

Migraine Headache Clinical Pathway — Inpatient

Discharge Instructions and Follow-up

General Health Habits
  • Instruct patient to drink a minimum of calculated maintenance fluids daily
  • Avoid caffeine-containing substances
  • Review use of Headache Diary
  • SMART Habits: Stress importance of healthy behaviors and stress reduction strategies to reduce pain and prevent recurrence of headache
    • Sleep: At least 8 hours (teens need more), go to sleep and awaken around the same time
    • Meals: At least 3, don’t skip, drink plenty of fluids
    • Activity: Exercise is really effective for treating and preventing HA
    • Relaxation: Music, massage, compresses, breathing, yoga, meditation
    • Triggers: Recognize them, helpful to use the HA Diary
  • Follow up with PMD 2-4 weeks
Limitation on use of Acute medications
  • To prevent Medication Overuse Headache, also known as Rebound Headache, medications used for acute headache treatment (including over-the-counter and prescription) should be limited to < 10 days/month.
Follow-up
  • Discuss follow-up visit provider and timeline with Neurology Fellow.

 

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