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Pain is NOT subjective



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No. 20
Old Jan 19, 2009, 10:40 AM

Default Re: Pain is NOT subjective
Originally Posted by sewnew View Post
Yep, I can't even count how many times I have seen commercials for Lyrica on TV the last couple of months. And I don't even watch TV that often...The drug reps definitely do make an impression on the public whether they realize it or not.

They realize it, thats why they do it. I loved that episode on Boston Legal where Bill Shatner dropped dead. Of course revived. Then they found out he was taking every med they advertised on TV because he believed them. That was a good episode
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No. 21
from sewnew
Old Jan 19, 2009, 12:14 PM

Default Re: Pain is NOT subjective
Originally Posted by Iam46yearsold View Post
They realize it, thats why they do it. I loved that episode on Boston Legal where Bill Shatner dropped dead. Of course revived. Then they found out he was taking every med they advertised on TV because he believed them. That was a good episode
Sorry, I meant to say that the public sometimes may not realize how much "Big Pharma" plays a role in influencing their medical decisions. Of course the drug companies know that they have an influence on the public. If this was not the case then the drug companies would be out of a job.
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No. 22
Old Jan 26, 2009, 10:41 AM

Angry Re: Pain is NOT subjective
I totally agree with Shrinky:
It is so easy for some people to be judgemental (?SP) about another person's pain. Everyone reacts differently to pain and we function at different levels. So someone could be smiling at an 8 while another person cries at an 8. Our tolerance levels are different and our ability to carry on ADLs with pain vary. If this is not subjective, then I would like your boss to explain to me how she or he perceives pain. I ask my patients at what level are they able to perform usual ADLs and what is a comfortable level for them, that sounds subjective to me. And yes, pain is very subjective.
I hurt myself when I worked in an ICU. I've had 3 back surgeries (all spinal fusions) and I have pain everyday. My pain goes from a 7 to a 10. I am never below a 7 for my pain. I go to a pain doctor and he gives me motrin and neurontin!! Of course, they do not work, but physicians are hesitant to give anything stronger. I think because I am a nurse they think I am exaggerating my pain or something. I can do alot of things when my pain is an 8. I have a very high tolerance for it because it built up over the years.

I went to a wonderful nursing school where I was taught "pain is what the patient says it is." Pain is always subjective.

I get very heated about this topic because of my own personal experience.
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No. 23
from rngolfer53
Old Feb 05, 2009, 04:10 AM

Default Re: Pain is NOT subjective
Originally Posted by TraumaNurse07 View Post
I don't really have much to add except that you are right, pain IS subjective and that your boss is a moron.
The real problem is that while pain is subjective, a few people will lie about their pain level in order to get meds, and we have no accurate way to ascertain who is lying and who isn't. It sure seems to me that less harm will result from getting suckered by a few drug seekers than leaving many more to suffer from undertreated pain.

The drug seekers are ultimately responsible for the harm they do themselves, but we as nursing professionals are at least partly responsible for the harm done by withholding adequate pain relief.

Just my .
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No. 24
Old Feb 05, 2009, 06:02 PM

Nurse Re: Pain is NOT subjective
I totally agree with you rngolfer53:
The real problem is that while pain is subjective, a few people will lie about their pain level in order to get meds, and we have no accurate way to ascertain who is lying and who isn't. It sure seems to me that less harm will result from getting suckered by a few drug seekers than leaving many more to suffer from undertreated pain.

The drug seekers are ultimately responsible for the harm they do themselves, but we as nursing professionals are at least partly responsible for the harm done by withholding adequate pain relief.
Why are us healthcare professionals (RNs and MDs) so afraid of getting "suckered" into giving pain meds to drug seekers? I understand all of the legalities of it, but I'd rather adequately medicate my patient. I am also adding my !!!!!!

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No. 25
from milner
Old Feb 17, 2009, 03:35 PM

Default Re: Pain is NOT subjective
Ask your administrator if they are aware of the successful lawsuits that have been filed for inadequate pain management. Maybe that will help!
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No. 26
from Ruffles 1
Old Mar 13, 2009, 11:55 AM

Default Re: Pain is NOT subjective
I agree that the drug seekers are ruining it for all of us. It is a shame that people abuse the system. I agree that some people really do have pain and suffer needlessly but others abuse the system. How can we help these drug seekers?
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No. 27
Old Mar 13, 2009, 12:02 PM

Default Re: Pain is NOT subjective
Originally Posted by Josh L.Ac. View Post
Methadone for fibromyalgia?


Wonderful.
Indeed. Out of everything in the OP, this is what caught my eye.

Opioids (especially methadone!) for fibromyalgia are not evidence-based, which, given the known side effects, make their use in fibromyalgia highly dubious at best. There is decreased mu receptor availability in fibromyalgia patients, complicating use of opioids further in such patients.
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No. 28
from P_RN
Old Mar 26, 2009, 03:36 PM

Default Re: Pain is NOT subjective
Are you the advocate of the director. No you are the patient's advocate.

That means if the Patient Says they are in Pain. They are in pain. I am another stoic nurse mainly because I don't like being out of control. That being said when I hurt, I SEEK relief. If I think I need pain medicine, and I seek you out to give it to me.......give it. Be the patient's advocate, over and over and over again.
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No. 29
from Josh L.Ac.
Old Apr 04, 2009, 06:34 PM

Default Re: Pain is NOT subjective
Originally Posted by P_RN View Post
Are you the advocate of the director. No you are the patient's advocate.

That means if the Patient Says they are in Pain. They are in pain. I am another stoic nurse mainly because I don't like being out of control. That being said when I hurt, I SEEK relief. If I think I need pain medicine, and I seek you out to give it to me.......give it. Be the patient's advocate, over and over and over again.
Being a patient advocate also means looking out for the patient's best interests, especially when they contradict their wishes (e.g., opiates for FM).
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