Me & my speech.

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

 

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

 

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

 

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

 

More here continuing from #19- Medical ASSESSMENT Improvement Ideas Begin With  It’s a lack of this self-examination that causes everyone to become more arrogant and less accurate in their decision making.

I mean if you hear a squeak, squeak, squeak, when you put your foot down on the brakes of  your car you assume there’s a problem with your brakes.  It could be a brake pad, a brake shoe, a lack worn rotor, an unbalanced tire, or something else though. AND the common poor person who has knowledge of car work will take the time and money to fix the problem themselves, but the busy person may hire another to do that work and they may end up paying more because they wait so long to get treatment for their car.

BUT they could also go to a BAD mechanic and they end up paying again and again to get their car treated by THAT mechanic.  BUT they could also go to another mechanic and get another assessment, AND because that new mechanic does the work to make the diagnosis the solution may have been as simple having the wrong size brake pads added by the first mechanic. AND that is life and death, but it’s the car, not the body that is lived in every second of the day.

With our doctors their own actions OR lack can cause deathly problems or even problems that kill a person’s soul in their youth or middle age.  So here is a beginning checklist of the needs for Doctors & Medical people to work on continuously as found with the lack of care from my own problems, hopefully you also have ideas for solutions to the problems and hopefully we all get doctors that work to do well with listening and learning from the people they are caring for:

  • Getting more than Basic Details
    • Have you the doctor made inaccurate assessments?
    • Have you the doctor shared details of definition when you assign titles to things like pain?
  • Relational Corresponding Pain Charting done correctly
    • Have you the doctor heard what the patient is really feeling?
    • Have you the doctor taken the time to learn the feelings?
    • Making Sure to Know How Pain Variables Can Alter What a Person Says
      • Infections are not the same as a scrape, the pain is different also.
      • Taste pain is a surface and cell reaction that’s different than a burned mouth.
    • Relational Corresponding Pain Charting Work includes sharing the body pictures that your patients can color in demonstrating their feelings with different body areas.
      • The previous posts under Rhapsodie’s Visual PAIN Diary beginning with post #11- 2013 has more images showing how using basic body shapes can detail information better for doctors.
      • If you add the details of the color shade variations for pain persistence they they can add to the charts for all of your patients.
  • b. Blank Chart with color pain match added
    • AND with taking the time to enlarge the shapes using the basic outline at first, even asking the patient to point to the pain on their body you can pull out blank body part pictures for them to color onto.
      • Actually the nurse initially when the patient comes in to be weighed can do that.
      • OR the doctor could send the patient home with the blanks or links to the doctor’s website with blanks that they can color and date for different days or weeks or months of pain.
  • b. Lower legs with Color Chart
  • Defining your doctoral Care information more accurately when talking with patients.
    • For example: What is your, doctoral, definition of Chronic Pain?
      • Rhapsodie’s feeling about the diagnosis Chronic Pain is that the pain is constant &/OR consistently the same &/OR in the exact same location.
    • Sharing more details of estimates & information with patients, so they have a more complete picture of your assessment and prescriptions for care.
  • Getting Better Medical Technical Assessments
    • Have you the doctor viewed the resulting images in accord with the tests you have asked for OR
      • do you persist in believing an overworked technician will be able to open every single image and do an accurate diagnosis when it’s easier for them to read previous reports & make ASSinine declarations?
    • Are you allowing a Medical Technician to Assess the Body, when they should have assembled the pictures & shared them with you, so you can make the assessment?
      • X-rays; MRIs; CT Scans, and Ultrasounds can all be shared with office emails, USB’s, SD’s, &/or Visual view clips attached to documents AND they can show the discrepancies by being prepared with use Ctrl + a certain amount of times OR with image clips showing the specs?
    • The problem with gathering accurate details corresponds with record keeping and relating with the information accurately.
      • This means more work requiring time by technicians AND
        • Medical Personnel & Doctor’s to record information including the associable pain measures onto a relatable scale for more accurate assessments.
          • Medical people and Doctors then have to read the reports of pain information for each individual they are treating. Including:
            • Physical therapist reports;
            • Nurse pain reports;
            • Lab pain reports and
          • Any other personal pain report and match assessments for individuals.

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…

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

 

More here continuing from #18- February 2018- With Updated Assessments & Images  That’s why Rhapsodie has ideas that can assist in helping the doctors who ask us as patients to rate our pain on a scale from 0 to 10 to get better information…

Don’t you just hate going to the doctor and mentioning an ache or a pain and they say, ‘Rate that from 1 to 10’? And there you are thinking

  • ‘it’s not a regular pain it comes and goes when I do this or do that.’ OR
  • ‘when I eat this or drink that it changes or varies.’  Or
  • ‘this is a deep pain it’s more like a bruise in the bone not on the bone.’

But all they ask is for you to rate your pain while they are using their own estimates of pain to make that ASSessment. For instance the doctor years ago with my UTI commented that he’d be screaming in pain and I barely had an itch.

With the previous reading you can see how the National Institute on Pain Control (NIPC) information would produce a great chart basis from their Pain Assessment Scales.  Details can easily be added with areas of pain variances charted with time and effort of the patient, as was demonstrated the PAIN DIARY with Rhapsodie’s Visually Detailing Pain & Variations. Just think about how dropping a tool on your unprotected toes would feel and now imagine slamming your finger with a hammer, yes both would hurt but you’re likely hopping in consideration of your toes.  AND that’s your body not 2 different individual’s bodies.

I dislike burning my tongue on super spicy food, but other people love it, I have a super high pain tolerance and others have a much lower tolerance.  That’s just normal life, so how can we trust that the doctors who say, “Just tell me the pain you have rate it from 1 to 10” and they don’t even qualify the 1, 5, or the 10.  Because for me 10 is like the nasty migraine headache I had once that was so bad I could feel the pain of blood rushing in my head, until I barfed from it. I’ve never had pain like that since, not even when my broken arm bone was sticking out of my skin, if comparing those two I’d say the arm was like a 6.  b. Cat Scratches- P1680006But that’s because for me 1 is more than a sore muscle, more than a cat scratch,more than pulled hair, more than a needle poke.  And that’s why I think having a pain assessment process with medical care could be useful.

BUT this can only begin if the medical team is questioning their initial assessments AND the reports they have received from other so called medical professionals.  There is a reason certain doctors become so popular and it’s not for their good looks, even though some are handsome or beautiful, it’s because they take the time to look beyond other’s ASSessments in making their own.

When doctors and hospitals don’t work properly they can make the patient problems grow as well as the amount of time and effort they need to take in caring for people. AND they add to increased decreased productivity with society, at least if my case is similar to others. So doctors & hospitals & medical people should ALWAYS BE ASKING

  • Am I right?
  • Is my assumption accurate?
  • Could there be another reason I’m not looking at?
  • Am I taking time to make sure I am right with my prognosis?

It’s a lack of this self-examination that causes everyone to become more arrogant and less accurate in their decision making.

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

 

More here continuing from #17- Rhapsodie’s Visual PAIN Diary- April 2017 Because months have passed since my last entry I’m adding details from the present situation and the pain shifting.  A situation which the doctors have listed as chronic pain, they’re stupid about that, but then they only read what others share with them before making a diagnosis. The February 2018 post demonstrates how the so called ‘chronic pain’ isn’t, it’s in fact circumstantial driven by life AND lack of proper treatment.

There has been a reduction in pain because I do not do much of anything.  My huge 583 square foot tiny home doesn’t make me move a lot to do anything.  The pain that I feel is taken care of by not doing anything, that’s not healthy but it sure saves money and stupid drugging by doctors who prescribe damaging drugs instead of taking care of the problems OR prescribing natural treatments to take care of problems. The misdiagnosis and lack of investigative care are leading to problems beyond the initial ones.

I’m going to show pictures of present pain at times with comparisons from the past, but there’s not of added detail because those were shared in previous posts.  Please think of the value of having doctors who do better work with pain assessments and how that may also help you!

2017 Body Pain Picture

b- April 2017 Pain Pictures Colored

2018- Body Pain Picture

You’ll notice in comparing the images that the pain has decreased, this makes sense with the depreciation of movement and the season of winter.

b. Feb. 2018- Pain Changes

You can see how the spread of the pain has varied; now the lower left calf feels like it’s splitting over and around the talus, the center bone of the ankle. The right calf is stiffened with clumps that can be rubbed painfully away, likely it’s because of core clotting outside the bone. The upcoming pictures demonstrate how the bone shifting with the legs have damaged things.

b. Lower right calf pain & bent bone

b. Lower Left calf bones & Pains

Dr. Gingras determined that the right calf outer bone was bending and arthritis was possible in the left knee area, so it doesn’t surprise me that the pain nerves at the connections of those areas suffer also. Problems grown from lack of care are barely discernible now, but they are likely to just get more and more damaging in the years to come even if the doctors do a fully accurate treatment.

If you logically feel out the results from the ‘found’ problems and you look to the pain issues resulting from the lack of proper treatment you can see why these problems are growing.  I felt like the doctors didn’t want to do anything even when they offered to do surgery to treat the blood clotting on my right calf.  It may have been I read the situation incorrectly, but my primary care doctor should have received notification of that recommendation and I’m not sure that was done either. Maybe my strong pain tolerance threatened their assessments of their own accuracy in diagnoses.

Hip & Knee Problems CREATED from lack of care

This image shows the problem areas and new areas of pain that are inconsistent in amount but they have grown from a lack of care.

b. 2 Hip & Knee Problems created

I’m not sure if you could read the info under the pictures so I’m adding an enlarged version here, but the credits for the figures are shared above:

b. Clipped- Bone issues with lower legs

Arm Problem Extensions

Previously we discussed how the problems with the uses of the left arm increased the problem possibility for the Left Arm Rotator Cuff.  Now the wrist and the elbow are arthritically threatened, because as shown previously rheumatoid arthritis results from lack of care as well as other things.

Images displaying the previous injury and the resulting problems after the fall of 2014 completing the re-seperation.  But here is another image of the scar that resulted from those sets of treatment:

b- Rhapsodie's Left Forearm view when arm is in front of neckThis assists in demonstrating how the internal injury spread is a great possibility and that helps explain the problems that have extended to near the wrist and near the elbow now and this is only the scar remaining from the original surgery when the bone shoved through the arm.

So here I am at the beginning of 2018 before doing anything with Spring or Summer having trouble pulling silverware out of the drawer at times AND being unable to do much more than hold my left arm as I do everything.  That is except typing, which I do with my arm braced on a support and with pain suffering for days beyond any work like that.

b. Feb. 2018- Left arm updatesThese results from inaccurate examinations and reporting have been enhanced by inaccurate pain assessments.  That’s why Rhapsodie has ideas that can assist in helping the doctors who ask us as patients to rate our pain on a scale from 0 to 10 to get better information…

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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