If a patient has alot of body hair Duragesic is simply not going to work IMHO...
The drg absorbs through the glue. This is the first thing you have to know.
Read your lit on the drg. DO NOT SHAVE THE AREA THAT YOU ARE GOING TO APPLY THE PATCH TO!
It just simply will not stick. Atleast, not very well. The surface of the skin gets rough from the shaving. This doesn't improve during the time the patch would be placed on the pt.
If you have a pt with a FEW and I mean FEW hairs you can trim them but do not SHAVE.
Also, I always tell pts to tape the patches on. Our hospital and NSG Home does this as well. Once a patch has come off, its essentially garbage. I just tell my pts to trash the patch at that point.
If a pt is extremely thin... This patch will not work. You must have some fat for this drg to absorb into. You need to make sure you know what your elderly pts look like before you order one for them. I've seen them given to little old ladies who's bones were merely covered by skin that was literally dripping off of them... and people were wondering why they were crying in pain.
Duragesic forms a packet of the drug in the fat layer and absorbs through that. No fat... no go.
Finally.... If a pt. is getting some results from the patch, but I think they could be getting more... I tell them to slap it on their abdomen. Try it. These work alot better when placed there. Granted, you have to bounce around, and be careful to avoid putting it where the pants can rub it off... but you will get better absorbing doing this!
David Adams, ARNP