Two Big Questions For Pain Experts - page 14

by SocratesJohnson

9,640 Views | 137 Comments

If it's assumed that the patient's pain is ALWAYS what they say it there are two major questions that arise. The questions arise because they are real-life situations. 1. A patient has had surgery that isn't expected to be... Read More


  1. 0
    Quote from heron
    this from the one who calls those who disagree "idiots" and "morons".
    It's perfectly acceptable to refer to those who go in for extreme idiocy that way.

    Pretending that idiocy isn't idiocy is a crime against truth.

    You do realize that devising a new pain system would be a major effort?.......You seem to have a problem with that unbelievably obvious fact.
  2. 3
    Quote from SocratesJohnson
    I haven't devised a new system for pain control.......It would almost certainly be a complete waste of time as it would never be implemented.

    If someone said to me: "We need your input on a new pain control model" I'd be very happy to propose specific changes.



    I'm interested in controlling pain and I work really hard at it. Forcing us to use nonsensical criteria interferes with proper pain control.
    Although I have to agree that the decomposition of the unfortunate carcass is in a pretty advanced stage I seem to be unable to resist the magnetic pull of this thread...

    OP, what has you so convinced that a new and better way to assess pain wouldn't be welcomed by the medical/nursing community?

    I'm not surprised that you can't present an alternative approach that stills ensures that pain isn't undertreated. You are not alone. No one else has either.

    That is why we currently use self-reported pain. It's the best we have available to us.
    You can call it nonsensical criteria and idiocy all you want, that doesn't change the fact that it's the best we have.

    The best nurse manager I ever had used to say: I welcome your (as in all staff) complaints, just make sure that you offer some ideas or suggestions on how we can improve/change the situation.
    I agree with that concept. Simply complaining isn't constructive and won't better or improve a situation.
    SoldierNurse22, Esme12, and elkpark like this.
  3. 0
    Quote from macawake

    OP, what has you so convinced that a new and better way to assess pain wouldn't be welcomed by the medical/nursing community?
    I'm not convinced of that at all. The fact that the current crop of "experts" have dominated pain control policies gives me little hope of sanity in pain control any time soon.

    You can call it nonsensical criteria and idiocy all you want, that doesn't change the fact that it's the best we have.
    It's not the best we have. It's caused an epidemic of overprescription......It's been a disaster! Opioid habits are out of control in this country.

    The best we have involves a realistic approach.

    Simply complaining isn't constructive and won't better or improve a situation.
    Stating important truths is very constructive.....Being blind to important truths makes the situation worse.
  4. 4
    I think this poster is not very educated regarding pain though he claims to be and likes it. Really! He has a issue with what everyone thinks. You do sound burned out maybe it's time to pack it in. While patients aren't always honest we as nurses can be way too judgmental. Every patient has a story. As nurses we need to listen, provide feedback, assess and educate. While addiction is on the rise a good number of patients remain under treated for the fear of becoming a addict or because of what the provider may think.
    I have done pain management for over 10 yrs and certified in pain. I encounter the posters view everyday. As much as I educate they can't change their own biases. Let's discuss how we as health care providers do this better and avoid wasting time on ignorance.
    SoldierNurse22, macawake, elkpark, and 1 other like this.
  5. 2
    Quote from SocratesJohnson
    I'm not convinced of that at all. The fact that the current crop of "experts" have dominated pain control policies gives me little hope of sanity in pain control any time soon.

    Your own words: "I haven't devised a new system for pain control.......It would almost certainly be a complete waste of time as it would never be implemented."

    Not much room for misinterpretation or ambiguity.

    I have given you the benefit of doubt, no more. When you contradict yourself you lose all credibility as far as this discussion goes.

    I finally feel like I'm done with this entire discussion. Quite a liberating feeling

    I'm putting the horse to rest.
    Last edit by macawake on Nov 27, '13
    SoldierNurse22 and heron like this.
  6. 0
    Quote from lmccrn62
    I think this poster is not very educated regarding pain though he claims to be and likes it. Really! He has a issue with what everyone thinks. You do sound burned out maybe it's time to pack it in. While patients aren't always honest we as nurses can be way too judgmental. Every patient has a story. As nurses we need to listen, provide feedback, assess and educate. While addiction is on the rise a good number of patients remain under treated for the fear of becoming a addict or because of what the provider may think.
    I have done pain management for over 10 yrs and certified in pain. I encounter the posters view everyday. As much as I educate they can't change their own biases. Let's discuss how we as health care providers do this better and avoid wasting time on ignorance.
    I'm plenty well educated. What makes you think that pointing out the fact that the patient's pain isn't always what they say is makes me uneducated?

    What makes you think that me pointing out the obvious fact that overprescription is an epidemic in this country and has caused serious harm makes me uneducated?

    Instead of making dishonest accusations against me why don't you address those two facts?

    Citing extremely important facts isn't a sign that someone is uneducated.
    Last edit by SocratesJohnson on Nov 27, '13
  7. 0
    Quote from macawake
    I have given you the benefit of doubt, no more. When you contradict yourself you lose all credibility as far as this discussion goes.

    I haven't contradicted myself.....That's patent nonsense. You lose all credibility by posting patent nonsense.
    Last edit by SocratesJohnson on Nov 27, '13
  8. 5
    thread closed for staff review.


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