What are the Types of Pain One Can Have and How Do We Accurately Assess the Level of Pain?
Pain is a concept that is different to all people. Many medical facilities use a rating scale of 1-10 to rate your pain. Does this seem like an accurate assessment to you? When asked this question, how do you answer? Most of us think for a minute and pause. Next, we look at the attending physician with a little bit of confusion as to how they will rate your rating. If you say a 5 does that mean you feel "manageable pain"? If you say 10, are you feeling like you are being dramatic when you are truly feeling completely drained physically, emotionally and all of your thoughts and focuses are on this pain. Can you truly rate it a 10?
The Famous 1-10 Scale of Pain Assessment
Number scales are extremely difficult to use to assess pain. Many chronic pain patients feel some kind of confusion when it comes to the rating scale. We are so afraid of being” rated back” or not taken seriously because each day we feel chronic pain.
Emotional Pain Scale
When we have chronic pain, it often comes with emotional pain which has yet another chart. This is also incredibly complex and can be a result of chronic physical pain or vice versa. Chronic emotional pain can also turn to chronic physical pain and the two occur together in most occurrences. This is why handling a chronic pain patient's emotional state is just as important as monitoring and treating the physical pain of a patient.
The correlating Duo
Serious anxiety and emotional distress can cause some serious pain. The lingering effects of a depressed state will inevitably lead to physical health problems. Chronic physical health problems lead to an unsteady mind state. We cannot generally have one type of pain without the other. If somebody is bedridden and unable to do the things that they find pleasurable in life than they are more likely than not, suffer much in the same way that a person who is grieving suffers. They will grieve the way they used to live their life and how they have to adjust to their new normals. We will discuss how to effectively handle emotions later on in this course as well as Many effective mental health coping mechanisms actually work to treat physical pain because you are treating the emotional pain that is correlating with it. That is why there are mental health professionals that work at pain management clinics. They play a vital role in treating both kinds of pain. Having a healthy emotional state can greatly decrease your physical pain.
When You Deal With Both Types of Pain, Rating it on a Scale Makes it Even Harder
Because emotional and physical pain go hand in hand when dealing with a chronic pain condition, rating our pain on a scale can be a cumbersome task at best . This can make it even more difficult to describe exactly how we are feeling when no one else can even have a clue as to how we are actually feeling both physically and emotionally. Some types of pain can not yet be accurately assessed by a physician. Even with all the medical advancements we have today, some conditions can only be assessed by how we tell the doctor we feel.
Reasons we Need Pain Scales for Certain Types of Pain
We can understand why a pain chart is there. In an acute pain situation, it's more useful. An example would be, you were climbing a ladder and fell off. This causes an ankle injury. The doctor takes an x-ray and sees that bones are broken. So, when in an acute situation saying that you feel a level of pain of an 8 or 9 because you have a newly fractured bone, the pain scale makes sense. It can be measured by a scan of the bones so the number you say correlates with the scientific evidence in front of the person treating you. A broken ankle can not be ignored. It interferes with tasks. It interferes with your concentration level as well as your basic needs. It also requires bedrest and elevation of the limb to heal so based on this pain scale you would be in a level of pain of a 10.
Acute and chronic Pain Correlate Together as Well
In an emergency setting we may not know the doctor treating us. If something isn't broken but you have acute pain like a migraine, that can be a more complicated assessment. It is not pain that lasts forever, Pain may be both chronic and acute at the same time. Some days you feel less bad and can deal and others you have migraines that come on abruptly. Sometimes they can be managed by over the counter medications, or prescriptions from a general practitioner. Other days, the migraines are so bad that they are considered a "10" and require emergency treatment. Migraines are both acute and chronic at the same time
Chronic pain is a condition that lasts for more than three months and various treatments can manage it but there is no exact cure.It causes underlying anxiety, depression, fatigue and a loss of interest in activities that you once enjoyed. You may feel stress that a certain situation or food may possibly trigger an acute migraine bad enough that emergency medical assistance is necessary. This causes you to avoid certain activities and things you enjoy and now you are dealing with emotional symptoms triggered by your chronic pain condition.
We all feel pain differently
Not one person feels pain the same way that another person feels it. Human beings are completely unique in this way. When it comes to chronic pain,because we are so used to feeling like we are in a level of pain like a 10, we may assess our pain differently to a doctor and say it is a six. A migraine is not something that can be seen on an X-ray or a chart. The same thing applies with conditions like fibromyalgia and neurological conditions that affect our lives on a deep level but no doctor can find any evidence of the condition. This is when we have to explore the various treatments that come with chronic long lasting pain that some days may be manageable at home while other times it is not.
Developed Tolerance to Pain
When we have chronic pain, we begin to develop a tolerance to it physically, but mentally and realistically, we are on the level ten on both the 1-10 pain and emotional scales. When something can not be clearly identified by research and lab testing, we may feel like our care providers don't understand how truly bad we are feeling. This is when those with chronic pain who have a high pain tolerance feel like the pain scale backfires. We can be at a normal person’s eight, where they might be crying and writhing, and yet we are still sitting up, or reclining on the hospital bed, and may be able to even crack a joke here or there as a method of dealing with it. They ask your pain level and you freeze up because you feel like the above image, hopeless, miserable, feel like crying but there's no more tears to give and you don’t know what number is appropriate.
To you, there is pain you can deal with and pain you can’t, and your pain is getting to the point you can’t – that’s why you are there. So you throw out a number. You don’t want to sound dramatic so you low-ball it and the doctor isn’t seeing a patient in that much pain, so what happens? You feel like you wasted a trip and are more exhausted because you weren't having a screaming episode in front of the doctor. So what are we supposed to do, lie there moaning and putting on a huge display to get our needs met?
Communicating With Your Providers is a Key Factor in Treating Your Pain
In order to effectively treat chronic pain, one has to be able to learn to effectively communicate with the ones treating them. Becoming educated on effective communication methods with the people in your life that help you deal with your emotional and physical pain can provide you with many more options for treating how you feel. Good communication skills can make a world of difference for chronic pain sufferers. You will learn how to communicate with your doctors and other providers in a way that opens up decreased pain on all levels after this course. A good way to start this is to start giving constructive feedback on how your pain management plan is working. A fantastic start to this is telling your doctor specific things such as what is shown below are helpful.
How is my life going in general?
What does my pain limit me from doing that I would like to be doing if I wasn't hurting constantly.
What does a typical day look like?
What parts of my day have changed because of the pain I am in ?
Am I a possible danger to myself because of the pain?
How much time each day am I spending in bed?
Can I go to work full-time, part-time or not at all?
What do I reasonably hope to gain from the visit?
Do I feel lonely, anxious, hopeless, irritable or a variety of other mental states that I should tell my provider?
Additional Types of Pain
We have discussed acute as well as chronic pain and touched a bit on how they can intertwine and affect each other. There are various types of pain however that can greatly interfere in one's life.
Nerve Pain can be one of the most sensitive types of pain there is. It occurs when there is damage to the nerves or other parts of the nervous system. Some common symptoms of this variety of pain are-
Often described as shooting, stabbing, pins and needles, or burning pain
Can affect sensitivity to touch
Common type of chronic pain
Can be intermittent as when one feels like they are doing okay one day and the next can also be so severe that it makes performing everyday tasks difficult.
Can lead to mobility issues
Understanding Nociceptive pain
This is often the type of pain that causes permanent damage to some area of the body or body tissue.
Often described as being a sharp, achy or throbbing pain
Often caused by an external injury
Often experienced in the joints, muscles, skin, tendons and bones
Can be both acute or chronic
Very specific type of pain that can occur when the spinal nerve gets compressed or inflamed
Radiates from the back and hip into the legs by way of the spine or spinal nerve root. This can feel both neurologically painful and chronically painful.
Experience tingling, numbness and muscle weakness
Commonly known as sciatica because the sciatic nerve being affected
Pain is often steady and people can feel it deep in the leg
Walking, sitting and some other activities can make it worse
Post Surgical Pain
When one has an upcoming surgery, generally there is a great amount of fear about the pain they will have. Surgical pain comes from an incision being made that causes damage to the surrounding tissue. Sometimes the procedure itself, such as a cystoscopy can cause pain. This is an exploratory surgery. There is no technical cutting or incisions but the exploratory nature of the procedure itself, causes post surgical pain. This type of pain is caused by the use of force of an instrument that stretches the area being explored further.
One can also have pain from a breathing tube that has germ inserted. This can cause the throat to experience irritation.
If it is a long surgery or the positioning necessary for your body to be in, is uncomfortable, this can cause pain as well.
Superficial Somatic Pain
When you have Somatic pain, this comes from an injury of some kind. They can be as simple as falling off the bike and scraping your knee or having surgery or a biopsy and the cuts and wound area hurts for a while until it heals. It can also be from surgical pain from the incision and for the pressure from the force of a surgery.
Deep Somatic Pain
When you have pain that is deeper than superficial pain it is known as Deep somatic pain.
This type of pain comes from a torn ligament, a muscle being torn or a tendon or a broken bone. Sprains can also cause this kind of pain. Surgical pain involves both types of deep somatic pain and somatic pain. The deep somatic pain is when incision cuts through tissue that is deep. Superficial somatic pain is from the scarring or injury and the outer layers of the skin.
Central neuropathic pain
When the brain or spinal cord is injured central neuropathic pain can occur. A Traumatic brain injury can cause central neuropathic pain and injury to the spinal cord.
Visceral pain is from internal organs and it usually is from a digestive system situation or appendicitis. These are some examples there are other types of visceral pain as well. It is hard to always find the exact location of the pain because it may feel general in the area to the patient. It can sometimes take a while to diagnose this type of pain. It can also be caused by surgical pain and different types of damage to organs and infections as well as cancer. A type of visceral pain that happens during surgery is anytime a surgeon cuts through the G.I. tract, that would be an example of this kind of pain.
When the brain receives a lot of information at once by an area of nerves that is unable to distinguish where it is coming from, it is known as referred pain. An example could be a human being grabbing his left arm because he is having a heart attack. He feels pain in that arm so he grabs it. The pain signals are confused and are sending pain to different areas. The bundle transmission of this pain is causing it to expand and go to different areas because the information is coming in so fast that it can’t distinguish where the body is supposed to hurt.
Peripheral neuropathic pain
Peripheral neuropathic pain starts with nerves that are not part of the spinal cord or the brain. They are the nerves that are in the extremities of the body. These include your arms and legs.
Phantom Limb Pain
When someone undergoes an amputation of a body part, they can experience a strange type of pain that is quite unique. This is known as phantom limb pain. The limb is missing but the patient feels pain where the body part used to be. It can also happen in areas that are not limbs like a possible situation where a woman has to have a mastectomy. She may feel pain where her breasts used to be and this is also known as a type of phantom limb pain. It used to be thought of as something psychological but research is finding that this type of pain is legitimate and causes patients a great deal of distress. They can actually become in severe pain that is acute and chronic in nature. Sometimes it will be really bad other times it will be tolerable. It is a serious type of pain that is still being studied to understand how to effectively treat patients with phantom limb pain.
The Currency May go Back to Silver and Gold
This is Above Market Value Significantly
The Morgan Silver dollar value and Peace dollar values are generally melt value with their condition. They are not a full ounce as advertised. When you see 925 silver marking on a bracelet or ring that means 925 parts silver per 1000 of various metals. Coins are 90 percent meaning less. Coin prices today are 26.63 at this moment above yesterday around 25.07. so it's going up. However this site https://sdbullion.com/pre-1921-morgan-silver-dollar-bu?msclkid=0d4c55dcbdbe125193aa358e62ee07b3&utm_source=bing&utm_medium=cpc&utm_campaign=Shopping%20%7C%20Silver&utm_term=4575892533338442&utm_content=Shopping%20%7C%20Silver is selling them much higher than need be. You can get them for less money.
They Do Have Good Deals on New Silver However
I AM New at Silver Coin Trading and Buying
New Silver for Sale
Coin Rolls for sale
Recently I inherited a lot of dollar coins. I have Sacajawea dollar coins, Susan B Anthony dollar coins 1979. Rare collector coins for sale on eBay like these
Selling Coins to start Small Dog Daycare Binghamton
Why You Should Register Your Non-Resident Foreign Company in
If you own a business or are in charge of one, you know that there are numerous regulations that you are required to follow. This is especially true if you are doing business in foreign markets. Each country has it's own specific rules for importing or exporting in and out of their borders. It is imperative that you get to know the laws and registrations necessary to conduct business in the country that you wish to. In Spain, getting a VAT or nonresident number(CIF no residente) entitles you to certain benefits within the country. Some of these include;
You are able to acquire shares of companies within Spain.
Buying and selling residential and commercial properties
Bringing imported merchandise and other goods into Spain
You are able to open up a corporate bank account and do transactions within the borders of Spain.
What Documents are Required to Get a VAT Number?
If you are planning to do considerable amounts of business within the borders of Spain and wish to file for a nonresident VAT number, you will need a few matters handled beforehand. Non-Spanish entities are required to have a valid Spanish tax ID number. When you submit this to a qualifying agency that handles VAT numbers, you will receive your official CIF de no residente VAT number within 24 hours.
Is There any More Requirements?
In addition to receiving your VAT number in Spain, you will be required to have a representative from your company in Spain. This is for tax purposes. This appoints them as your point of contact within the country.
This is just a short article giving some information someone might find helpful. Enjoy
Make Dat 🤑 Off Everyone Else
If you want memes about mooches or memes about dirty hustling, you have come to the right place. I used to be used by everyone for everything. I could give hundreds of examples of how both men and women have exploited me for my generosity.
🚫 Anymore Go Find a New Target 🎯
Meet food stamp whores-use up your food stamps because they are unable to go to the department of social services and fill out forms
House whores- steal your house or use you for housing
Car whores-take your car or make you drive them around all over and have no gas money
Unemployment whores-they borrow money until their check is coming in but it never does.
SSD whores-come around when it’s check time it’s around the 22-25 for SSI and 26-38-SSD by the 7th for SSI and by the 10th for SSD the targets money is GONE
Some other kinds one may encounter are these types
Somebody died inherited shit whores-come around people when someone has died
Your house burned down whores-Come around because they think one has a check from insurance
- Somebody won a lawsuit whores-hear about someone winning a lawsuit and leach onto these people
Know when someone's script is due and show up
What are these People
I use the word whore meaning a person who is a habitual mooch. You can interchange the word mooch or user if you have to be classy about it and can’t talk openly. They find targets for various reasons.They really don’t like the target that much, and they gossip about them.
This explains everything I’m saying
Then tell their friends about what a target that person is. Then the other mooches in the leaching friend group will tell the rest. If someone is constantly seeing that people are contacting them from around their general vicinity but they don’t know them, then they are probably a known target for some reason or another.
Guys will do it to another dude by becoming their friend. Girls do it to girls. Object and need usage is transgender. They are not very good at it. They select targets based upon word of mouth or reading a target's body language.
Don’t be a Victim of these Scammers
Anyone can become a target if they are in a vulnerable state of mind. If one is grieving or lonely after the funeral-people think one may get an inheritance as soon as someone buried. Some target abused chicks 🐣
I’m Not Picking on Anyone this all Was Me
They use a multitude of tactics.Most of is are guilty of content mooching where they don’t give credit for stuff or don’t look at adds and or complain about it. I content mooched a bit here these aren’t my memes guilty of this.
Most will combine tactics and find regular targets that they can use up until the well is dry and circle to the next. They have regular ones they hustle depending upon need at the time. This is their full time job-
They use emotions and pity to get targets. They find them based on many factors. They use different stories to get what they want and I simply listed every single kind that I have encountered in my life. I wrote down every single type of person I have encountered in my life.
. These are more easy er scams unless they can find a target to do it to a lot.
Those who smoke and can not afford it are cigarette whores. Come over to smoke cigarettes up.
If a target is visiting someone they may get a call to pick up a 2 for 5 special of malt liquor white claw or a 99 cent Ice. They have the same tactics of the aforementioned kind but because it costs a bit more they usually have to be friend them.
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