Academy of Chiropractic

Quickie Podcast 1310
Narratives 108 N

From the Desk of Dr. Mark Studin
Academy of Chiropractic

Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time. -Mark Studin 2006

Do I Document Pain Scales Daily?



Dr. Studin: Good Morning, could you please repeat the question?


Guest: Do I put the patient's pain scale in our daily soap notes or just on the re-exams and reevaluation?


Dr. Studin: This is a question that's often been asked over and over and over because we're always told that you want to really follow the continuity of care with patients, but you and I both know, cause we're in the game more than five minutes that patients ebb and flow. They one, they could be at a six day two. They could be the Ford, they three, they could be the seven. They lifted their kids. They bent over, they lifted something. They feel like craft is an exacerbation. They're a nine. Then the next day they could be a three. If you're someone reading this, an insurance carrier or a lawyer in court, you would think this patient's full of crap because they don't understand. They don't understand the everyday stresses on spot and how the body accommodates it. So as a result of that, it's my strongest suggestion to only report pain scales on evals and re-evals, but on a visit to visit basis, put same, better or worse since last visit. And this way you'll be able to, you know, follow the ebbs and flows with same, better or worse, but numerically quantify it. Now, the other thing is, is I also urge everyone to do a visual analog scale, not a verbal analog scale, which means you're going to go to Mr. Google. You're going to get a picture of the visual analog scale. Those smiley faces, laminate it, put it on the wall in every treatment room and refer to it. So this way, should you ever be on the witness stand doctor. Did you do a verbal visual analog scale visual doctor? Did you show a picture to the patient? Yes. What picture? The picture of the smiley faces that's universally understood and accepted, and now there are no issues. And that resolves that, that, that, that presents a line of questioning. You don't want to have to answer and resolves a problem before it starts. Anything else?


Guest: I get it. Thank you very much.


Dr. Studin: Have a nice day later, alligator. Bye.


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