It asks an individual to rate his or her pain on a scale from 0 no pain to 10 worst possible pain. For individuals with chronic pain, especially those who have become dependent on opioids, getting to a lower pain intensity score often means increasing the dose — which can interfere with the ability to function, decrease quality of life, and may lead to addiction. Look beyond pain intensity Philip Pizzo:
In a recent assignment, we were instructed to read and critique Eula Biss' "The Pain Scale", a short, non-fiction narrative about one woman's experience of living with chronic pain. I immediately thought, 'Hey, I'm a trauma nurse; I give loads and loads of pain medication every day I got this in the bag'.
Eh, not so much. Let's discuss my biases about chronic pain as a nurse, and how it relates to the nursing profession. As well as the fact that she can't assign a number to her pain, how severe her pain really is to her, and some internet research that I compiled on The Pain Scale.
In nursing, when you hear in report about a patient, one of these things listed as a secondary diagnosis; chronic back pain, fibromyalgia, or chronic pain syndrome For example, my grandmother has a chronic pain problem, in November she was diagnosed with a compression fracture in her back at the T5 level.
A compression fracture is usually the result of a traumatic injury to the spine; however, my grandmother has osteoporosis.
Her compression fracture has been a result of the force of gravity pushing on her, causing a thoracic spine vertebrae to compress and fracture.
This has caused her excruciating pain, caused her to lose 40 pounds because the pain is making her depressed and have no appetite. There is a physical reason why she is experiencing pain, there is proof of pain.
This is where things get fuzzy for me. Eula Biss experiences pain that does not have a physical reason. There is no proof of pain, there is just pain. She questions if this pain really exists, because there is no proof of it on x-ray or blood tests. As stated in the essay, a doctor once told Biss "We have reason to believe you are in pain, even if there is no physical evidence of your pain" pp The doctors at the Mayo Clinic even suggest that the pain she experiences is similar to the phantom pain phenomenon.
In healthcare, we tend to not believe things, unless there is proof that thing does exist. One of the first things that you learn in nursing school is "pain is what the patient says it is".
What my teacher meant by that is that pain is subjective. The only person who knows what your pain feels like is you. No one else can feel your pain, even if they have had the exact same accident, and has the exact same injuries and fractures, only you can tell how that feels to you.
Personally I have a hard time assigning a number to pain. I have never experienced anything that is close to the worst pain imaginable, so I have a hard time rating what would be even half of that.
Is my broken heel that I stand on and work for 12 hours a day on 3 days a week, half of what it would feel like to be run over by a bus? I don't know what it feels like to be ran over by a bus, so I can't assign that pain a number, and as a result of that, I also can't assign my fractured heel pain a number.
In the essay, Biss writes that the worst pain imaginable for her is "burning alive", so she assigns her pain "thirty percent of the pain she feels burning alive would feel like".
Then her father says a three is nothing, just a "go home and take two Aspirin kind of pain" pp. It seems like Biss and I have the same problem assigning a number to the pain. However, she also states that "I am comforted, oddly, by the possibility that you cannot compare my pain to yours.
And, for that reason, cannot prove it insignificant" pp. In this blog, the writer agrees with my ideas on pain by stating "who are we to judge the intensity of pain another person is feeling?
Pain cannot be shared or transferred, so the only person who truly knows how bad the pain is the person who is experiencing it.Taken together, NINR’s extramural and intramural pain research focuses on: 1) improving understanding of the underlying biological mechanisms of acute and chronic pain; 2) illuminating the biological and behavioral processes through which patients respond to pain management interventions; and, 3) developing and testing effective pain management interventions.
causes and control of pain. In this essay, we review patient self- Assessment of pain in rheumatic diseases T. Sokka.
measures of pain. We summarize the results generated using these question - naires in RA, osteoarthritis (OA), and Visual analog pain scales A visual analog pain scale . THE PAIN SCALE By Eula Biss.A longerversion appeared in the Spring issueof theSeneca Review. Bissisthe author of The Balloonists, abook-length prose poem.
o • No Pain The concept ofChrist isconsiderably older than the concept of zero. Both are problematic, but the problem of zero troubles me more than the problem of Christ.
Zero isnot anumber. c) Visual Analogue Scale (VAS): A mm scale with no pain at one end and worst imaginable pain at the other, is commonly used. d) McGill Pain Questionnaire (MPQ): MPQ measures the sensory, affective, evaluative and other miscellaneous aspects of pain, thus measuring pain multi-dimensionally.
Feb 15, · In reading this essay, clearly the writer is indicating in my opinion all things subjective as it relates to the pain scale and the many ways in which one can tolerate or not tolerate pain. Feb 21, · Within “The Pain Scale” Eula Biss uses different concepts to relate to the reader her confusion about the pain scale used in hospitals today that rates pain on a level from zero to ten.