Patient's drug of choice-all of them? - page 2

by JeneraterRN

1,700 Unique Views | 16 Comments

Repeat drug overdose patients are difficult to treat. We all are probably aware of the complexity of addiction, but one particular patient we have baffles me. Drug of choice-any of them. Over-the-counter, street, prescription,... Read More


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    Sounds like she has something of the OCD variety? I wonder if that could be treated with exposure therapy, where she does not take a pill when she feels anxious. Could rule out physical cause fairly easily if you were at the hospital. Definitely seems obsessive to me either way. I think a good rapport with a therapist and psychiatrist might help more than anything else. Medications are still probably necessary if she's on a beta blocker, but they should have a distinct reason for prescribing. Might be a good idea for the patient to stay long-term time in a controlled environment in order to re-learn appropriate medication management.
    nightengalegoddess likes this.
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    First of all, I wouldn't recommend anything. I am a nurse, that's not in my scope of practice. That being said, I am going to say something that will get me beat up, boiled in oil, roasted over an open pit, fried, dyed, and laid to the side. I am willing to take it. For the "anxiety" if I could prescribe anything at all, it would be "Get a Job". I know the economy is rough, but there are jobs. Burgers, sales, cleaning, a job is a job. You can have a job and you can be just as anxious on your job as you can be at home wallowing in anxiety. At least give it a shot.

    (This is the old ER nurse coming out in me. But I have seldom seen an employed person too anxious to function).
    nightengalegoddess likes this.
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    Quote from DixieRedHead
    First of all, I wouldn't recommend anything. I am a nurse, that's not in my scope of practice. That being said, I am going to say something that will get me beat up, boiled in oil, roasted over an open pit, fried, dyed, and laid to the side. I am willing to take it. For the "anxiety" if I could prescribe anything at all, it would be "Get a Job". I know the economy is rough, but there are jobs. Burgers, sales, cleaning, a job is a job. You can have a job and you can be just as anxious on your job as you can be at home wallowing in anxiety. At least give it a shot.

    (This is the old ER nurse coming out in me. But I have seldom seen an employed person too anxious to function).
    I never said this person didn't have one, which this person does. I really have no intention to roast you in any way because I agree with you that any job is better than none. However, the question was meant hypothetically if you were the prescriber. Thanks for the response.
    ~*Stargazer*~ likes this.
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    Quote from DixieRedHead
    First of all, I wouldn't recommend anything. I am a nurse, that's not in my scope of practice. That being said, I am going to say something that will get me beat up, boiled in oil, roasted over an open pit, fried, dyed, and laid to the side. I am willing to take it. For the "anxiety" if I could prescribe anything at all, it would be "Get a Job". I know the economy is rough, but there are jobs. Burgers, sales, cleaning, a job is a job. You can have a job and you can be just as anxious on your job as you can be at home wallowing in anxiety. At least give it a shot.

    (This is the old ER nurse coming out in me. But I have seldom seen an employed person too anxious to function).
    While it's true that purposeful motor activity, such as sewing, baking, exercise, etc. can be therapeutic and help in alleviating anxiety, and having meaningful work in one's life can assist in addressing the root causes of the anxiety, I think this is a rather simplistic suggestion. Lots of people with anxiety disorders have jobs.
    sharpeimom, opossum, and JeneraterRN like this.
  5. 0
    My job actually perpetuates anxiety ALOT! But truly, this does sound really obsessive. She needs psych intervention asap; that would be my SBAR suggestion...as it has been said, long term care and treatment; inpatient to start. It makes me sad that there are so many desperate people in this world. Makes my anxiety sound just about OK right now.
  6. 0
    Quote from gymnut
    *edited because I'm an idiot*

    Yay for idiots! Welcome....I'm your leader!
  7. 0
    Quote from nightengalegoddess
    My job actually perpetuates anxiety ALOT! But truly, this does sound really obsessive. She needs psych intervention asap; that would be my SBAR suggestion...as it has been said, long term care and treatment; inpatient to start. It makes me sad that there are so many desperate people in this world. Makes my anxiety sound just about OK right now.
    This is a great idea. This person admitted his/herself voluntarily, and refuses to go voluntarily since then to the psych unit. We held him/her until a psych eval was completed, but didn't have enough for an involuntary admission. I never thought of it in the OCD light, I was thinking along other lines that aren't flattering, but OCD makes sense. Thanks every one!


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