Originally Posted by rn/writer
Older patients have historically been under-medicated. Chronically-ill patients have been historically under-medicated. Because it is a subjective entity, pain is often not taken seriously or treated appropriately.
Yes, the opiates are, by their very nature, prone to being diverted and misused. Preventive and punitive measures need to be taken on that end rather than depriving patients of solid and dependable pain relief.
I agree, I just couldn't make it sound as good as you did.
I am one of those chronically ill patients. For years I was in pain and no one believed that Crohn's could cause pain. I changed MD's and my present PCP believes in pain and thus medicates me well enough that I have little pain (which I can handle) but not too much that I can't function. My own GI specialist is aghast that my PCP prescribes vicodin for me. She says he shouldn't do that. Obviously she does not have this disease.
For years dr's were afraid to prescribe pain meds because they were afraid of addiction. I now know that you cannot become addicted if you take the pain medication when and only when you have pain. When you start using it outside of that is when you have problems.
Also, where I work there are signs in every pts room that state "you have the right to be free of pain, talk to your dr or nurse if you are having pain". You would think everyone who saw that sign would fake pain and then talk to the dr about it. The opposite is true. I think the general public is still skittish about narcotics. Children don't want their dying parents receiving narcotics because they will become addicted. Obviously, we (well, nurses do as I'm an aide) need to educate the public.
With the growing number of baby boomers I'm not surprised at the number. Why should the elderly suffer in pain when others before them sucked it up? People are living longer than ever and with that will come some aches and pains.
I don't want my post to sound as if I think vicodin should be handed out to everyone who has ever had a twinge of pain. That's not true. I know I tried yoga, meditation, etc before I took narcotics. Others should look at alternative medicine also.