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are cautious and have set a circuit breaker — if exceeded, the option to continue “as is” will be removed. The green line has exceeded tolerable conditions and there is no option but to seek medical attention.


THE SEVERITY LEVEL MATRIX How do we get this into something we can use in our organization? First, let’s look at graphically-determining severity. Table 2 (above), the severity level matrix, is just a suggestion; you must create your own matrix that


Acute/single occurrence/short duration/known cause Moderate/multiple occurences/short duration/unknown cause


Severe/single occurence/long duration/unknown cause Table 1. Pain Graph Looking at this from a pain


perspective, many of us have had terribly painful headaches. Our concern goes from not worried, such as an ice cream headache because we know the cause and also know it will only last a few seconds (see the red line in Table 1 below). However, we become more alarmed if the pain is of a longer duration, such as the green line in Table 1. The longer the duration, the more alarmed we are — or the pain continues to come back, as in the blue line in Table One. We will be more concerned the more frequent the pain returns. There is also the puzzling factor when the causes are unknown. If we experience an acute headache (as in the red line) of unknown origins, we could be alarmed enough to investigate further and not leave it alone. Is this an early sign of something else or a one-shot deal? We are left with an option to explore further or leave it alone. In the case of the recurring headache (the blue line), we may determine that the severity is at a tolerable level. A cause has been determined but possible medications would be more adverse than enduring the pain, so we decide to live with this level. However, we monitor the level and if the frequency or severity increases we would seek medication. Again, we are left with an option but we


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