Me & my speech.

Archive for the ‘value’ Category

#27- Good COMMUNICATION a Necessity

More here continuing from  #26- Your healthcare is YOUR HEALTHCARE!BUT those tests are only good if the technician making the report doesn’t rewrite what the X-ray report really showed or they didn’t stuff in what a doctor wrote previously.

In continuing from the previous page we see how the tests and lab work is done as part of the doctor’s work.  If the assessments and actions with the tests are done well then the problems can grow. Beyond that there needs to be great communication between the doctors and the lab people and the technicians. For instance how can the doctor know that there’s a bone biopsy needle for a small suction bit that can give good results with less painful costs unless there is that communication?

How will the MRI person make a report accurately when there were two broken limbs, but the doctor didn’t tell them of that? Even if the patient says something and the technician doesn’t see a notification in the doctor’s report then the MRI is a waste of time and money for everyone.  Look at the other tests here with Osteomyelitis (Bone Infection) from MedicineNet.com, by John P. Cunha.

  • Osteomyelitis is an infection of bone.
  • A delay in diagnosis or treatment of osteomyelitis can lead to permanent deficits

There are several different ways to develop the bone infection of osteomyelitis. The first is for bacteria to travel through the bloodstream (bacteremia) and spread to the bone, causing an infection. This most often occurs when the patient has an infection elsewhere in the body, such as pneumonia, an abscessed tooth, or a urinary tract infection that spreads through the blood to the bone…In adults, the symptoms often develop more gradually and include

  • fever, [Yes for Rhapsodie!]
  • chills, [Yes for Rhapsodie!]
  • irritability, [Yes for Rhapsodie!]
  • swelling OR redness over the affected bone[s], [Yes for Rhapsodie!]
  • stiffness, [Yes for Rhapsodie!] and
  • nausea. [Yes for Rhapsodie!]…

The diagnosis of osteomyelitis begins with a complete medical history and physical examination. During the medical history,

  • the doctor may ask questions about recent infections elsewhere in the body, [DONE but doctors will only hear of 1 or 2 not more.]
  • past medical history, [Yes for Rhapsodie!]
  • medication usage, [Yes for Rhapsodie!] and
  • family medical history. [In Rhapsodie’s medical file]

The physical examination will look for areas of

  • tenderness, [Yes for Rhapsodie!]
  • redness, [Yes for Rhapsodie!]
  • swelling, [Yes for Rhapsodie!]
  • decreased or painful range of motion, [Yes for Rhapsodie!] and
  • open sores. [NO for Rhapsodie!]

The doctor may then order tests to help diagnose osteomyelitis.

None of these is specific for osteomyelitis but they can suggest that there MAY BE SOME INFECTION in the body. [NEVER DONE FOR RHAPSODIE] …After an area of bone is identified with possible osteomyelitis, a biopsy of the bone may be obtained to help determine precisely which bacteria are involved, and the culture of this can indicate the best choice for antibiotic treatment.

The information is very good in comparison with the other, but it also added the detail that the bone scans done COULD show osteomyelitis not that they would.  The only way to do that is to get an accurate diagnosis is to do a biopsy of the bone. And that sounds horribly painful, if bone core is exposed that can be easier, but not if it’s buried. Bone skin and bone does feel pain, the outer area between the skin and the core may not feel as much because the nerves are centered near moving blood not ‘callused’ bone formations but I know every time a splice grows from a fracture.

BUT everything with these tests depends on the technologists and the lab technician’s accurately reporting AND the doctors & their medical teams accurately gathering and filing reports AND reviewing them accurately also…

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

 

#26- Your healthcare is YOUR HEALTHCARE!

More here continuing from #25- Infectious PAIN VariancesSo if a doctor makes a care statement, they should also have a reason to give me as well as a general detail so I can get their understanding to a better degree. 

BUT if I them to do that for me, I should work to take care of myself also.  They can’t make a correct diagnosis if I go in without a list of things to talk about. In youth the list wasn’t really needed but as an adult, your healthcare is YOUR HEALTHCARE!  Really how can a doctor treat you if they don’t know what they are looking for AND they don’t know details of test types?

On January 4th 2018- MEDICALNEWSTODAY, by Christian Nordqvist discussed information in the article What is osteomyelitis? For Rhapsodie if her doctors knew of the reality of the pain the pertinent points shared here would be of great value.

“The signs and symptoms of osteomyelitis, bone infection, depend on the type. They commonly include:

  • Pain, … and swelling, redness, and tenderness in the affected area [Yes for Rhapsodie, right calf, left arm, left calf, and right arm.]
  • Irritability, lethargy, or fatigue [Yes for Rhapsodie!]
  • Fever, chills, and sweating [Yes for Rhapsodie!]
  • Drainage from an open wound near the infection site or through the skin [NO for Rhapsodie, no open wounds!]

Other symptoms may include swelling of the ankles, feet, and legs, and changes in walking pattern, for example, a limp.” [Yes for Rhapsodie!]

Rhapsodie knows she had an infection and thinks one is growing again, but the healthy life she’s tried to live without lack of treatment means her body continues fighting infections tremendously.

“The physician will examine the affected body part for signs of osteomyelitis, including tenderness and swelling. They will ask about recent medical history, especially any recent accidents, operations, or infections.

Tests may include:

  • Blood tests: High levels of white blood cells usually indicate infection. [NEVER DONE FOR RHAPSODIE]
  • Biopsy: The physician takes a small piece of tissue to test which type of pathogen – bacteria or fungi – is causing bone infection. This helps find a suitable treatment. [NEVER DONE FOR RHAPSODIE]
  • Imaging tests: An x-ray, MRI, or CT scan can reveal any bone damage. [DONE WRONG FOR RHAPSODIE]
    • The damage may NOT be visible for 2 weeks on an X-ray, so
    • more detailed MRI or CT scans are recommended if the injury is RECENT.”

And our fiddlefarden medical system does things in reverse.  You go in with an injury and an X-ray is done, if they think there may be something to consider an MRI or CT is done.  BUT those tests are only good if the technician making the report doesn’t rewrite what the X-ray report really showed or they didn’t stuff in what a doctor wrote previously…

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

 

#25- Infectious PAIN Variances

More here continuing from #24- Relational Corresponding Pain Chart Part A- Section 4 & Part- B- Sections 5 & 6  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…

 

It is hard enough to have an issue that causes pain, a broken on my left foot next to the smallest toe that was dislocated in the 2000 car accident, took over 4 months to stop hindering my steps.  No my toe did not hurt when I was in bed, but walking is a part of life, and walking with a smaller broken toe can be done, it can still cause pain.  The injured toe, as healing, didn’t remain isolated away from life so there were times when it got bruised while it was healing.  Areas that are exposed to injury can suffer more pain as well as more associable issues with infection.  This can cause more pain issues also, the UTI examples are infections of various types for many situations.

Doctors often run a temperature on people, but what about people who do not have normal body temperatures?  The Disabled World, Feb. 21, 2018, article about temperature says that an adult person who has “normal body temperature ranges in the mouth (oral) [that] is about 36.8°C (98.2°F)” temperature normal, then the concern because “[a] temperature over 38°C (100.4°F) most often means you have a fever caused by infection or illness.” This means that the normal temperature person has changed temperature 2.2oF to 2.7oF in order to have a high temperature. “[A] fever is indicated when body temperature rises about one degree or more over the normal temperature.

https://www.disabled-world.com/calculators-charts/degrees.php

My normal is 97.3oF to 97.7oF using a mouth thermometer, which means that at 99.1 OR 99.5 I would be in fever. The hyperthermia has not been heard by the doctors because they ASSume that the normal is the same for me just like it is for everyone else. AND it is NOT! For over a year now I’ve had temperatures more than a degree over normal, and that’s one of the only infection sign I know has been tested for and there are other tests.

Defining Care Information So Patients have more knowledge

In general when doctors ask me if I have any questions, I don’t have any at that moment.  For me questions arise in the time after their care AND in association with taking the time to work on understanding what is shared along with why they made the comments they did.  So if a doctor makes a care statement, they should also have a reason to give me as well as a general detail so I can get their understanding to a better degree…

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

 

#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

 

#22- Patient’s & Doctor’s NEED to Communicate Well

More here continuing from #21- Improve Medical Assessments & Limit Legal Hassles  But there is NO way the doctors have used to relate to me that they can use in making accurate assessments. That’s not a complicated or difficult step to take it just requires taking time to care, keep records, and process them PLUS working to learn outside of your own present knowledge. Let your patient’s speak so you understand them.

Getting Patient COMMUNICATION is Necessary to Help Eliminate More Problems

For me my problems have been made worse with the lack of accurate measuring, the lack of accurate record keeping, and the lack of my own care in recognizing the issues that caused injury before I felt pain which was delayed until infection resulted weeks or months later.  That’s why when I find my pain is totally reduced with use of ANTIBIOTICS the fear of relational problems with infections are added to my reasons to pursue future courses of action against doctors and medical services.

And unless the doctors and medical services work with the patients there will not be good assessments.  Rhapsodie’s Ideas for the Relational Corresponding PAIN Chart works in harmony with the Picture PAIN Diaries with timelines, also somewhat described below as well as being fully demonstrated in the previous posts under Rhapsodie’s Visual PAIN Diary starting on this site at present from #11- 2013 and continuing into #18- February 2018.

This can assist both patients and doctors to have pain measures that are more accurate in making assessments with averages of pain gathered through time.  This could require that the doctors give patients a way to form diaries of pain and it can help patients to make their own pain pictorial diaries more relational for doctors.  BUT the pain diaries will not be useful if the doctor doesn’t take the time to look and read through the charted information of the patient.

PLEASE REMEMBER these assessments with the ratings can shift and vary as well as the pain types BUT the doctor’s may gain some more accurate information if the details are related in a way that they will understand more accurately.  These are only ideas for tools to assist them with their care.

For Patient’s BETTER Pain Assessment Preparations can correspond to Better CARE

As previously mentioned the question of ‘How much pain are you in? Followed by the rate your levels from 0 to 10,’ by doctors and medical people isn’t good enough for accurate assessments of pain. We need more accurate understanding like:

  • Savage’s information, previously shared, about getting relational pain assessments.
  • General Visual Charts like shared by the National Institute on Pain Control (NIPC) information would produce a better chart for time and pain by patients.
  • The Visual Detailing PAIN Diaries with timelines of pain in a form like flipbooks or picture runs could help the doctors to be more accurate in making diagnosis’?
  • Using a Relational Corresponding Pain Chart to relate individual pain assessments of 0 to 10 ratings that is more than personally understood by doctors.
    • Rhapsodie details this more below.

The points above are areas that can be used to improve all pain assessments, but how can a relational corresponding pain chart be built to improve present systems?

Work For Medical People & Doctors

BUT the doctor’s may gain some more accurate information if the details are related in a way that they will understand more accurately.  These are only ideas for tools to assist them with their care. These ideas can work together with allowing doctors more understanding of their individual patient’s pain values AND showing them images they may miss in just ‘seeing’ a patient for 10 minutes every 3 to 36 months.

1st- Visual Detailing with Picture PAIN Diaries with timelines
  • Patients-
    • What is hugely beneficial with that is the fact that the instant you suffer you can start making up a relatable visual for doctors to flip through or see in assessments,
    • EXAMPLE

b. Picture Diary Example

  • Doctors & Medical People-
    • this will be greatly assisted by doctors providing you a method to use as a time & feeling pain diary-
      • especially if you have a prepared action outline for your patient’s to use, so
      • you’ll have an easier time seeing what they share.
    • Visual testing-
      • For testing like with an ultrasound of that arm it is likely to cause minimal pain, it is safe, and it is non-invasive.  Also it is cheaper than an MRI or a CT scan, but you can waste time and money if you are not looking correctly.
      • It’s easier to get an accurate test if you, doctors are accurate in asking for what you are testing AND your testers/ technicians/ radiologists are looking at the correct places in reviewing the pictures..

Visual testing can improve if there are relatable pictures from the feelings you and I have with the actual areas and parts of our problems that the doctors & medical people don’t accurately get with generalized assessments.

2nd- Relational Corresponding Pain Chart

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

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

 

#21- Improve Medical Assessments & Limit Legal Hassles

More here continuing from #20- For Doctors & Medical People to Work On Continuously  … AND this is only the actions for medical people to practice AND there are benefits including limiting legal hassles as well as improving patient/ customer care.

  • Reducing the Doctor’s & Medical Service Groups Fear of LEGAL Hassles
    • Doctor’s & Medical Service Group’s HAVE TO DO THEIR WORK PROPERLY because the continual IT HAS TO BE A KNOWN ISSUE crap causes more legal issues.
      • How can you know any issue if you don’t take the time, effort, and energy to make a real determination of the issue?
      • How can you do your work properly if you are not:
        • Making proper assessments?
        • Listening to the patient?
        • Making sure to read accurate records?
        • Making sure to make accurate records?
        • Really investigating issues?
          • A patient who is paying to see doctors is not shittingly wasting money for your crappy assessments.
          • A patient who is spending time, energy, effort, to get assessments is not suffering to see you to get nothing from you.
        • You are wasting your time in having the patient come again and again instead of working to get to the real issue instead of the real issues taking place.
          • More visits by a patient take more of your time,
          • More visits by patient’s progressively worsening also mean more likelihood for lawsuit.
          • More visits by patient’s progressively worsening are also cutting more time for care of other patient’s you may have also increasing your problems for lawsuit.
        • So the issues for lawsuit grow with the lack of care for patients growing.
          • National Healthcare is SHIT!
          • Health Insurance control of the healthcare industry is SHIT!
          • WE the PEOPLE suffer our own stupidity in allowing others to care for us when we should be caring for ourselves.
            • But this causes a doctor to fear also, at least it should, because I will not go to a doctor unless I determine I need to, thus, they will lose business and that’s mean less money for them to be in business.
          • Patient’s like me who have real problems left untreated are more likely to sue, because years of suffering & the lack of good medical care increase problems that could have been avoided with work of doctors done right in the 20th century that are being done wrong in the 21st.
    • If a patient is satisfied you may not get a single reward other than their payment to you out of it, then again you may get more if you request it.  BUT you are guaranteeing costs added to you by not taking care of your patients correctly.
      • There are malpractice suites, AND
      • there are also liability suites that can be for any liability you are guilty for costing the client problems.

CARE & Actions versus lawsuits

2- CARE & Actions versus lawsuits

Rhapsodie has the idea of the Relational Corresponding Pain Charting because her suffering is only increasing with NO CARE and a body that is gradually getting worse in multiple areas. For Rhapsodie care is not a drug, it is work done to fix problems that are truly in existence. That situation has a consistency to symptoms in comparison with what others have suffered and with a previously diagnosed disease that Rhapsodie can’t officially name for you, but she calls it Whoops disease.

But there is NO way the doctors have used to relate to me that they can use in making accurate assessments. That’s not a complicated or difficult step to take it just requires taking time to care, keep records, and process them PLUS working to learn outside of your own present knowledge. Let your patient’s speak so you understand them…

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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