Me & my speech.

Archive for February 25, 2018

#24- Relational Corresponding Pain Chart Part A- Section 4 & Part- B- Sections 5 & 6

More here continuing from #23- Relational Corresponding PAIN Chart Part- A- Section 1 through 4a

Relational Corresponding PAIN Chart Part A– Section 4

4. Gather individual patient ratings corresponding to the needle user; the needle in use, type of use, and the body area of location use. The 3 variables shift here with:

  • the needle user,
    • Better training and more practice should mean less pain.
  • the type of use need,
    • Emergency care done in the dark is not the same situation as a blood withdrawal done at a lab, AND
  • the reason for body area location, insertion site, use with the needle.
    • Type of Shot or Withdrawal
      • A shot for insulin is done in an area of body fat not muscle in general,
      • A blood withdrawal for a lab is generally done in an area with blood vessels close to the skin, and
      • An immunization shot is often taken in a more muscled area of the body.
    • Location of insertion,
      • Where the needle is inserted will effect the pain results also depending on the nerve areas in the body of the insertion site.
        • People who are familiar with giving their own shots can know what different areas of nerve feelings effect results from inserting in the wrong locations.
          • When I get shooting pain, it’s because I’ve inserted my insulin needle where there are blood vessels, the blood that comes out after removing the point proves me correct.
          • Number areas are safer for insertions with less nerves.
        • Examples
          • A dentist giving Novocain shot does it at the mouth, allowing at least the 15 to 30 minutes to numb it for the patient before they do more work.
          • A doctor giving Novocain for numbing a spine will put it near or at the spine THEN making sure that the 15 to 30 minutes of time to numb it for the patient is allowed so the numbing is done before they do more work in the nerve center, most painful if hurt location, of the body.
            THEN

Relational Corresponding PAIN Chart B– Section 5 & 6

5. Chart ratings from use for the individual with how their specified ratings and other averages correspond from the previous ratings gathered for other individuals.

  • The more consistently that this is done, the more correspondence for having rating scales used by individual patients.
  • This means if the ratings of 0 to 10 are used with the needle and the other variables above corresponding to other patients then there can be more consistent scales for doctors in reference to every individual.

6. The ratings charted will then fit onto an average for corresponding the individual in pain scale against the generally associated averages which means people who fit outside the norm can be related to more realistically with their pain ratings and the care for them can be more accurate.

b- 0-10 pain rating AVERAGES capture B

You can see how the variations in pain for the exact same situation can cause the doctors to have made inaccurate assessments.  The Relational Corresponding PAIN Chart Part A & Part B,can then give the doctors a better reason to associate what they hear and see with the care work they do.  And the patient’s can get better care for their needs also especially when their Picture PAIN Diaries with timelines are made so when the doctor views their pain remarks they also gain a better evaluation with their decisions.

Compiling information

Compiling the information will work best with computers that can assist in averaging and adding information into formula sheets that will provide quick estimates for doctors to review about individual’s pain tolerances.  THEN when the patient works and builds their visual pain diaries they are not only creating visuals of what has been happening, but they are also adding details that are not easily assimilated in a 10 minute visit.  It’s also possible that these compilations can assist doctors with the internet, email records, and other automatic systems for taking and keeping records.

I mean the mechanic can plug a little box into the computer of a modern car to get a better idea of what’s happening with its systems. An accountant can have budgets from multiple areas, businesses, and financial processes share information with it.  A personnel system has computers that keep information about employees, pay scales, hours, and medical information also.  There is a net work of systems that are used to assist all of these fields and we have not good system for getting pain estimates from individuals.

I remember the one time I was questioned in kindergarten about the feel of the tetanus shot. For me I said one, there was nothing to correspond that pain to, I only realized in watching the many students of my age group that went through the line before and after me how much some were hurt.

b- Average pain ratings corresponding- Kindergarten Tetnus

Yes there are also the Dolorimeter tools for measuring pain tolerances, but it’s my conjecture that their use failures come with associated costs and the inexactitude of application styles by the wide variety of users.  Plus the lack of consistency different testees with the situations for testing could damage relations with those pain assessments, so the work with the needle doesn’t need to be a needle but there needs to be other relations that correspond, like are shown in the information posts about the Relational Corresponding PAIN Chart sections.

Rhapsodie’s Relational Corresponding PAIN Chart shifting variables can be more acclimated because of the ways and the frequencies of the assessment that could be done among a large variety of people.

Doctors have more reason to take care in their estimations making diagnoses because beyond injury pain can grow infectious pains from lack of proper treatment…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#23- Relational Corresponding PAIN Chart Part- A- Section 1 through 4a

More here continuing from #22- Patient’s & Doctor’s NEED to Communicate Well  A 2nd idea could be useful in fixing the issue with pain ratings, is having a combined medical Relational Corresponding PAIN Chart Part A & Part B, for the doctors to use while the patients are also doing their work with their Picture PAIN Diaries with timelines.  There are some ideas that just require doing a little bit of work and there are aspects that involve more work and this is one of those things needing more work because it comes with Part A & Part B

While the previously shared picture diary ideas can provide ways for technicians making assessments of X-rays, MRIs, CTs, and Ultrasounds to do more accurate work. The picture diary idea along with The Schmidt Stinging Pain Scale ALTERED by Rhapsodie’s Ideas, of using common practices, would not greatly switch or change any present medical care, other than to get an accurate overall assessment of pain by improvements done in comparisons.

b- Needle PartsInstead of using bee stings, the alteration would be based on shots and lab assessments using needles, with the simple question ‘Please rate your pain” after giving shots of certain types to patients, AND adding that information to their assessment.  The work of use of needles of varying definition and size with a large variety of patients will have both the differences of the application, the person doing the application, and the patient. The needle length, cannula, and the needle gauge, density, can greatly vary with locations of use and types of use.  Yes these things mean other variables beyond the body.

I’ve been a type 1- diabetic, with diabetes myelitis, since I was 5. Over the years I learned to take shots almost painlessly, in the fatty areas of my body. Nerve endings are closest to muscles, so when shots are taken rubbing a finger over the skin can show muscle placements. ALSO if the skin is taunt there is less likelihood of friction resistance and bruising which is also painful. BUT some shots are more painful, like if they go into muscles or joints, so those are additional variables beyond who is giving the shot, the needle density gauge being used, the location for the shot, and the skill of the shot giver.

But if I as a patient get lab technicians who ask me about pain with the use of a needle and my mom does with the same person, my mom with her lower pain tolerance suffers pain way more than I even notice it.   AND because of the ability to have professional conjunctions with the millions of other people that also have needles used on their bodies in various forms through life there can be more accurate individual pain charting made.  With the Relational Corresponding Pain Chart there are specified records needed.

Relational Corresponding PAIN Chart Part A– Section 1 through 4a

  1. Who is applying the needle, what are their application ratings, and what application are they doing?
    • Some people have worked to perfect their use of needles to keep their patients from suffering,
    • some have a specified type of work they do regularly, and
    • others have a broader range for types of care that they do.
  2. What needle is being used?
    • Length– is from the point to the reservoir.
      • This generally varies in accord with the location for the insertion AND the body mass type in that area of insertion.
    • Gauge– is the thickness of the amount being inserted it generally shifts with the capacitance as well as the needs in situation too.
      • This varies with the type of collections AND the type of medicines being shared.
    • Reservoir– This is the body capacity of the needle, in many cases a reservoir varies but the length and gauge can be the same as another of a different size.
    • Purpose Type – A bone needle would be a different type than a fluid needle.
    • Location for use-
      • When I have low sugar shot of sugar the needle gauge is thicker so my shuddering and shifting body doesn’t break the needle into my body.
      • When I take an insulin ‘shot’ it’s a much smaller gauge, but with being still there’s no need for the thicker gauge.
  1. Have individuals list other information that can vary ratings for them. This is in the chart at number INDIVIDUAL PATIENT present life RATINGS as averages of information like last sleep and emotions plus other information that can be added is of use.
    • Activity & Exhaustion vary blood flows and likely also pain levels.
      • When I’m excited or busy working, my blood is flowing hard, I can bump or bruise myself and hours later realize what happened, possibly.
      • When I’m tired I can bruise or injure myself and it generally feels like worse pain, like because my cells are tired too.
        • When my sugar gets low, or another gets drunk, the blood is thinner so it doesn’t coagulate as easily so less bruising BUT also less pain.
    • Blood flows can also vary with emotions, because the chemicals released in the bloodstream from emotions can also shift how the blood acts. When my sugar is low my blood is thin, less food in it, it flows faster that’s different from epinephrine/adrenaline hormone because that faster blood is food filled.
      • Adrenaline–  “a hormone secreted by the adrenal glands, especially in conditions of stress, increasing rates of blood circulation, breathing, and carbohydrate metabolism and preparing muscles for exertion: Also called epinephrine.” (https://www.bing.com/search?q=adrenilin&pc=MOZI&form=MOZLBR )
      • [E]pinephrine “[ep″ĭ-nef´rin]- a hormone produced by the adrenal medulla; called also adrenaline (British). Its function is to aid in the regulation of the sympathetic branch of the autonomic nervous system. At times when a person is highly stimulated, as by fear, anger, or some challenging situation, extra amounts of epinephrine are released into the bloodstream, preparing the body for energetic action. Epinephrine is a powerful vasopressor that increases blood pressure and increases the heart rate and cardiac output. It also increases glycogenolysis and the release of glucose from the liver, so that a person has a suddenly increased feeling of muscular strength and aggressiveness.”
      • Does Exercise Cause an Adrenaline Rush? “Regular exercise training can increase your mood. With regular exercise comes a reduction in the levels of epinephrine at rest…depletion of epinephrine on a daily basis that can come from being over-stimulated can lead to fatigue. Less fatigue can mean a happier mood.”

      • Animal Instincts of the Human Body…“Essentially, what …was not adrenaline blocking any pain sensors, but the fact that [the persons] attention was engaged so strongly in other activities that they were distracted from the feeling pain… Subjects infused with adrenaline reported an increase in pain if their sole focus was on their pain, and would report a decrease in pain if they were distracted while the painful stimulus was administered.”

b- 0-10 pain rating INFO Capture A

Relational Corresponding PAIN Chart Part A– Section 4

4. Gather individual patient ratings corresponding to the needle user; the needle in use, type of use, and the body area of location use. The 3 variables shift here with…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

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