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Marni Jackson is a Canadian journalist. [1] She is most noted for her 1992 memoir The Mother Zone, which was a shortlisted finalist for the Stephen Leacock Memorial Medal for Humour in 1993, [2] and her 2002 non-fiction book Pain: The Fifth Vital Sign, which was shortlisted for the Pearson Writers' Trust Prize for Nonfiction.
Pain is often regarded as the fifth vital sign in regard to healthcare because it is accepted now in healthcare that pain, like other vital signs, is an objective sensation rather than subjective. As a result nurses are trained and expected to assess pain.
The "fifth vital sign" may refer to a few different parameters. Pain is considered a standard fifth vital sign in some organizations, such as the U.S. Veterans Affairs. [16] Pain is measured on a 0–10 pain scale based on subjective patient reporting and may be unreliable. [17] Some studies show that recording pain routinely may not change ...
A Chinese pain scale diagram, rating pain on a scale of 1 to 10. A pain scale measures a patient's pain intensity or other features. Pain scales are a common communication tool in medical contexts, and are used in a variety of medical settings. Pain scales are a necessity to assist with better assessment of pain and patient screening.
They are also used in diagnosis, to determine a treatment plan, and to evaluate the effectiveness of treatment. Pain scales are available for neonates, infants, children, adolescents, adults, seniors, and persons with impaired communication. Pain assessments are often regarded as "the 5th vital sign". [13]
axial compression and rotation of cervical spine to the side of symptoms causes pain Stellwag's sign: Karl Stellwag von Carion: endocrinology: thyrotoxicosis: infrequent and/or incomplete blinking, accompanied by Dalrymple's sign: Still's murmur: Sir George Frederick Still: paediatric cardiology: subaortic stenosis, small Ventricular septal defect
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The letter advocated for more liberal use of opioids in pain management, which the World Health Organization eventually supported. [30] In addition, medical organizations began to push for more attentive physician responses to pain, referring to pain as the "fifth vital sign". This was coupled with the promotion of opioids by pharmaceutical ...