*Quote form BostonFNP*:
In practice, I do need to make a judgement call, and I do that to the best of my ability/training/experience. My point above wasn't that a patient came in with a pain scale of 0 asking for Percocet, it's that their expectation is to be 0 on the pain scale,and the seek medication to get it to a 0. As an outpatient (and probably inpatient too, though I handle it differently there), the pain scale is nearly useless to me: it is too variable and too subjective. Pain is pain. If patient A can be functional at a reported 8/10 then my goal is to treat them to an 8/10. If patient B can't be functional at a pain scale of 4/10 then I need to treat them to less than that. *Quote*
You maybe need more experience behind you (?)and (GOD forbid) some pain of your own! Maybe your provider will say to you...you're functioning at an 8/10 so that will be our goal. Are you kidding me?!! Just because one can function, and by that I mean barely survive, but hey I guess you're surviving, so you're good, is so devoid of actual understanding I can not begin to comprehend that thinking. Also if someone comes in expecting to have a goal of 0 out of 10 pain then possible some patient teaching may be in order, depending on the diagnosis. I have and do go to pain seminars and keep abreast on the subject however, as I said, it is individual and thats where I am leaving this conversation. It is exhausting tbh!