Me & my speech.

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.” ( )
      • [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…

Other Connecting Posts

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

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

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

Please share your thoughts.

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Tag Cloud

%d bloggers like this: