Pain nurse part one
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A lot of people don't really understand about pain. I do, because I'm a pain nurse. Pain has two purposes. The obvious purpose is to alert you to the fact that something is wrong. If you pick up a too-hot plate, the pain is telling you to take rapid action before more damage is done. That's what everyone knows. But pain has a second purpose. The sensation of pain is transmitted from the damage site to the brain via the nervous system, and the body responds by taking actions to fix the problem, so that healing starts immediately. But sometimes, the pain sensation is inadequate, or is "referred". A referred pain is when you feel pain in the wrong place. For example, if you have a heart problem, you can't feel pain in your heart - the pain is felt in your left arm, elbow and shoulder. That's when the pain nurse comes in. If the pain is insufficient or referred, my job is to boost the pain. I have a number of different techniques that I can use, but rather than give a textbook exposition, I'll describe some case studies (the patient's names are, of course, anonymised). If you want a textbook, I'd suggest Wall & Melzack's "Textbook of Pain", available from many online bookshops.
pain nurse purposes alert damage nervous system referred pain sensation healing techniques case studies Wall & Melzack Textbook of Pain
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