P a g e | 45 APPENDIX 1 FILM SCRIPT ACT 4: THE CRAFT OF PAIN MANAGEMENT RACHEL Everybody is telling me I’m not treating pain well, but nobody is helping me figure out how to treat the pain. I am not a psychologist . . . . I don’t know whether it is fair to expect me to do all of that and I don’t know if anyone is expecting me to. . . Someone bringing out a lot about their past or perhaps a very complex situation . . . we don’t want to say the wrong thing and it be to someone’s detriment ... you don’t want to open this can of worms. It’s fine saying to a patient yes well you know that is part of the pain . . . you feel depressed with it . . . I don’t really feel I’m at all competent in knowing what to say to try and help them round that. DINUSHA One becomes more stable as a person over time you no longer believe that you can do everything, that you are able to solve everything . . . Young doctors can have in them, that they believe that they will solve everything. New grads can’t learn all of this, they need a certain number of years, you can’t teach them all of this, there’s so much they’ve got to learn. The way I think about it is If you have a patient who’s not responding the way that you expect, it’s nice to have someone there who can have a look, and see what ideas they come up with……it’s like osmotic learning. JOHN Treatment has to be tailored to patient’s needs and prescriptive guidelines promoting “one size fits all” is not acceptable. If you work according to the guidelines, you are constrained in your performance . . . what would be left of your independence,
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