Crazy things pt's do for pain meds. - page 3
I have two stories actually, not sure which is worse. 1. I was working the floor, doing crazy OT, switching between this and that shift to help out (doing all three shifts the same week) and I was dead on my feet. Short on... Read More
- 0Oct 27, '09 by parfumQuote from cookienaycurious what a 4+ swelling is...The trick that disgusts me the most are parents who insist their kids (young and adolescents alike) need pain meds for whatever problem they have. I am sorry, but unless you have a peritonsillar abscess or 4+ swelling you do NOT need lortab for a sore throat. And a knee lac with 4 stitches- gimme a break. Sprained ankles- motrin and ice. now get outta my er.
is that a grade of swelling or in inches?
i recently had an ankle incident that caused swelling from the size of a golf ball to a tennis ball to a small grapefruit. would i have been worthy of a visit to your ER?
- 1Oct 28, '09 by eriksolnQuote from feebebe23See, my stories are funny in a way, thats why I like to share them. At least they seem funny to me. Then you hear about stuff like this and..................I had the opposite experience of this. My daughter had a terrible case of swimmers ear. I took her to the pedi, got the drops, had been given her motrin, ect ect. She hadn't slept well in 2 days so I asked for something other than motrin. Pedi said no. Later that day she is bawling on the couch, laying on the heating pad, begging for me to "do something." The pain was radiating down her jaw....and this is a tough kid. It took me 3 calls to the doc's office before they would give me a script for tylenol with codiene. Finally I just had to say...."look we have been patients there for 11 years and I have NEVER asked for a narcotic before. NEVER....look at our records". I get that people have to deal with drug seekers and it's a hassle, but denying a child pain relief is just wrong! But I get what your saying....I think it is different in the ER.
These drug seekers that we nurses are taught/trained to pretend are not there make things so hard on everyone. The nurses, the physicians and the honest patients all suffer one way or another, as you did, because of the atmosphere they have created in the healthcare field.
And for what? For what reason do we continue to cater to them. The majority of them do not contribute anything to their community or society as a whole, yet for some reason...........the powers that be always seem to think they need protection.:angryfire
I do understand the need for a non-judgmental approach to nursing care. I'll never forget, at my first job ever, a certain pt. She came in with no complaints other than "generalized pain". Couldn't really do much for herself, bad mood all the time, never happy with the pain management she was given. No one would admit it afterwards, but, pretty much all her nurses and physicians wrote it off as the ramblings of a drug seeker. Thank goodness, at the very least, she did get pain coverage and we all did what we should...............gave the medication as ordered.
She went away for a couple months. Came back and was placed under hospice care. Turns out, she had bone CA.......EVERYWHERE. IDK why she was on our unit, perhaps because we were the unit of choice for hospice care. A lot of us who questioned her complaints of pain found ourselves reassessing our way of nursing. I was one who....pretty much gave her the meds that were ordered, right on time.........but she said it didn't help enough. I made a couple calls about it, was turned down for a change in the meds. I could have pushed for it though and didn't.
So, I can see the benefit to being blind to the drug seekers so as not to risk mislabeling someone. But gosh darn, these seekers like the ones in the stories on this thread burn me up sometimes.
- 0Oct 28, '09 by ChristyRN2009I had a patient who stole saline flush syringes out of the trash and drew blood out of their line and put it in a basin (i.e. vomiting blood) so they could seem more sick and get more meds. Of course I've also had lots of patients who really needed to be in rehab but generally speaking, drug abusers don't come to the hospital to detox they come because they are sick some other way. Its not my job to decide to detox them.