Karen,
You got the point. I was trying to say that the 1 to 10 scale needs a
reference point. Which you did excellently in your statement:
<<"On a scale of 1-10, 1 meaning 'no interference' and 10 meaning you're
about to say 'forget it' to breastfeeding, how much is the pain interfering
with your goals for breastfeeding?">>
Seems common sense doesn't it? But I can't tell you how many times I have
been asked in these words "On a scale of 1 to 10 how would you rate your pain
?" And I hear nurses doing the same with new moms all the time. There is no
point of reference in their question. In the statement above you gave a point
of reference, therefor worded the way you did, the question is not abstract.
Hope that makes my point clearer.
Marie Davis, RN, IBCLC

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