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do no harm (mander.xyz)
submitted 9 months ago by to c/science_memes@mander.xyz
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[–] 16 points 9 months ago (2 children)

What is the rating scale though? Surely it's subjective to how the pain feels to you?

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  • [–] 43 points 9 months ago (3 children)

    There's some attempt to try and make it genuine, and there are guidelines around it to support that (e.g. 1 = barely noticeable, 3,4 = distracting, 5,6 = unignorable, 7,8 = prevents normal activities, 9 = prevents conversation)

    But in practice you're going to get about one in every dozen patients who engages with this scale in good faith and you're going to get a number between 8-11 from everyone else.

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  • [–] 26 points 9 months ago (1 child)

    The absolute nature of the scale isn't THAT important, yeah it gives you an idea of how the pain feels, but what's more important is how the number changes over time.

    If a patient keeps saying "IT'S AN 11!!" for an hour and then now it's a 9? Great, we're moving in the right direction.

    If someone starts out saying it's an 11 and suddenly it's a 15? Well, what changed? Did some meds wear off? Did they shift and move something that increased the pain?

    Heck, 90% of the time if I get there and it's an 11, then just 10 minutes later it's suddenly a 6 cause they've calmed down now that help is there.

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  • [–] 11 points 9 months ago (1 child)

    Having just gone through something...I can attest to the fact that when you see no end to the pain, the mental anguish is immense. For some people that means a couple of points.

    For me when asked, I always think "could it be worse?" and having never had my balls trampled by a herd of elephants, or been hanged, drawn and quartered....I could never give a 10.

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  • [–] 5 points 9 months ago (4 children)

    I’ve never been able to properly conceptualise converting the pain I’m feeling into a 1-10 scale.

    It just doesn’t make sense to me

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  • [–] 9 points 9 months ago*

    Try describing the pain using the OPQRST pneumonic.

    Onset - what where you doing when it started?
    Provocation - does anything make it better or worse
    Quality - what type of pain is it. Stabbing, burning, etc.
    Radiating - is the pain in one spot, or does it radiate out to other spots.
    Severity - what's the 0-10 pain scale.
    Time - How long has this been occuring

    https://en.wikipedia.org/wiki/OPQRST

    As you can see, Severity is just one of the parts of the assessment.

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  • [–] 3 points 9 months ago (2 children)

    The numbers are irrelevant. It's just an arbitary scale.

    If you were experiencing a pain that's so mild it's basically just a feeling of discomfort, you'd be able to describe that, right? And you it you were experiencing a pain so intense that it has you literally screaming? You'd be able to describe the difference between them, right? Well there's literally a conversion chart that translates those feelings into numbers.

    You don't have to conceptualise anything — it's literally printed on a paper for you when they ask you the question. As long as you can experience pain and either read a description of pain severity, or describe your pain severity to someone who can read, you can use a numerical pain scale.

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  • [–] 1 point 9 months ago

    Maybe this varies from country to country, but IME the mapping of descriptions to numbers isn't clear, which makes it hard to give a good response. At best, they'll pull out something like this.

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  • [–] 1 point 9 months ago* (1 child)

    Kidney stone is a ten, getting stabbed in the arm is about a 7, broken tailbone at about an 8, stubbed toe at about a 5. Papercut at a 2. Single punch or slap at a 1. Getting branded was about a 3 for like 15 seconds then it dropped down to a 1.

    Its all objective of course but thats pretty much my scale

    Edit: depression induced phantom pain at an 6, maybe a 7. Kinda feels like what i would imagine a heart attack to feel like

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  • [+] [S] 1 point 9 months ago* (last edited 1 month ago) (1 child)
    [deleted]
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  • [–] 5 points 9 months ago (1 child)

    Its a long story lol. Wanted to show off for a woman, happened to mention i have nerve damage and cant feel certain types of pain. Funnily enough, that does not extend to thermal pain but whatevs. She branded me, and then we never saw each other again XD super cool brand though.

    Just in case, branding here refers to using a red hot piece of metal to burn an imprint onto skin

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  • [–] 11 points 9 months ago (2 children)

    I would have thought a 10 would be "Kill me, right now. I am in so much pain I would much rather be dead than spend another minute like this" and anything below that depends on where the pain is, like if it's your arm I would consider a 9 to be "This hurts so much you can get out the hacksaw and chop off my arm because at least then the pain will be gone".

    So... Not so much "How much does it hurt?" as "How far are you willing to go to stop it hurting?"

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  • [–] 7 points 9 months ago

    I used to know someone who would regularly rate headaches/migraines as a 10 when I asked them how bad it was, and like, no, it's clearly not a 10, because you're standing up talking to me. A 10 is beyond curled up in the fetal position unable to open your eyes through the pain. I get that you are used to these headaches, and can overcome a lot of the pain - but that's still not a fucking 10, that's like a 6 or 7 at most. Lying about it means I can't accurately judge how to help you.

    I've had tension headaches where I've spent hours on the shower floor in the middle of the night and I'd still rate them at most an 8 for the very worst ones where I couldn't get up

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  • [–] 1 point 9 months ago (1 child)

    I was worried I had testicular torsion but didn't think my pain was high enough for it, but there's only so many times you can read stuff like "getting it addressed within X hours has Y% chance of saving the testicle" before you came lol. (It was actually a UTI or something.) The doc told me that it's a 10, "well, more like an 11."

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  • [–] 2 points 9 months ago (2 children)

    but there’s only so many times you can read stuff like “getting it addressed within X hours has Y% chance of saving the testicle” before you came lol.

    Dang, I wish it was that easy to come for me.

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