Chronic pain may range from a moderate to a severe feeling, depending on the severity of the injury. Another aspect of pain that varies from person to person is that the pain experienced by one individual may not be experienced in the same manner by another.
For physicians and emergency medical technicians to properly treat patients suffering from acute or chronic pain, they must first get a detailed history of their symptoms to determine what kind of treatment to provide. The assessment of a patient’s degree of discomfort is a critical component of any first aid phase.
Emergency medical technicians and physicians often recall the acronym SOCRATES to aid them in the process of doing an evaluation. Emergency medical services and other health care providers use the SOCRATES acronym to identify the kind of pain a patient is experiencing after an injury.
The acronym SOCRATES stands for the following:
The site of pain is vital since it may assist a person in determining the location and degree of their discomfort. For example, pain in the chest or back may imply various things to specific people! When a doctor asks questions, “where is the pain?” they attempt to determine the best way to diagnose your condition. It is essential to determine the source of discomfort since it might reveal a great deal about what is going on.
Pain is a complex and complicated sensation. For example, the pain might be concentrated in a single place of the body or spread across the whole system at once. It might be regular, erratic, or even spontaneous. If you are experiencing discomfort for the first time, attempt to determine when it began and how often it comes and goes. A person may experience pain for a variety of causes, including an accident injury. If the pain is intermittent, attempt to determine when the discomfort started initially and how often it comes and goes.
Characterizing the pain is best to approach to describe it through the perspective of the person experiencing it. Pain is a subjective sensation that differs from one individual to the next.
The identical injury may cause two distinct individuals to experience acute, stabbing, or mild sensations. Individuals may use various terms to describe their pain, including ache, stabbing, acute, crushing, and burning. Complete knowledge of what pain means to each individual will result in more specialized therapies.
Pain is often limited to a single place. This pain indicates that if you have discomfort in your arm, it will be the only portion of your body experiencing this sensation. However, in some instances, the pain may radiate or spread to other areas of the body. To help your doctor accurately diagnose this issue, they must know if the pain has moved or remained stable. Inflammation in the spine or nerve roots may cause this illness. Radiating pain might be due to arthritis or spinal stenosis, which causes the spinal canal to narrow with time. Some individuals may have numbness or tingling in the area where their pain is moving.
Pain is not the sole indication of an injury. Occasionally, additional symptoms such as nausea or vomiting, trouble walking, or changes in feeling occur. Other symptoms to look out for are burning or stabbing pain, numbness, tingling, or stiffness. These linked characteristics may indicate the presence of more significant injuries or conditions. It is critical to keep track of these different symptoms and communicate them to your doctor to correctly diagnose you and choose the best course of therapy for your unusual conditions.
Pain may manifest in various ways over time. For example, a patient may have improved symptoms during some periods of the day and worse symptoms at others. This is because our bodies respond differently to different quantities of natural light, hormones, physical exercise, and stress. In other circumstances, depending on how you move or what position you’re in when the pain happens, it may get worse or remain the same. Pain develops throughout time; has it been better or worse since it began?
Exacerbating or Alleviating Factors:
How to Exacerbate or Alleviate Pain? It is essential to understand what factors might aggravate or alleviate pain. Specific physical postures may help ease pain, while others aggravate it. Furthermore, several factors, such as your mood and whether you are in the right frame of mind to heal, might impact your experience of pain.
The pain scale measures the severity of one’s pain on a scale from 0-10, with 10 being the most severe pain experienced. Emergency medical professionals with first aid and CPR certification can better use this system when assessing patients experiencing extreme levels of pain due to their training in recognizing signs that someone may not be breathing or having difficulty breathing.
STEP BY STEP PROCEDURE ON HOW TO PERFORM SOCRATES ASSESSMENT
INTRODUCE YOURSELF – The first step in each clinical encounter is to introduce oneself to the patient, identify them, and get their permission to talk with him or her. If you want to take notes while you’re working, you’ll need to ask the patient for permission beforehand.
PRESENTING OF COMPLAINt – The first thing you hear when a patient walks in is their complaint, and it’s also the first thing you write down. It would be best, to begin with since it reveals what the patient believes is wrong.
HISTORY OF PRESENTING COMPLAINT – For example, chest pain is a frequent reason for hospital visits. Doctors want to know the location, intensity, and characteristics of chest discomfort and any other symptoms that may present concurrently. The SOCRATES pain assessment method may assist physicians in collecting this information.
PAST MEDICAL HISTORY – When assessing a patient, it is essential to gather their medical history for two reasons: – It may give insight into existing concerns. – It may aid in the determination of probable diagnosis. To acquire a patient’s medical history, you should examine many critical factors, including family medical history, social background, drugs and allergies, and previous surgery or hospitalizations.
SUMMARY – When you are through with a formal consultation, you should summarize what you have learned from the patient and repeat anything that they may have missed or that they want clarification. It would be best to inquire what the patient believes is wrong with them and what they expect to get out of the consultation.