SocratesJohnson

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 painful. The patient has...

I haven't contradicted myself.....That's patent nonsense. You lose all credibility by posting patent nonsense.

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 ...

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. It's not the best we have. It's caused an epidemic of overprescriptio...

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 ...

You're saying that coming up with a new system for pain control wouldn't take awhile?.......Why are you being insulting here? A new system for pain control would, in fact, take a long time to devise..........When presented with obvious facts you reso...

????? I'm not going to spend weeks, (months? a year?) devising a system that isn't going to be used. That would be a colossal waste of time. It would be like coming up with a budget plan for our nation knowing that it will never used.

I need to get out of direct patient care for other reasons.....That's for another thread. The reason I need to get out isn't because of pain control......Pain control is something that I really like doing overall. I need to get out of direct patient ...

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 specifi...

I don't want to do that at all.....Not even a little bit. My concerns about our current pain policy have to do with two things: 1. Harm to patients. There are far too many people who have huge opioid habits due to overprescription.....It's a na...

It isn't ALWAYS what the patient says it is. We know that with certainty. It's absurd to pretend that it's ALWAYS what the patient says it is.........If we assume that then we have to treat people who have had 10 mg of Dilaudid and are in a Dilaudi...

The fact is that there are patients who go in for extensive lying in order to receive pain medications and this includes lying about their pain level. There are, in fact, patients who never report pain less than a 10 as a strategy to receive more p...

If you're assuming that the patient's pain is ALWAYS what they say it is you are missing a whole lot in some cases......Reality is what you're missing. Patients are being greatly harmed by overprescription of opioids....People are dying from it. ...

Just to be clear.....That's not what I'm talking about. I agree with you that I'd rather be a drug dealer than not treat post-op pain. What I'm talking about are the patients who under no circumstances admit to a pain less than 10 because their goal...

Anyone who "thinks" that: "the patient's pain is ALWAYS what they say it is" is, by definition, ignorant. It's extremely obvious that the patient's pain isn't always what they say it is. That's not at all true. I've said many times here that pain...

I have seen that too.......I once ran down to a patient's room at top speed (in my younger days) due to a perfect V-Tach waveform, saw the patient brushing their teeth, and said "good morning". Back to the tool metaphor for a second. I have a Bass th...

Everyone has feelings about everything they are involved with but that's not the point. The point is that forcing us to use the pain scale on all patients is bad patient care. Assessing pain is too individualized for it to work on everyone. It is ...

Subjective reports of pain are usually very good guidelines. In some cases the subjective report of pain is completely unreliable....There is no reason to think it's accurate and every reason to think it isn't in some cases. As a practical matter it...

Of course it's being shoved down our throats. Very few nurses who do patient care think it's workable. There are many ways to assess pain but I'm not allowed to use them because the pain scale is is being shoved down my throat. My discussion is ...

That shows a really amazing amount of contempt.....I'll try to respond in kind. I'm impressed that you treat your fellow Nurses with that much contempt.... I'm not the one who came up with the idiotic notion that: "the patient's pain is ALWAYS what ...

That's "thinking" with blinders on. You expect more from medical people but you don't always get more. The vast majority of medical folks I've worked with have more sense than that.

Voltaire There is a lot of importance placed on the definition of "addiction" when discussing pain management for chronic pain. I tend to use the definition that goes: "Physical and Psychological dependence" but there are others. Here's an example: ...

That's horrible! I used to work at a hospital where we had three siblings coming in frequently for Sickle Cell. Sometimes all three would be in the hospital at the same time but not usually. They were in their 20s and they were really nice.......Yo...

I agree. Addiction has different dynamics in different people. Some people are 'wired' to be addicts.....As soon as they swallow their first Percocet they are addicted.....This is profoundly sad. Others slip into addiction over the course of years....

I'm looking for a few things. I'm curious about what others think of the pain scale especially experts. I think it's important to tell the truth about the pain scale so that everyone knows it's limitations and, perhaps, we'll stop having it shoved do...