> By using a system that has already been widely written about in other
> specialty literature, and adopted as valid in other health care fields,
> we "accept them where they are" and adopt a more multidisciplinary
> approach. It's a version of "If you can't beat 'em, join'em", I suppose,
>
  This will be my final post on this subject (I hope). Let's not forget
that we LCs have a pain scale of sorts in the L-A-T-C-H scoring tool.
There is a 0-2 grading of mother's comfort there. It is not, to our
dismay, proving to be the most reliable of tools but...perhaps if we
asked mother's to grade their discomfort it would enhance reliability.
If you look at the criticisms of L-A-T-C-H, they have to do with
inter-rater reliability. When a mother grades her own pain, there is no
inter-rater variable introduced.

Susan Keith-Hergert

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