#pain assessment
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Pain Assessment: Nurses' Responsibility
One of the primary responsibilities of nurses is to assess and manage pain in their patients. Pain is a complex and subjective experience that can have a significant impact on a patient’s overall well-being and quality of life. Therefore, it is crucial for nurses to accurately assess and address pain to ensure optimal patient care. The Importance of Pain Assessment Pain assessment is a critical…
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Diagnosing Spinal Source of Extremity Pain: Subjective Exam with Nick Rainey
Extremity pain, which refers to pain or discomfort in the arms or legs, can have various causes, including issues originating from the spine. The spine plays a crucial role in transmitting signals between the brain and the rest of the body, so problems in the spinal column can lead to extremity pain.
#extremity pain causes#spinal pain assessment#spine-related pain examination#extremity pain#spinal source#subjective exam#Nick Rainey#pain assessment#spine-related pain#pain evaluation#arms and legs#spinal pain#pain diagnosis#physical therapy#therapy content#expert interviews#physical therapist tips#practice improvement#patient care#healthcare insights#Youtube
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#131
Inspired by #16 on @creativepromptsforwriting's drabble list!
The villain is gathering as much cold hard cash into their arms as possible when someone pointedly clears their throat behind them.
“[Villain],” the hero says smoothly. “You’re not above stealing from banks yet, I see.”
“And you’re not above loitering outside waiting for something to happen,” the villain retorts.
“It’s a shame to see you back here.” The hero hums a laugh, but the villain’s too busy scooping money into their bag to care. “You know I hate to arrest my favourite villain.”
“No need,” the villain says with their usual dry sarcasm. “New laws say that you don’t have to.”
The pause the hero leaves is just long enough to be suspicious. The villain glances back at them, just about catching the slight frown before they notice their nemesis looking.
“Yeah right,” they say unconvincingly. “New laws my ass.”
The classic I kind of believe you saying. The one that gives away that the villain’s quip was, for some reason, taken entirely too seriously. They were setting up for a joke, but— are they actually going to get away with this?
“No, no, they’re real.” The villain smiles as convincingly as possible. “Look it up—villains get benefit of the doubt if the agency deems their schemes particularly newsworthy.”
“The agency wouldn’t.”
“The agency recognises talent, don’t they?”
The villain gestures to the hero vaguely, and the hero falls right for the little ego boost. A smirk tugs at their lips for a moment, their stance a little straighter. “Well,” they say offhandedly, “I don’t think the agency would class robbing a bank as newsworthy. You do it every other week.”
“It’s not about the act, [Hero], it’s about the pizzazz!” The villain is in entirely too deep with this joke they were trying to make. “The agency likes people who can have a little fun. You know I like to make a show.”
“I do, unfortunately.” The hero sighs. “So, what? You just leave here with a stack of cash?”
The villain knows pushing their luck will get them in jail. “Well, you caught me—that’s pretty good going. I’ll leave the money as a congratulations.”
The hero watches carefully as the villain puts the money in their hands back on the shelf. “And the stuff in the bag,” the hero adds.
“Oh, come on, I can’t have anything?”
“You said you’d put it back.”
“Ugh, fine.” The villain tips their rucksack up and dumps a pile of cash on the table. “Happy now?”
The hero hums distractedly for a moment, their eyes glancing over the unstolen money scattered about, before huffing defeatedly. “Sure.”
The villain beams way too obviously. “Sweet. I’ll be heading off then.” They make for the door before deciding to dig their own grave a little more. “The agency does a stamp system now, y’know.”
“What is that meant to mean?”
“Catch five villains in the act and you get a free coffee,” the villain says brightly. "Or so I’ve heard. Ask [Superhero] about it.”
The hero nods thoughtfully. “Yeah, okay. Thanks.”
The villain hadn’t come in here expecting to walk straight back out. They certainly hadn’t expected to meet a hero in there without ending up in jail or hidden in some obscure part of the city.
But that doesn’t matter now. The villain is free, hero is going to make a fool of themself in front of the superhero, and that sucker didn’t even notice the forty thousand pounds stuffed into the villain’s coat.
#creative writing#writblr#writers on tumblr#writing#writing community#heroes and villains#hero x villain#HEY YALL. GUESS WHO GOT A JOB#only took 5 months haha < dying simultaneously of relief and pain#its a massive company that is somehow v close to where i live which is handy as hell#why this giant international corporation is out in the middle of butt fuck nowhere ive no idea#but i aint complaining!! i fucked up the interview and i bombed on the assessment day and i got the job!! idk how either!!
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42 pages into servant of the shard and. this is what's happening here right
[image ID: the "randy your sticks" meme. it is edited to read:
jarlaxle: hey guys im gonna learn the powers of this cool crystal shard remind me to check on my human in a bit
readers: jax your lieutenants are plotting murder check on your human
jarlaxle: oooo crystal has so much magic 👀
readers: [in large text] JAX YOUR HUMAN
end ID]
@theaviskullguy pointed out this is what was happening there and it's so right
#anyway it's driving me MAD at how overt crenshinibon is. JARLAXLE YOU ARE TOO GOOD AT MANIPULATION TO BE FALLING FOR THIS#well it's really not overt at all#im just good at manipulation so like i can see it happening like a train wreck 😭#legend of drizzt#jarlaxle baenre#artemis entreri#like i saw him hit artemis w that wave of despair during sparring and was like. ah. So It Starts#it's an incredibly clumsy crenshinibon intimidation power play and that's ALL it's actively making jarlaxle worse at things 😭😭#dialing up his pride and ambition and dialing down his risk assessment and caution#because it wants to be Seen#aaaaaa this is PAINFUL to watch#and meanwhile artemis has to deal with two drow that want to kill him and that we Saw torture someone to death on screen#AND HE'S GOTTA DEAL WITH THAT ON HIS OWN#BECAUSE CRENSHINIBON IS MAKING JARLAXLE STUPID#sundrops#drizzt books
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me surrounded by all of my medical paperwork that disability services deems “not enough evidence” to claim support, after applying for the 5th time:
#spoonie#actually disabled#all because I don’t ‘tick a box��#all because of elaborate recited corporate language that essentially spells out ‘not disabled enough’#Australia may have - objectively - sort of good health care (up for debate obviously but it’s not Bad either) but jfc#the hoops disabled people have to leap through ….#only to be assessed by people who have no fucking idea what we deal with#sigh#I quite literally have to hand over sensitive vulnerable information#my whole life story (since BIRTH)#to faceless strangers#and wait to be judged worthy of support#how do they not expect anyone to be disheartened by this??#spoon tag#disability#disabled#chronic illness#chronic pain#chronically ill#medical conditions#healthcare#healthcare system#Australian healthcare#personal
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me as a kid: i have all these problems
every adult around me: you're not old enough to know what's wrong with you, you're fine
me as an adult: i still have all these problems
my doctors after i finally got the opportunity to choose them myself: oh my fucking god why have you never gotten help for all these problems. you should have seen me 10 years ago
#problems i have finally gotten help for that i was told i was not old enough to know about:#AMPS (was told it was anxiety and then when i kept coming back they said it was fibro Quite Literally just to get me to shut up)#(like the doc i just saw literally said 'they diagnose fibromyalgia here when they dont know what the problem is but dont feel like testing)#multiple food allergies (was also told the stomach pain and vomiting was anxiety)#seborrheic dermatitis (i was told 'youre just stressed thats why you have a rash')#(which- if im so stressed my skin is literally dying MAYBE I STILL NEED HELP?????????)#autism and adhd (my father knew! but refused to get me assessed bc if i dont have a diagnosis theres no problem right :)#anxiety disorder (oh so when I'm in pain i DO have anxiety but when i say i have anxiety I'm overreacting okay)#dyscalculia and possibly dyslexia ('you just need to try harder' I've asked for a tutor five times)#some of my doctors don't actually believe me about some of these problems BECAUSE i have no records from when i was a kid#they're like 'it just popped up at 18? seems suspicious......' like I WASN'T ALLOWED TO GO TO THE DOCTOR'S UNTIL THEN#there's definitely more but I'm still mad abt it#i might not be in a wheelchair Almost All The Time if i had gotten help BEFORE i lost half the feeling in my legs#i KNEW the fibro was a BS diagnosis#i tried to get assessed for autism at 16 and was told i have schizotypal personality disorder instead with literally zero testing#like my psych just refused to allow me to get tested for autism she was like 'no you have spd i Just Know'#same psych that said there was zero way i had anything like DID because my symptoms didn't present Exactly like the Only other#patient at the clinic with DID. i want to note that that was a 14 year old boy still being actively abused#and i was a 20 year old who was in a safe environment and had distanced myself from my abusers and stressors
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That the occupational therapist/ergonomic advisor I met with today was appalled by how I've been treated by doctors when bringing up mobility aids shows how the more knowledgeable one is about mobility aids the less likely they are to dismiss people who could actually benefit from them. Who knew
#wrenfea.exe#i told her my doctors laughed at me and told me im too young and they dont want me to ruin my body#and she was disgusted#it was surprising actually because most people go oh no :( but also roll their eyes#bc unconciously they side with the supposeded medical expert#also apparently my manual isnt that bad! she showed me how to sit in it properly#and they are gonna look into getting me assessed through their mobility aid office#i forget what she called it#seating department?#and shes gonna help me navigate getting my insurance to pay for it (once i have actual insurance lmao)#wheelchairs#chronic disability#chronic pain#spoonie#fibromyalgia#disability#degenerative disc disease#chronic illness#mobility aids
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got in bed and suddenly everything that happened to my joints today caught up with me and i’m near crying in pain trying to torture narvin about it in my mind palace but it’s honestly hard to think 👍
#had to nearly run to pt assessment bc i was late#got assessed (painful tests) got massage gunned (fucking christ)#smashed kneecap on desk (bad knee. life flashed before eyes)#sat in evil positions all day bc all sitting positions are evil#:((((((( ibuprofen kick in pleease i have to clean half the house tomorrow#p
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#chronic blogging#current emotion#post-hysto pain has been getting steadily worse over the last month & is now accompanied by near constant nausea#can't even do my PT stretches anymore bc of how bad it hurts#so on monday i finally had a FUCK IT IT'S TANTRUM TIME#and checked myself into urgent care for severe abdominal pains#which finally fucking FINALLY resulted in a referral for a second opinion from a different gyno surgeon#who i hope will finally run the ultrasound & CT scan i've been begging other healthcare providers for for months#THERE IS SOMETHING EXTREMELY WRONG WITH MY BODY AND NOBODY IS LISTENING TO ME AND I'M FED UP WITH PRETENDING#THAT EVERYTHING IS WITHIN NORMAL PARAMETERS AND I JUST NEED TO BE PATIENT FOR HEALING & PRACTICE SELF CARE#watching the urgent care PA's face journey as i explained my symptoms how long i've had them & how apathetic my surgeon's response has been#was so incredibly vindicating & cathartic. she gave me a tactful 'i don't necessarily agree with that assessment......'#told me i have already been doing everything she would've recommended & we're long overdue for a second opinion since it isn't helping#and gave me her blessing to go pitch a fit in the ER if my symptoms get any worse before my appointment with the new surgeon#i'm EXHAUSTED and i'm SCARED and it's ABOUT GODDAMN TIME someone in medicine listened to me & took me seriously#been hovering in the 4-7 range on this chart for a disgusting amount of time. now i'm locked in at 8+ and not backing down
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#I sprained my ankle coming down the stairs today to go to the farmers markey#And I made it here#And now I almost passed out from the pain and the heat on the bread line#I looked for shade and sat down and ate some tomatoes but wtf#I don't think I'll be able to make it to pride#I haven't even assessed the sprain#I think it's bad#I can't move my toes really well#THIS IS SO HOMOPHOBIC!!!
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Postoperative Nursing Care
Postoperative Nursing Care: Pain Assessment and Management Introduction Postoperative nursing care plays a crucial role in ensuring the well-being and recovery of patients after surgery. One of the key aspects of this care is pain assessment and management. Effective pain management is essential for promoting patient comfort, facilitating early mobilization, and preventing complications. In this…
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Performing an objective exam when clearing the spine with Dr. Nick Rainey
Clearing a spine, especially in the context of first aid or emergency response, refers to the process of assessing and stabilizing a person's spinal column to minimize the risk of further injury to the spine or spinal cord. This is typically done when there is a suspicion of a spinal injury due to trauma, such as a fall, car accident, or sports injury
#spinal immobilization#injury assessment#patient safety#emergency response#first aid#scene safety#medical assessment#neck immobilization#head immobilization#neurological examination#pain assessment#sensory examination#motor function#documentation#spinal injuries#Performing an objective exam when clearing the spine with Dr. Nick Rainey#clearing the spine with Dr. Nick Rainey#Performing an objective
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think ive killed all my energy reserve from over the summer now. it was nice while it lasted i guess.
#this doctor better give me a goddamn diagnosis. its 100% ME/CFS#ik it is#i always now this shit before they do#but learns to shut tf up about it#when i got an assessment for neurodevelopmental disorders the doctor out down me asking for crutches when i screwd my legs up as a syno#*symptom#its not attention seeking I COULDN'T WALK#2/3 years later i got a diagnosis of a chronic pain disorder. the fucking bastard.#and it wasn't just hum#my parents too. their the ones that made it out as a symptom of attention seeking or whatever the fuck#i dont have a low pain tolerance#its not fucking crocodile tears#idc how may time he apoligises#tw medical abuse#tw abuse
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The two little voidlings from my neighborhood are safely trapped, vetted, and in my spare room for socializing and finding their forever homes ❤️ volunteers who run cat advocate groups like the folks that are helping me with them are a the absolute best.
#captainderyn rambles#they’re temporarily with me as we already have two cats#and our jobs mean we probably can’t handle 4 😅 or even one of them#yes one of the babies has wonky legs and partial/some kind of paralysis. he doesn’t seem pained by it but we’re assessing quality of life#now that he’s off the streets and out of the trap we can have better eyes on him#so if any of my midwestern friends would be interested in kittens one of which is special needs…might have just the two voidlings for you
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Trying and failing to ignore how much worse I feel all the time than I used to and how badly I’m doing at taking care of myself and my environment and how well I used to be able to handle everything just a year or two ago compared to now is making me feel like my brain and body are both turning into toxic slutch
#meg talks#like every day i wake up and have to assess whether or not i can handle going into work#or if im just going to collapse like i already have three times if i attempt it#and then i call the pain clinic to double check ‘’was that quote u gave me for treatment of my pain what IM paying? with insurance?’’#and they say yeah bud. it is.#and then i call the bank and ask what it would take to open a credit card to pay for it#and they say ‘’well you have to make a deposit that will determine how big your line of credit will be’’#and i look at my empty bank account and say ok. nvm#and then i drag myself to work and wonder what im gonna do when i can’t do this anymore
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told bro id removed means... did not tell him that anything had happened
#i dont know hw to express it!#it sounds so stupid#'hi yeah i did x with suicidal intent but also to actually suicide i wouldve needed to do it diffeerently and i knew that and also i was#trying to not make noise so idk if it actually counts as a suicide attempt or anything but unfortunately what i did discover was it is not#in fact as unpleasant/painful as i had expected at least at that kind of time so suddenly it's a genuine Method On My Radar which is#extremely annoying!'#but yeah idk how to say that to him yknow? and i don't think there will be actual medical complications tho ik there can be. but yeah i#dunno im tired. i should tell the crisis assessment team this afternoon when they ring me but it sounds hard do you think it would be selfi#to tell brother and get him to tell them??#it sounds selfish and cruel and yet otherwise i dont think ill tell them and they. probably should know#personal#tw suicide#puddleglum hours
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