Me & my speech.

Posts tagged ‘share’

Business Continuation Steps… PLUS

Businesses can fail because of not taking the time to do more than focus on setting the business up and get products prepared with the business. The business continuation steps are focusing on continuation with the business while the steps to make the business succeed are being worked on. Here is Rhapsodie’s list of business steps, I do not have all the information, but I’m sure that it’s some more than many businesses add into processes:

  • Prepare the business properly,
    • Legal work;
    • Financial work;
    • Product development work generally called R&D (Research & Development);
    • Marketing work;
    • Communications work;
    • More
  • Act correctly over time with development & actions in business,
    • People work;
    • Legal work;
    • Financial work;
    • Product development work;
    • Marketing work;
    • Sales work;
    • Communications work;
    • More
  • Keep the business with actions & developments overtime with,
    • People work;
    • Legal work;
    • Financial work;
    • Product development work;
    • Marketing work;
    • Sales work
    • Communications work;
    • More
  • Setting in processes & plans for the future along with continuing the business at present-
    • Takeover; Continuation; Retirement; other business future options
    • People work;
    • Legal work;
    • Financial work;
    • Product development work;
    • Marketing work;
    • Sales work
    • Communications work;
    • More

All of this work with business takes time, energy, effort, constant update, constant development, and constant consideration over the development of the business into a business AND through the business as a business. If the factors are learned in business that’s okay, but if processes and procedures aren’t worked on with the business then FAILURE is the most likely option being prepared with the business.

The business can only continue with actions that assist it to resist failure. Reasons with this were found in my examination of a product commented on at Home Advisor.

Business Failure Can Be Worked on to be Avoided

As my previous post shared, there are products that are of use in siding a home, reasons for failures and successes go beyond the product itself. This came from reading Sandi’s comment about Liquid Siding, notice that she mentions that she could not locate the manufacturer 10 years after the application. The problems with application could have been reduced if the business had taken steps to cut the problems AS WELL AS having worked to improve it’s processes with the product:

Comment Sandi, January 29 [Rhapsodie’s words are added in the square brackets]

Do not use on wood siding!! [Rhapsodie does not agree with this, but because of the results, it can be that the area Sandi lived in also impacted these results. Plus the way her structure was built and when the material was applied.]

We had liquid siding put on about 10 years ago and have had a problem with wood rot on the T111 [called T one eleven] for the past 5 years [likely the T111 was damp in application of the liquid siding this wasn’t the fault of the wood OR the material, it was a fault in the application.]

We will have to completely reside a 4,000 sq ft house. Cannot find the manufacture.

How this comment influences Rhapsodie’s Words about Business

Rhapsodie’s Words based on reading that information are based on application considerations that would be part of the various business steps mentioned above including:

  • People work;
  • Legal work;
  • Financial work;
  • Product development work;
  • Marketing work;
  • Sales work;
  • Communications work;

For instance with the product development work while the business could have merchandised great & their product could have been great, but that doesn’t mean their product appliers OR processes were good. If plans were made to integrate product development with the research time for testing and trials, part of this problem situation could have been reduced for Sandi before she even bought the product.

This product development work could have involved:

  • Product uses with tests in applications;
  • Product uses over times with applications; and
  • Product developments with the tests of uses in the products over time.

This work adds cost to the business before anything is shared with the public, but also while things are being shared with the public. Processes and procedures with legal and financial planning and actions with the business can impact development BUT in addition to that can influence procedures and actions beyond that.

The work with processes and procedures can impact how the finances are used AND how the steps in processes and procedures impact legal costs & values with the business. BUT more than that the

  • People work;
  • Product development work;
  • Marketing work;
  • Sales work; and
  • Communications work.

Can all be integrated into product & process development both before client uses and with client uses.

How many individuals like Sandi could have appreciated working with the business in product development if they were give ‘cost reduction’ options for product uses with tests and trials in use of their home. And with the communications processes prepared for the comments & ‘problems’ & ‘value’ uses with the products in application; uses; the results.

For example if Sandi’s home of T111 was covered by this material when the T111 was ‘damp’ because the wood was bought brand new, then it could mean anyone doing the application on ‘new wood’ could have problems also. In addition to that because DAMP WOOD is often found with new products, the aging processes and procedures with wood could impact the application time frames with this new Liquid Siding application.

Liquid siding from my reading is a form of material like vinyl siding, but being that it’s painted, it seals any product problems, like moisture in wood, beneath the plastic. And what happens when your kids OR you have sweaty wet wear put in plastic bags that are left that way over time. The stinky clothes can rot in the bags if they aren’t cleaned & dried before being put into plastic OR storage again.

Some Business Application Material Considerations

For the business the T111 material could have been new, damp, and needed to be dried before the Liquid Siding was applied.

  • But did it practice communication and processes with the customers it had with problems like that?
  • Did it prepare application tests and processes that could have reduced those problems?
  • Shouldn’t it have prepared for appliers that used the product incorrectly with it’s legal and communication procedures before it suffered the problems from ‘idiots’ in business that do not follow the manufacturer application processes?
  • Shouldn’t it have taken the time to make sure the products were sold with a little more cost for the customers, so that the prices would assist them to continue to care for the users after they had ‘problems’ resulting from bad uses and applications?
  • Were the applicators hired by the business?
    • How did the business prepare & train people doing applications with it’s products?
    • What contracts did the business prepare for applicators working with it’s business?
    • What times & process actions were part of the business application procedures that the contractors were to work with for the business?
  • If applicator’s weren’t hired were the business, were there information guides prepared so other contractors would have application guidance by the business to use?
    • Were there product warranty contracts & actions prepared to handle legal situations resulting from unapproved applicators using the business products inaccurately?

More will always come

A business is always growing. No business will have no additional costs after it’s up and running, which means there will always be additional costs beyond normal business costs when a business is up and running. Taking the time with plans and procedures to make sure actions and processes are prepared for business development with each and every customer & each and every product takes time, effort, energy, consideration, care, and business development with actions over time.

If a business doesn’t take care in it’s planning, processes and product development, process and product uses, plus process and product care there’s need to do more also. This could mean with work in time they can improve things as long as they are prepared to change and develop with time and with actions over time.  BUT if they begin business without taking the time to

  • TEST PRODUCTS in;
    • Test marketing;
    • Test uses;
    • Development tests;
    • Care efforts;
    • Communications with
      • customers we have & customers we could get;
      • business people in house & external;
      • development people in house & external; and
      • others also.
  • TEST METHODS including
    • Development processes & products;
    • Marketing options & actions;
    • Legal preparations, communications, and works;
    • Financial preparations, communications, allowances for mistakes & possible needs, and other works;
    • Customer work including our sharing BUT also including taking time to care to listen, learn, and grow with their comments the negative & the positive. Because no one learns to grow from being told you’re great unless we are also trying to find out what we need to improve on. It’s easier to learn to grow by being told this is not right, I hope  you will try OR do AND if you changed this and other comments that can be ‘negative’, but are actually valuable for the business if it takes time to hear the customers;
    • Communication work is “2/3rds hearing and 1/3rd speaking” Dr. Back, Alfred State College. But communication work is also taking the time to learn more with what is being heard, so it involves interactions and inviting comments so that we can hear more;
    • Product sharing work is always growing and developing. When products are similar to others they are often styled similarly because those options are what work well for the customers. If new products are being shared tests and trials mean customers impact future developments because they should influence what is shared and how it’s shared and over time this progresses and develops;
      • Uses with products- it may be products are developed for certain uses and certain purposes, but customers and their tests and trials can influence what users consider AND try with the products made available and how those are used. If the business is listening to it’s clients they could learn about this and thus it can offer other sharing options not previously considered. While this will mean further research & development it can advance sharing options also;
    • Uses with business should always be prepared for advancing and changing, that’s why research and development are so important as are the communications and interactions with customers.
  • ADDING
    • TIME TO ALLOW QUALITY TO BE LEARNED IN APPLICATIONS &
      • with TYPES of MATERIALS &
      • with TYPES OF MATERIAL &
    • TO MAKE SURE THIS IS CONTINUED OVER TIME,
  • can assist a business in avoiding failure. This is not a guarantee, but it’s a tool that can be of assistance.

For Any Business

For anyone who doesn’t consider the future with their actions of the present can be preparing for some sorts of failure. If mom & dad train their kids to be as they are how with their kids develop to be adults which are more than kids as they are?

Home Work Rhapsodie’s Words Shares:

Exterior Work my Comments at Home Advisor

Business Continuation Steps… PLUS

#29- OUR Responsibilities!

More here continuing from #28- More ACCURATE ASSESSMENTS with Good Reporting, Filing, & Reviewing  … Our Responsibilities… So all of the work of our healthcare has been handed to strangers, doctors, technicians, nurses, pharmacists, and the government BUT we all have responsibilities for our selves, BUT do we take care of our responsibilities for our selves and our families?

Unhealthy Patient Diets Can Add to Pain Problems

Unhealthy diets can cause us to have deficiencies in our systems that significantly add to problems with our growing bones.

Yes, I said growing.

http://www.boost-bone-density.com/causes.html  is a site that is very informative about bone growths. Including information corresponding to bone density is a massing of bone cells in smaller amounts of space, my dense bones for many years suffered almost no pain. Injuries which have caused my bones to repeatedly work to fix themselves, could be causes for why I now know a lot more about weather pain, but my self treatment seems to keep the pain from being too bad presently… it is not only a continually good diet, but it also is ginger which is a natural anti-inflammatory.

Diets of

  • white flower foods, (with the flour a sugared starch with NO value other than it is not sugar),
  • high sugar (cane sugar is often bleached, and strained so that all we get are the sweet remainders left behind from the health of the cane),
  • highly processed foods with the added chemicals that can break the natural body, and
  • lots of physical inactivity also can add to the problems grown for us as a people.

Many of us begin trying to live healthy after we have lived in fun for many years. But how many of us are suffering from our fun, with possibly injuries or problems that add cause to our reasons for suffering pain?

Blah, blah, blah… yes I talk too much, sorry. But you may also find that the use of nature can enhance your health. For me the old Dr. Jarvis treatment of unpasteurized cider vinegar and local honey has resulted in me avoiding the medicines for Acid Re-flux, Allergies, and possibly arthritis also. The previous Bone Density link shares information about how chemicals treating Thyroid conditions actually do not add value to bone building in the body.

All of our natural care for ourselves is another addition to the information we should share with our doctors.  They also may be ignorant of us because they skin a small sheet of information about us.  And the longer we have been treated the more fiddling files there are about us for our doctors to review.

So we should

So we all should have

  • a list of our medications, even the natural ones we use instead,
  • a list of all our self treatments & when,
  • a list of all the doctors we have visited & when,
    • a list of the doctor associated hospitals also,
  • diagnoses they have made,
    • medications they have prescribed for what,
    • tests they have done, for what, and when those were done, AND
  • other information.

This way we keep a medical record for our lives and for a reference to use in sharing with others.

The value of our own records

For us the value is a binder of work we’ve done for ourselves.  AND this assists us when we seek out new doctors, did they get reports from all your doctors about all your medications or were there missing files that they need to have?

And you know why this is my recommendation?

It’s because I’m not anyone but me, there is no guide in their files designating me for them.  The sense of this is because a lot of doctors I’ve visited recently tend to generalize me with all other diabetics they have treated, but I am me not them. So generally there is at least 2 minutes of every 10 minute visit with a doctor telling them to check my A1C records, to do the research, that I am healthy.  And there are still doctors that do not look beyond their past knowledge of other people before they start estimating me and the pain I have been living with.

While my:

  • records of my lower caloric intake have been ignored?
    • With the body situations of having eaten very little for over 3 years that could be effecting my bones, joints, organs, and other body areas too.
  • records of balanced food consumption have been ignored?
    • With my work to eat balanced amounts of food diminished by no hunger.
  • comments about skin, hair, body, and other problems have been put to the side because only one issue at a time can be taken into account.
    • IT HAS TO BE A KNOWN ISSUE
      • What idiocy, how can you know any issue if you don’t take the time, effort, and energy to make a real determination of the issue?
    • My words aren’t heard!

AND I’ve used the internet for RESEARCH also

Research for me includes having looked at

  • Osteomylitus, [NO TESTS done for this yet]
  • Respiratory Alkalosis, [NO TESTS done for this yet]
  • Diabetes Insipidus, [NO TESTS done for this yet]
  • Microscopic Waterborne Parasites/ Organisms, [1 TEST done for this INCORRECTLY] and
  • Hyponatremia water–electrolyte imbalances, [NO TESTS done for this yet]

which ALL fit me somewhat.  The Respiratory Alkalosis was proven not to be asthma AND Diabetes Insipidus have bone weakness associations; the Osteomylitus may have been acquired with walking around barefoot and having a nasty prickly bite me the inflammation in my right calf started about 2 months after that.  There has been no other work by doctors, beyond believing the lies of technician’s who were too overworked in reports, reading of information, and going through so many files.

AND because I don’t want to insult them with asking for tests for these, because the microscopic parasite test I asked for was a work done by so many to find the test.  BUT the LAB SHOULD HAVE SAID “Go to the hospital, we can’t do that here LIED!” And this lie has made my whole family get infected also, I lost my Walmart job because of the disease, BUT my family sacrificed so I could go to college.

Then I fractured my right calf and have had more falls, likely increased in intensity because the parasite has altered my whole system.  AND because of the lies added to my files which have caused doctors to think I’m a ‘drug addict’ instead of them treating me like I’m trying to get healthy again. MY medical file, which I didn’t make, could have eliminated that mistreatment, with my files of prescriptions showing every drug I ever got as well as the hospitals & doctors I used…

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

 

#28- More ACCURATE ASSESSMENTS with Good Reporting, Filing, & Reviewing

More here continuing from #27- Good COMMUNICATION a NecessityBUT 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.

Better Medical Technical Assessments

There are multiple areas for getting technical assessments medically.

  • Blood Tests,
  • Picture Assessments,
  • BMI (Body Mass Index) assessments, and

these are only a few of the areas where more work is needed to make assessments correctly.  In some cases the assessments are just wrong because they do not have the detail needed to be accurate.

A BMI takes a government assessment of weight corresponding to the body and uses that to suppose if you are healthy or not.  But did you know that BMI is only using your weight and height for making the assessment of your health?  But Farmer John who is out in the garden 8 hours per day with a weight of 200 at a height of 72 inches (6 feet) of height could be way healthier than Everette Pike at a height of 72 inches (6 feet) of height with a weight of 190 could be a lot unhealthier.  The BMI doesn’t differentiate based on accurate assessments, it is only used for generalized measures based on generalized estimates of the public.

Body Composition tests which measure the water mass, bone + organ mass, fat mass, and muscle mass can result in much more accurate health assessments.  If Farmer John has– 28% muscle & 48% water & 18% bone + organ mass then the fat levels for him are at a 6% level, meaning he is very, very healthy.  But the so called healthier Everette Pike according to the BMI estimates could be a person who doesn’t do much more than sit in front of the computer and work.  With the exact same heights these men are inaccurately assessed when BMI is the only factor of health assessment.  Because weight is the only subset in differentiating and making the estimate of health.

WHY ISN’T THERE A MORE ACCURATE PAIN ASSESSMENT?

Yes the doctors do try to determine how much a person exercises, but do they ever ask about the chores you are doing outside of walking?

Everette Pike in the body composition test results in 12% muscle & 32% water & 20% bone + organ mass then the fat levels for him are at a 36% level, meaning he is very unhealthy.  Because of his youth and the loose clothes he wears the BMI assessments show him at a healthier level than farmer John.  But he is less hydrated, has a way higher fat on body amount, and is not burning the food with the muscle either.  His results from the body composition test could help doctors advise him to exercise more and could assist him in resisting heart diseases and organ problems also.

And these were only examples, what if a woman had a body composition test done that showed 12% muscle & 68% water & 16% bone + organ mass then the fat levels for her would be at a 4% level, meaning she is oddly out of proportion for being alive.  And it could cause doctors to make more accurate assessments of problems she is sharing with them.

Reducing the Doctor’s Fear of LEGAL Hassles

Oh yes I have complaints about the technical assessments done, because there are no variances in the assessments from the hospitals who I’m planning on suing for malpractice, liability, and long term disability resulting from lack of good care.

  • THEY have misdiagnosis part of my permanent file,
  • they have made technical ASSessments THAT WERE WRONG,
  • they have made me suffer lies about drug abuse,
  • they have let my family think that the doctors who believed the falsified reports are accurate in their diagnosis and
  • that I am a hypochondriac because the ONLY estimates they look at are the ones that SIMPLE TO SEE.

Which may mean I’ll need to wait until I’m dead, and my family sues, or I’m treated because they have misfiled and inaccurately billed my insurance and me among other things. But I can sue them for liability, because of lack of proper actions and miscommunication, this will vary because of the law changes, but it’s useful because I can act without dying or getting the accurate diagnoses which I can’t pay for now.

BUT YOU CAN SAVE YOURSELF, AND YOUR DOCTORS CAN WORK TO MAKE MORE ACCURATE DIAGNOSIS WITH THEIR WORK & YOUR’S ALSO!

Our Responsibilities

So all of the work of our healthcare has been handed to strangers, doctors, technicians, nurses, pharmacists, and the government BUT we all have responsibilities for our selves, BUT do we take care of our responsibilities for our selves and our families?

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

 

#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

 

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