Originally posted by JillR
B&O suppositories are appropriate, and work well for bladder spasms. If the patient does have a hx of drug seeking, does that mean that we hold appropriate intervention because it happens to have a narcotic in it? That would be cruel.
I have a step daughter in recovery and my greatest fear is that someone will put prescription narcotics in her hand without discussing it with her and with her support system. She has abused narcs in the past. Still I can envision MANY circumstances when she may legitimately need narcs. Here is what I would want for her:
Tell her the options
Try non-narcotic pain relief as appropriate
Let her/her family activate her support system (AA buddies)
Especially if she is going home on the narcs, have a plan for who will hold the narcs. I'd probably be willing to do this. I'd want a no refill RX. We'd take it day be day if we needed refills.
AA buddies will need to be activated for when/if she experiences drug cravings
Some recovering individuals DO NOT wants narcs. Their voices should be heard. They deserve the finest in non-narcotic pain management.
Bottom line: Include the patient and the family in the decision making.