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	<title>Comments on: here we go again with THAT pain</title>
	<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html</link>
	<description>a nurse blog.</description>
	<pubDate>Thu, 20 Nov 2008 16:39:12 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.0.7</generator>

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		<title>by: Pwhndvve</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-82125</link>
		<pubDate>Sat, 09 Aug 2008 17:02:21 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-82125</guid>
					<description>Honi soit look closer &lt;a href="http://bebo.com/CytotecB9/" rel="nofollow"&gt;buy cytotec&lt;/a&gt; dead hand held.</description>
		<content:encoded><![CDATA[<p>Honi soit look closer <a href="http://bebo.com/CytotecB9/" rel="nofollow">buy cytotec</a> dead hand held.
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		<title>by: IRN</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72753</link>
		<pubDate>Thu, 06 Mar 2008 18:43:25 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72753</guid>
					<description>As I read along, I could swear you were referring to one of my patients!  Almost the exact scenario.  There are many scenarios very similar in the patient population.
The thing is, there is no one to blame.  Not even the patient.  I've come to believe that people dictate their destinys, and they will do what brings them comfort, no matter what the cost in terms of physical and/or psychological health.  
No judgement from me.  Is it what it is.</description>
		<content:encoded><![CDATA[<p>As I read along, I could swear you were referring to one of my patients!  Almost the exact scenario.  There are many scenarios very similar in the patient population.<br />
The thing is, there is no one to blame.  Not even the patient.  I&#8217;ve come to believe that people dictate their destinys, and they will do what brings them comfort, no matter what the cost in terms of physical and/or psychological health.<br />
No judgement from me.  Is it what it is.
</p>
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		<title>by: Jake</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72505</link>
		<pubDate>Mon, 03 Mar 2008 15:19:02 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72505</guid>
					<description>I have seen this situation and I'm so happy you are talking about it no matter how difficult the conversation is.</description>
		<content:encoded><![CDATA[<p>I have seen this situation and I&#8217;m so happy you are talking about it no matter how difficult the conversation is.
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		<title>by: shrimplate</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72263</link>
		<pubDate>Sat, 01 Mar 2008 03:07:43 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72263</guid>
					<description>The addictive substances themselves, whether they are pills, opiates, alcoholic beverages, or whatever, don't always win.</description>
		<content:encoded><![CDATA[<p>The addictive substances themselves, whether they are pills, opiates, alcoholic beverages, or whatever, don&#8217;t always win.
</p>
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		<title>by: oriental medicine blog &#187; Blog Archive &#187; here we go again with THAT pain</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72189</link>
		<pubDate>Fri, 29 Feb 2008 05:11:59 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72189</guid>
					<description>[...] may put up a good read today.Here&#8217;s a quick excerpt:still, the few minutes that she was awake, all she talked about was how unfair and inhuman it was of the doctors to decrease the dose of her pain medication, and how stupid it was of them to switch the Dilaudid and the Phenergan to PO. &#8230; [...]</description>
		<content:encoded><![CDATA[<p>[&#8230;] may put up a good read today.Here&#8217;s a quick excerpt:still, the few minutes that she was awake, all she talked about was how unfair and inhuman it was of the doctors to decrease the dose of her pain medication, and how stupid it was of them to switch the Dilaudid and the Phenergan to PO. &#8230; [&#8230;]
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		<title>by: Onehealthpro</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72139</link>
		<pubDate>Thu, 28 Feb 2008 13:58:29 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72139</guid>
					<description>I disagree that you don't make a difference.  Every conversation has an impact...even though you may not see it for years.  This is the challenging struggle every teacher faces when dealing with an upset child.  You never know, you could be the person to say the words that will one day make a difference.  Mental health issues are medical issues and vice versa.  Seeking blame is a time consuming, useless activity.  Ultimately, when patients are in our care, and I mean in the care of the medical community, we are responsible for accurate assessment and treatment recommendations.  Here's a comment from Norman Cousins I've found helpful when I felt discouraged.  "A person with a real ideal has no time for cynicism."  
Onehealthpro</description>
		<content:encoded><![CDATA[<p>I disagree that you don&#8217;t make a difference.  Every conversation has an impact&#8230;even though you may not see it for years.  This is the challenging struggle every teacher faces when dealing with an upset child.  You never know, you could be the person to say the words that will one day make a difference.  Mental health issues are medical issues and vice versa.  Seeking blame is a time consuming, useless activity.  Ultimately, when patients are in our care, and I mean in the care of the medical community, we are responsible for accurate assessment and treatment recommendations.  Here&#8217;s a comment from Norman Cousins I&#8217;ve found helpful when I felt discouraged.  &#8220;A person with a real ideal has no time for cynicism.&#8221;<br />
Onehealthpro
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		<title>by: CrazyRN (Brooke)</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72085</link>
		<pubDate>Thu, 28 Feb 2008 00:07:56 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72085</guid>
					<description>I've taken care of that same patient! 

I totally understand how hard it is to give them the drugs when they like that. As we were taught in school, pain is what the patient says it is. I usually document wayyy too much when it comes to patients like these, just to cover my rear if something should ever happen in the future.</description>
		<content:encoded><![CDATA[<p>I&#8217;ve taken care of that same patient! </p>
<p>I totally understand how hard it is to give them the drugs when they like that. As we were taught in school, pain is what the patient says it is. I usually document wayyy too much when it comes to patients like these, just to cover my rear if something should ever happen in the future.
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		<title>by: melissa</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72054</link>
		<pubDate>Wed, 27 Feb 2008 17:04:22 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72054</guid>
					<description>it is a sad situation and one that is and will be repeated many times over</description>
		<content:encoded><![CDATA[<p>it is a sad situation and one that is and will be repeated many times over
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		<title>by: lei</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72047</link>
		<pubDate>Wed, 27 Feb 2008 15:56:08 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72047</guid>
					<description>ah. dilemmas we nurses must go through... really makes you go crazy.</description>
		<content:encoded><![CDATA[<p>ah. dilemmas we nurses must go through&#8230; really makes you go crazy.
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		<title>by: Rygel</title>
		<link>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72044</link>
		<pubDate>Wed, 27 Feb 2008 15:29:36 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2008/02/here-we-go-again-with-that-pain.html#comment-72044</guid>
					<description>i think we feel frustrated because we know why things are happening. we learned all of these in nursing / med school. i myself have been sarcastic with patients because of what i think is their stupidity causing their illness and then expecting doctors / nurses to work miracles.

but sometimes i realize that maybe what is very obvious to me might not be as obvious to them.. or the circumstances that started the drug dependence might be pretty tolerable for me but intolerable for them.

mostly i think it's just ignorance of the laws of health.</description>
		<content:encoded><![CDATA[<p>i think we feel frustrated because we know why things are happening. we learned all of these in nursing / med school. i myself have been sarcastic with patients because of what i think is their stupidity causing their illness and then expecting doctors / nurses to work miracles.</p>
<p>but sometimes i realize that maybe what is very obvious to me might not be as obvious to them.. or the circumstances that started the drug dependence might be pretty tolerable for me but intolerable for them.</p>
<p>mostly i think it&#8217;s just ignorance of the laws of health.
</p>
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