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And if you’re a woman, 1-4 mean you’re making it up, 6-10 mean you’re being dramatic, and 5 means you’re being difficult for not being in one of the other categories.
They mainly want to know two things:
- Is it increasing or decreasing? This requires them to ask you multiple times over the course of treatment or multiple visits. For these purposes, the first number you choose isn’t that important. Just stay consistent and let that first decision anchor your later ones. But,
- Can they diagnose you based on pain severity? They have a range in their heads that corresponds to “appendicitis”, for example. If they tell you in advance whether you should be saying “8” for that, they’ll bias the diagnosis; you just have to pick one. If they have a diagnosis in mind and the number you choose is wildly off, they may discard that possibility and look for a closer match for diagnosis. If you pick something slightly outside that range, they’ll do more tests and exams and ask you more questions to see if the discrepancy is meaningless.
Bottom line, it’s fine to choose whatever feels right in the moment. Probably stay away from 10’s; a person with a 10 pain is probably unable to answer the question. You can answer “1” if they’re examining the wrong body part; if you broke your wrist and they’re prodding your leg, a 1 for your leg is totes fine, but make sure to give an answer that feels right when they poke your wrist.
(Besides, if pain severity is a factor in diagnosis, they can probably SEE you’re in pain. People in a lot of pain flinch, and sweat, and stutter, and move gingerly, and protect the extremities that are in pain. They know that. They can see it.)
Is that a scale based on how I’m feeling right now or in relation to the worst pain I’ve ever felt in my life. Because I had a kidney stone at 19 and it was so back when I went to convenient care people thought I was an addict just looking for drugs
LPT: If you want the doctor to take you seriously never say less than 6.
I feel like 6 would be my arm is broken at the very least
Arm broken isn’t that Bad tbh, when it happens you get a lot of adrenalin so the initial break isn’t that Bad. And then if you’re just sitting around with it broken it doesn’t really hurt unless you move it.
Source: broke forearm and had to wait a week after to get surgery to put plates in. So I kinda just walked around with a bent arm in a sling for a week
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During my assessment, the psychiatrist said she got as much out of my frequest requests for clarification as she did from the answers.
-“Do changes in your environment distress you?”
-“What type of changes and how big? Someone stealing my jacket, or my bus being delayed by 10 minutes? Does distress mean angry? Or annoyed? Can you give an example of what distress feels like, in the context of this question?”
Yeah, seeing how people respond to an open ended question is part of the assessment process itself. A lot of people can see that question and just say “yeah” or “nah” but you, and myself, see a huge gradient of possible scenarios and outcomes and need specificity
My pain was a 4 before you asked me, and a 9 now that I have to come up with a rating
inb4
Pain assesment remains a challenge due to its subjective nature and multidimensional characteristics. This study introduces a novel approach utilizing a multimodal model embedding, with inputs from a comprehensive anamnesis and sensor data, to estimate pain levels. By leveraging the Dimensionally Insensitive Euclidean Metric (DIEM), we ensure robust integration of heterogenous data streams, allowing for a reliable and scalable method to quantify pain in clinical and research settings.
Link?
I made it up
Yeah the pain one often gets people.
Pain is too subjective to measure effectively.
If someone says 9 or 10 you can assume it’s immense pain, likely the worst they’ve ever felt.
They are going for a vibe not an empirical answer.
