Is current thinking on pain control creating drug addicts? - page 8

The current approach to pain control has been to believe the pt's self report of pain no matter what. Is this creating drug dependency, and or addiction, in emotionallly susceptible people? Should we... Read More

  1. by   nursebrandie28
    Here is my opinion....you don't have to agree....here it goes...

    Pain is subjective, yes, however....I can usually tell addicts from true pain...How can I, you might ask? Because there are usually 99% of the time, clinical signs....increased BP, crying, moaning, etc....

    I am an Illinois state taxpayer, and I do not feel like i should pay for these depressed, lowlife, jobless people to come in and get their fix.....if they want to mope around and weigh 500 lbs, yes your back is going to hurt, lose weight and your back may not hurt!!!!

    I do not believe in giving narcs for their mental depression and low-life hygiene skills. Call me cold harted.....but I do not feel that in the long run, we are helping these people!!!! I am sorry!!! I do not agree..

    I would rather work with actual street drugs addicts because at least population will admit to being drug addicts and they can get their own fix without using ER time and resources!!!!

    It is pretty sad that the working poor cannot get proper medical treatment however, the medicaid people can come in and get their FIX for FREE!!!

    If I ever become a nurse legislature, I would eliminate Demerol and Darvon!!! These people want their fix, do not come to ER, GO GET MENTAL HELP!!!!

    Addiction is a disease, not a vital sign!!!!!

    IF anybody has ever worked in a jail/prison system, you will learn how these people work the system!!!! Vicodins, Darvocets, Klonopin, Valium for criminals for lounge around all day on TAXPAYERS MONEY!!!!!

    Well, there is my soapbox....sorry if i offend!!!
    Last edit by nursebrandie28 on Feb 13, '07
  2. by   SmilingBluEyes
    Ya know this touches a nerve in me. Undermedication for pain can cause people health problems; I personally know this. I think when/if the patient says he/she is in pain, it is for us to help him or her out without such judgement.

    That said, I too, have dealt with people who seemed to abuse things. But I really, really felt it was not for me to decide this; I am not a psychiatrist nor MD. Let them diagnose this and treat it. And true narc addicts are very hard to treat for pain, very frustrating, but nevertheless, deserve our consideration and care.

    And as to the remark about narcs and dental pain, I am sorry, but undermedication and treatment for dental issues in my late teens 20s created a severe phobia of dentists that persisted into my 30s and cost me 1 tooth completely and 2 root canals---- and a whole host of other problems I can't believe happened to me.

    You see, I could not bring myself to enter a dentist's office for YEARS because of horrible and shabby treatment by a couple of dentists and an oral surgeon who took my pain concerns as whining and blew me off. When you have a tooth pulled, root canal or other some such horrid procedure, I am sorry, for some of us, MOTRIN or Tylenol just do not cut the mustard. And some people cannot use Ibuprofen due to gastric issues. The use of short-term narcotics is not abusive, but therapeutic in certain dental cases. When I finally did return to seeing a dentist,(having no choice as I had three totally ruined teeth and gum issues), I saw the difference. Having endured 2 root canals and total extraction of a bad tooth, this gentle dentist understood and took my concerns about post-op pain seriously. 10 Vicodin later and I was fine. And now, I am a willing semi-annual faithful dental patient with a better outlook for dental and overall health. So, you see, in some cases, the "liberal" use of narcotics in some cases, can actually ENCOURAGE people to seek treatments that may involve a lot of pain for the sake of their health maintanence and wellbeing.

    Anyhow I digressed. I guess my point is, who are we to stand and decide whether we are "creating" addicts in giving pain control to those needing it? I just do not put myself in that place. If a patient tells me she is having pain and wants her meds, I give what is ordered as often as it's requested and ordered. Let the psych community deal with addictions, if need be. I don't want to deny someone in pain just relief. IMO...anyhow...
    Last edit by SmilingBluEyes on Feb 14, '07
  3. by   twotrees2
    i have been in the depressed state and yes it increases pain - and i have tried tyo no avail to loose enough so my pain continues- i exercise and eat right and get regular checkups and help to try to stop these states of depression and overweight - as for my hygiene at home sometimes it may get lost in the wayside but i bath when i work and go out to the store - however i am far from a "low life" begging for pain killer s- when i havegone in its been real painand i needed help - labeling depresed overweight folks low lifes solves nothing - if anything a low life in my book would be a drug addict who refuses to get help - ( note i say one who refuses to get help )

    i also am not addicted though i am dependent on them t ofunction ( i feel others have explaine the differnece quite well so i wont but to function i need the meds or i get so much in pain i would be doing nothing but sit on my butt getting bigger and worse depressed and the cycle would be even more horrific)

    and i definately do take offense to being lumoed in with crimnals thoughi feel if pain is an issue then they need evaluating to be sure if is adiction or need.

    i dont cry and moan nor does my b/p go up all that much higher than it is up as its a constant thing so my b/p stays where it has been and s kept down by blood pressure pills.

    just my 2 cents.


    Quote from nursebrandie28
    Here is my opinion....you don't have to agree....here it goes...

    Pain is subjective, yes, however....I can usually tell addicts from true pain...How can I, you might ask? Because there are usually 99% of the time, clinical signs....increased BP, crying, moaning, etc....

    I am an Illinois state taxpayer, and I do not feel like i should pay for these depressed, lowlife, jobless people to come in and get their fix.....if they want to mope around and weigh 500 lbs, yes your back is going to hurt, lose weight and your back may not hurt!!!!

    I do not believe in giving narcs for their mental depression and low-life hygiene skills. Call me cold harted.....but I do not feel that in the long run, we are helping these people!!!! I am sorry!!! I do not agree..

    I would rather work with actual street drugs addicts because at least population will admit to being drug addicts and they can get their own fix without using ER time and resources!!!!

    It is pretty sad that the working poor cannot get proper medical treatment however, the medicaid people can come in and get their FIX for FREE!!!

    If I ever become a nurse legislature, I would eliminate Demerol and Darvon!!! These people want their fix, do not come to ER, GO GET MENTAL HELP!!!!

    Addiction is a disease, not a vital sign!!!!!

    IF anybody has ever worked in a jail/prison system, you will learn how these people work the system!!!! Vicodins, Darvocets, Klonopin, Valium for criminals for lounge around all day on TAXPAYERS MONEY!!!!!

    Well, there is my soapbox....sorry if i offend!!!
  4. by   ginger58
    Quote from nursebrandie28
    Here is my opinion....you don't have to agree....here it goes...

    Pain is subjective, yes, however....I can usually tell addicts from true pain...How can I, you might ask? Because there are usually 99% of the time, clinical signs....increased BP, crying, moaning, etc....
    If I ever become a nurse legislature, I would eliminate Demerol and Darvon!!!
    Addiction is a disease, not a vital sign!!!!!
    Maybe you need to work in a different department or hospital because you sound a bit burned out.
    Don't you think people in pain have increased B/P, cry, moan??
    The 5th vital sign is pain. People have a right to have their pain treated. Don't think that because people are homeless, dirtbags, or whatever you called them they don't have pain. I understand your frustation, really I do. Addiction is a disease. At least where I live, mental help is very hard to come by, thanks to some of our politicians.
    I hope you can get yourself into a less frustrating situation.

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