register |  login
Loading Ad
ADVERTISEMENT
Loading Tower

Talking About Pain--So Your Doctor Understands
Contributed by: Erik Keith on 2/6/2008

By Kimberly Dority

How do you talk about pain to your medical team? The words we have to convey a physical sensation are often poor at best, yet being able to provide meaningful information about your pain is critical to being able to find solutions for it according to Disaboom.com, the largest online community for people with disabilities.

One of the most useful ways to talk about pain is using the PQRST method, developed and used by nurses to assess patients' pain situation. What does the acronym stand for? P is provoke, in other words, what seems to cause or increase pain? Q is quality, or the characteristics of your pain, such as dull, throbbing, or burning. R is region, or where the pain is located or seems to emanate from. S is severity, which is basically a ranking of how bad the pain is in relation to other types of pain you might refer to. T is time, which considers such things as when the pain started, and for how long it has lasted.

So before your next visit with your doctor or other members of your medical team, who need to understand the pain you're experiencing, take a moment and think through the following questions to develop a detailed description of your pain. After reviewing the questions, fill out the "Doctor's Office Checklist" in the health section of Disaboom.com, which will help you explain the pain you are feeling to your doctor.

Provoke: My pain seems to be provoked or made worse (or better) by....What were you doing when the pain started, and did a specific move or activity seem to start the pain? What activities/action make the pain worse or lessen it? Are there physical positions such as standing, sitting, bending, or twisting that make it better or worse? Does what you eat, or any medications you've tried already, have any impact on the pain? Does exercise or rest seem to affect the pain?

Quality: What does my pain feel like? Would you describe your pain as sharp/intense or dull and "low-level," more of an ache or soreness? Other descriptions might be stabbing, burning, crushing, throbbing, nauseating, or shooting.

Region: Where is the pain located? Where specifically on your body is the pain located, for example, 3 inches above your elbow on the inner side of your arm, right above the ankle bone on your left leg? Does the pain stay in one small spot or extend out from a central spot? If so, which direction and for how far? Is your pain always in the same spot, or does it seem to move to other locations?

Severity: How bad is the pain? One way to describe this is on a scale of "1 to 10," with one being almost no pain and ten being unbearable pain. But another way is to compare it to similar levels of pain, for example, a mild headache, a severe toothache, sore muscles, etc. Another approach is to describe your pain in levels of impact on activities: uncomfortable enough so that you can't fully enjoy your normal engagements or bad enough so that you can barely stand? Also, does the level of severity change throughout the day, and if so, how bad is the pain at its worst and how long do these "worst" episodes last?

Time:When did the pain begin? How long did it last (has it lasted)? How often does the pain occur, and does it come on quickly or gradually? Does it occur hourly, daily, weekly, monthly, or on a seemingly random basis? Morning, afternoon, evening, or when sleeping? During or after mealtimes (if so, how long after)? Does the pain seem to be seasonal?

Speaking to your doctor is scary enough without having to remember all the specifics.Disaboom.com's "Doctors' Office Checklist" can help.. This is a great tool to help you communicate your pain to the doctor and is one of many services found on http://www.disaboom.com.





SUBMIT COMMENT

Rate the above story



Current Rating

Based on 1 user ratings.

Talk Back : submit comments to the story

*Note: you need to log-in to add a comment or rating.

CONTRIBUTOR INFORMATION

Erik Keith

Denver , CO

Erik Keith has posted 402 stories and 3 comments since joining on 1/7/2008. Erik Keith 's average story rating is 4.96.
SAVE AND SHARE THIS STORY
STORY RSS FEEDS
WANT TO WRITE FOR YOURHUB.COM?
Want to see the stories you write and the photos you shoot featured in the YourHub.com Thursday print section available all over the Front Range and with home subscriptions of the Rocky Mountain News and The Denver Post? All you have to do is register, then post a story or column, start a blog or tell everyone what events are happening in town. We will print the best stories, columns, event listings, photos and blog entries in our print sections.

ADVERTISEMENT
Loading Ad

Loading Ad
ADVERTISEMENT
Loading Ad