When a pt. cries out in pain, grimaces or pulls back, that to me are clues that the pt is having pain. Would a dentist continue drilling if you're having pain? Of course not, he'd give you more novacaine. So what is it with doctors who DON'T medicate at all?
To me they are sadists and actually get sexual satisfaction in inflicting pain and I make sure I document that doctor refused to order pain medication especially when brought to his attention that the pt was or is in pain in my charting.
I gave a pat. tylenol 650 mgs for "discomfort" one time because he had decubes everywhere. He was doing alot of moaning and groaning and I wanted him to feel more comfortable. The next day the doc gave me a bunch of sh*t in front of everyone in report because the order read tylenol for a temp above 101 and nothing about pain. She said, I could make an incident report about this and I said, "Do what you have to do doc, but I hope when you are in a nursing home full of decubitus, moaning and groaning in pain that some one gives you a mere tylenol for discomfort to make you feel alittle better!" She walked out of the room. Everyone said "good for you!" The order was changed to tylenol 650 mgs prn for pain or temp above 101.
We are the pt's advocate.
It is abuse as far as I'm concerned...