The Pain Scale By Eula Biss

Both Shakespeare’s King Lear and Dante’s Inferno explore the reasons for, and results of, human suffering. Each work postulates that human suffering comes as a result of choices that are made: A statement that is not only applicable to the characters in each of the works, but also to the readers. The Inferno and King Lear speak universal truths about the human condition: that suffering is inevitable and unavoidable. While both King Lear and the Inferno concentrate on admonitions and lamentations of human suffering, one of the key differences between the works is that Inferno conveys an aspect of hope that is not nearly as prevalent in King Lear.

Measuring Pain 1. 1. Sensory - intensity, duration, threshold, tolerance, location, etc 2. 2. Neurophysiological - brainwave activity, heart rate, etc 3. 3. Emotional and motivational - anxiety, anger, depression, resentment, etc 4. 4.

Everything is measured, even the hottest and the coldest temperatures can be measured, and in that case, the word fahrenheit comes into use. the book Word People by Nancy Sorel, defines fahrenheit as “pertaining to a temperature scale that registers the freezing point of water as 32 F and the boiling point as 212 F under standard atmospheric pressure” (Sorel 99). But the word fahrenheit, itself has its history of its creation, and was named after a physicist engineer, named Daniel Gabriel Fahrenheit. Fahrenheit would soon change the world of measuring.

In the article “The Pain Scale”, Biss is giving a proposal to definition of the pain scale. The author scaled the pain in a numeric values represented by a scale from zero to ten. First, is the zero scale. As Biss described herself as some one who generate question instead of answering them, she thinks that pain cannot be eliminated. Meaning, zero cannot explain a situation, just like its numerical value, we cannot apply some computational operations to it. Then, the author goes to explain how zero is interpreted in Celsius and Kelvin. To illustrate her point, she used the chicken as an example. The concept of the chicken example is that when we grab the chicken by its feet and the chicken is not complaining, that does not mean that the chicken is in no pain. The moral of zero pain is that either the pain cannot be expressed or it can not be felt. Second, the author started with the stories of how she was taught what is pain and who invented the scale of zero to ten pain scale. For example, Biss’s father told her that an itch is just a damaged tissue. Biss then asks a very complex question, she said “When does pain worth measuring? With poison ivy? With a hang nail?… A razor cut?” This shows how complex it is to judge where the pain begins. Even with a trained hospice nurses, not every pain can be identified. Biss conclude the scale one by assuming that zero and one are close to each other to the point where they might equal each other. Third, the scale number two starts

The cultural impact of Dante’s Divine Comedy is widely seen through a sundry of literary works, television programs, films and even video games. Yet, one of the most prominent works the Divine Comedy has impacted is C.S. Lewis’s The Great Divorce. Lewis’s book is greatly indebted to Dante’s work, as both try to teach the reader how to achieve salvation. Furthermore, Lewis and Dante’s protagonists discover the path to salvation through choices, and learning what causes one’s refusal of God. Both authors explore the path to righteousness and enquire about life’s most difficult questions. Therefore, the dialogue between Dante’s Divine Comedy and C.S. Lewis’s The Great Divorce is witnessed through the conception of the distortion of love,

The proper way to ensure that this is not a constant problem is to make sure that initial pain assessments as well as re-assessments are done in a timely manner. It seems as though the initial pain assessment was completed using the pain scale but the re-assessment was not complete and documented in the proper amount of time. In order to ensure proper documentation of the re-assessment once the first pain assessment has been completed and an intervention has properly been administered, the first action step will be to make sure that the reassessment is complete within one hour of pain intervention. With electronic mars it is easy to build in a recheck into the system to alert the nurse that a reassessment is needed once the pain medication has been administered to the patient. When a pain intervention is done, a flag will come up to remind the nurse taking care of the patient that a reassessment is due. This will also resolve the issue on the tracer audit of how does the nurse know the intervention worked. Another issue on the audit was if no pain intervention was done what was the reason for it not being done.

The concept of pain differs across cultures and healthcare disciplines, and devising ways to accurately define and assess pain is one of the underlying anxieties associated with the concept of pain. Since the population of the United States is a melting pot of traditions and customs, cultural differences between patients and caregivers may affect the perception and reporting of pain. According to Bird (2003) when measuring pain, cultural-related variations must be taken into consideration because measures of pain may be culturally specific. There are a variety of pain measurement tools available for use and each has its

Pain is subjective, meaning it is whatever the experiencing person says it is. People tolerate pain differently. Mr. Clark has a low tolerance for pain according to the rate of 8 on the pain scale. As a result, he needs a

‘Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage’ (International association for the study of pain 2014). Pain can be made up of complex and subjective experiences. The experience of pain is highly personal and private, and can not be directly observed or measured from one person to the next (Mac Lellan 2006). According to the agency for health care policy and research 1992, an individuals self-report of pain is the most reliable indicator of its presence. This is also supported by Mc Caffery’s definition in 1972, when he said ‘Pain is whatever the experiencing patient says it is, existing whenever he says it does’.

The most common reason that people seek medical care is pain, and pain is the leading cause of disability (Peterson & Bredow, 2013, p. 51; National Institute of Health, 2010). Pain is such an important topic in healthcare that the United States congress “identified 2000 to 2010 as the Decade of Pain Control and Research” (Brunner L. S., et al., 2010, p. 231). Unfortunatelly, patients are reporting a small increase in satisfaction with the pain management while in the hospital (Bernhofer, 2011). Pain assessment and treatment can be complex since nurses do not have a tool to quantify it. Pain is considered the fifth vital sign, however, we do not have numbers to guide our interventions. Pain is a subjective expirience that cannot be shared easily. Since nurses spend more time with patients in pain than any other healthcare provider, nurses must have a clear understanding of the concept of pain (Brunner, et al., 2010). Concept analysis’ main objective is to clarify ideas, to enhance critical thinking, and to promote communication (Rodgers & Knafl, 2000). This paper will examine the concept of pain using Wilson’s Steps of Concept Analysis (Rodgers & Knafl, 2000).

Dante had his fair share of the real human experience, whilst traveling through hell in Dante Alighieri’s “The Divine Comedy”. Characters in literature have been popularized since this masterpiece to favor sins as a type of personality trope. The lazy bum, the angry husband, or the prideful peacocks; the list goes on and on. The cause and effect of these traits have served well to teach generations of readers, the ideas and meanings of our actions as humans. Although it is rare, some works leave open ended plots for us to contemplate the meaning of said sin. In conjunction to some of the deadly sins, the main characters from “The Cask of Amontillado”, “The Veldt”, and “Soliloquy of the Spanish Cloister”, all display a truth about human nature.

Often when we set out to journey in ourselves, we come to places that surprise us with their strangeness. Expecting to see what is straightforward and acceptable, we suddenly run across the exceptions. Just as we as self‹examiners might encounter our inner demons, so does Dante the writer as he sets out to walk through his Inferno. Dante explains his universe - in terms physical, political, and spiritual - in the Divine Comedy. He also gives his readers a glimpse into his own perception of what constitutes sin. By portraying characters in specific ways, Dante the writer can shape what Dante the pilgrim feels about each sinner. Also, the reader can look deeper in the text and examine the

The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (1979). Pain is actually the culprit behind warranting a visit to a physician office for many people (Besson, 1999). Notoriously unpleasant, pain could also pose a threat as both a psychological and economic burden (Phillips, 2006). Sometimes pain does happen without any damage of tissue or any likely diseased state. The reasons for such pain are poorly understood and the term used to describe such type of pain is “psychogenic pain”. Also, the loss of productivity and daily activity due to pain is also significant. Pain engulfs a trillion dollars of GDP for lost work time and disability payments (Melnikova, 2010). Untreated pain not only impacts a person suffering from pain but also impacts their whole family. A person’s quality of life is negatively impacted by pain and it diminishes their ability to concentrate, work, exercise, socialize, perform daily routines, and sleep. All of these negative impacts ultimately lead to much more severe behavioral effects such as depression, aggression, mood alterations, isolation, and loss of self-esteem, which pose a great threat to human society.

Dante's `Divine Comedy', the account of his journey through hell, purgatory and heaven is one of the worlds great poems, and a prime example of a most splendidly realized integration of life with art. More than being merely great poetry, or a chronicle of contemporary events, which it also is, the `Comedy' is a study of human nature by a man quite experienced with it. The main argument I will make in this essay is that Dante's `Comedy' is chiefly a work of historical significance because in it lies the essence of human life across all boundaries of time and place. I feel that such a reading is justified, nay invited, by Dante himself when he says;

The Divine Comedy is an epic that has been studied and analyzed by numerous literary experts from around the world for centuries. It’s impacts on the start of the literary revival that comes with the Renaissance; Dante Alighieri’s epic poem conveys complex themes and symbols. By studying accomplished literary specialists that have analyzed Dante Alighieri’s intricate motifs, The Divine Comedy can be unraveled to uncover an epic that reveals an allegory through the journey of a human life. Alighieri uses contradicting ideas which reference to history, politics, and ethics combined with mixed styles of language that represent a universal theme of good and evil.