As an LPN working in an outpatient clinic, I struggle when asking patients their level of pain on a 1-10 scale (Nurse.com/Article/Pain-Management). One patient said his pain was a 10, but he was calm with no tears, normal speech tone and volume and no outward sign of any distress at all.
I explained the 1-10 scale, and he said, “OK, an eight.” There were no indicators of pain at that level. I documented that the patient stated pain was a 10 with no signs of distress. The physician gave me heck, saying pain is what the patient states, not what I think it may be.
— William J. Schwarz, LPN Panama City, Fla.