Download PDF by Richard H. Goldwater, Frank Doyle, Joe Edwards, Sy Reit,: Archie Comics 160 (December 1965)

By Richard H. Goldwater, Frank Doyle, Joe Edwards, Sy Reit, Samm Schwartz

Archie Comics #160 - December 1965

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Extra info for Archie Comics 160 (December 1965)

Sample text

The following questions help define them: What is the time course of the pain? Where is the pain? What is the intensity of the pain? What factors relieve or exacerbate the pain? What are the possible generators of the pain? 1. Pain assessment tools Pain cannot be objectively measured, and its intensity is very difficult and often frustrating to try to pinpoint. Several tests and scales are available. Some of the more commonly used are discussed here. Unidimensional self-report scales In practice, self-report scales serve as very simple, useful, and valid methods for assessing and monitoring patients' pain.

Later in the course of treatment, the neurologic examination can be more focused and briefer. Mental function is assessed by evaluating the patient's orientation to person, place, and time, short- and long-term memory, choice of words used to describe symptoms and answer questions, and educational background. The cranial nerves should be examined, especially in patients complaining of head, neck, and shoulder pain symptoms. Table 2 lists the function of each cranial nerve. Table 2. Neurologic examination of cranial nerves A simple assessment of spinal nerve function should also be performed.

Reprinted with permission from the University of Wisconsin–Madison, Department of Neurology, Pain Research Group. Massachusetts General Hospital (MGH) Pain Center pain assessment form The MGH form (Fig. 3) combines many of the preceding assessment instruments and is given to all patients on initial consultations at the MGH Pain Center. It elicits information about pain intensity, its location (via a body diagram), quality of pain, therapies tried, and past and present medications. It takes 10 to 15 minutes to complete and is an extremely valuable instrument.

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Archie Comics 160 (December 1965) by Richard H. Goldwater, Frank Doyle, Joe Edwards, Sy Reit, Samm Schwartz


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