How can you handle patients self-medicating? I just read this blog
A long time ago, I remember being in the hospital for something unrelated and having the attending tell me I was no longer injecting while I was inpatient. She started figuring out my doses by my weight or some such madness..and I flew up over 200 and sat there. They fed me sugar free stuff...all low carb...and aspartame gives me migraines. They didn't have a clue. After a few hours, I declared that I would be handling my diabetes care and that they needed to stay out of it. I had to sign some "against doctor advice" piece of paper, but my BG went back down to 120 as soon as I dictated my basal rates. Patients: don't ever forget that you have the right to deny care!
Obviously anyone has the right to deny care, but, there's a difference between denying care and downright self medicating while in the hospital.
I've worn my insulin pump while inpatient in the hospital before, but that was after the hospitalist and nurses were aware I was wearing it, and informed of my insulin rates and such, and agreed that was the best idea.
Insulin is one thing, would it be different if a patient decided to self medicate with Xanax or Dilaudid while in the hospital?
But then what recourse do you have from that? Can you take something away from them that they have a prescription for and own and brought from home?