By Scott M. Fishman
During this groundbreaking publication, Dr. Fishman indicates how speaking greater with sufferers approximately their discomfort can assist physicians create more secure and more suitable therapy ideas. hearing soreness bargains physicians a wealth of functional information approximately asking the ideal questions and assessing sufferer responses, including:-What inquiries to ask ache sufferers once they first current with pain-Using useful targets as final result measures-Educating sufferers concerning the hazards and merits of treatment-Documenting sufferer consent and compliance with therapy regimens-How to control tough sufferers
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Extra info for Listening to Pain: A Clinician's Guide to Improving Pain Management Through Better Communication
Sample text
Alone in her room, the girl heard some children playing in the snowy street outside. She went to her window and, in order to see more clearly, knelt on a hot radiator. Minutes passed before she grew tired of watching the street scene. Then she got off the 37 LISTENING TO PAIN radiator and walked away, oblivious to the severe burns on both her legs. Her parents discovered the burns and immediately rushed her to the hospital where she underwent extensive skin grafts to repair the damage. * By then, her hands, legs, and feet were scarred from cuts, bites, burns, scratches, and frostbite.
You can then use this knowledge to create a solid foundation for treatment decisions and patient management. Shifting from an analgesic to a function-based paradigm offers the following tangible advantages: Objective and verifiable treatment goals and outcomes, as opposed to untestable and subjective ones. Respect for individual differences among patients, both in terms of pain tolerance and functional goals. A more quantifiable basis for making risk/benefit decisions about pain-treatment options.
Here are some of the points I try to cover in an initial evaluation: Location of pain. Character of pain. (Is it shooting or stinging? ) How and when pain started. Is pain continuous or intermittent? Exacerbating and relieving factors—what makes it feel better or worse, including medication, rest, activity, stress, sleep, or hot showers? Effect of stress on pain, as well as the source of stressors. Effect of alcohol and other substances on pain. Any sleep disturbances? Any mood disturbances? Any ongoing medical concerns?