Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Pain Management Nursing /

pain in the ed



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,776 members! Join today to network with other nurses, laugh, share, and much more.
Page 16 of 19 « First < 1112131415 16 171819 >

No. 150
from ERKev
Old Jan 13, 2004, 11:14 PM

Exclamation WAKE UP!!!
Yes... This has gotten quite heated. And I think it's important for all to understand that our areas of practice differ, so our experiences differ. I, myself, work in a number or Detroit area EDs. We have a DEFINATE problem with SEEKERS!!! And I use the term NOT as an epithet, but as a very good descriptor. On some evenings as many as 30% of the people I see are there simply for pain drugs. At one particular ED I work at there are about 4 other EDs within the city that are all conected by the same computer system. We see the records of all of their visits! These people (not all, but many) make the rounds from ED to ED. In a perfect world, we could refer them to help and they might very well take us up on the help. But, most simply get peeved and split for the next ED.

Now, you can look down on me and my usage of the term "seeker" and call me uncaring, but I am there, in the trenches, night after night with no breaks and no relief. Then, enter the seekers. They don't even stick with the same stories from one visit to the next, often only a few hours apart! They swear they haven't been treated before! They also (as previously mentioned by on of those nasty people using the term "seeker") threaten our lives and actually DO wait around and watch for you to leave. I have a close friend (ED nurse) that had a pistol held to her head in the parking lot by a SEEKER.

I've cried more times than I can even recall over the people I've had under my care. And, further, I'll be the first one to push for proper pain control! But, there are seekers. They do cost us a great amount in time and resources. They do detract from the legitimate pain patients who get lumped into the same category. THEY ARE THERE....

ERKev
Top
 
Advertisement
Sponsored Links
 
No. 151
from hogan4736
Old Jan 13, 2004, 11:41 PM

Indeed they are there Kev, which is why I filled in my ER trench and went on to another endeavor...

sean

Nice post

A good thread on both sides...
Top
 
No. 152
from athomas91
Old Jan 14, 2004, 08:12 AM

i see that everyone has made very good and valid points...there are those who are indeed in great pain - and there are those who really just want the meds...i think it would be ridiculous to argue otherwise....

i am however going to back up some statements made my magikgirl....in reading her post - i interpret what she is saying NOT to mean that those in pain should live in pain that affects their ADL's - but that when all pain is obliterated - that one increases the chance of re-injury....for example....a post-op pt who is 100% pain controlled HAS THE POTENTIAL to over-exert and injury that site....... in reading her post she states that there is pain "for a reason" - perhaps she is speaking of our bodies having the opportunity to tell us when enough is enough.....

i also think it is important not to judge another's post right away - perhaps asking what exactly is meant by certain statements would be the more intellectual way to approach a discussion...

i do happen to work in an area that has alot of seekers....now i am not labeling - i fully agree that those in physical pain should be treated w/ appropriate medications - as a nurse w/ extensive ER experience in many area, and as a nurse who is in the process of APN education - i would expect that the other nurses in this arena would take into consideration that perhaps in statements i am speaking of certain individuals that I have encountered - and that just perhaps i am right.....perhaps you have had the fortune NOT to deal w/ these types of people...you are lucky...

i agree fully that those in pain need medication - but some are medicating psychological/emotional pain via physical means, and this is where I as a nurse need to decide where the line is between help and harm...

another thought - when being tx for pain - for instance w/ oxycontin - when you discontinue and perhaps have w/d symptoms - these also cause severe pain....so, are the medications making it more difficult for those who no longer need them to discontinue?!?!
Top
 
No. 153
from MAGIK GIRL
Old Jan 14, 2004, 09:20 AM

Originally posted by angelbear
I hardly think I am the only one who thinks you were implying that people should suck it up since you do. I know you did not say that I do however believe that is what you were implying. I dont know if you are aware of it or not but this forum is intended to educate on pain management and support those who deal with it it was not intended to be a forum to insult addicts and seekers.
ok. i tried. you are going to think what you want no matter what i say. applolgy still stands but that's all.
Top
 
No. 154
from MAGIK GIRL
Old Jan 14, 2004, 09:27 AM

Originally posted by fab4fan
You obviously don't read a lot of what I post. Whatever.

BTW: You've made some pretty personal attacks on me in several posts. Guess I should be offended.
perhaps (i can recall only 2) but you should look at post numbers 1-8 and you will find a judgemental attitude from yourself. i was not offended then and am not now. i am just wondering why we all just can't get along anyway. this was just for fun so please stop judging me and i won't judge you. ok?
Top
 
No. 155
from ERKev
Old Jan 14, 2004, 09:28 AM

Piggy Bank This Thread
Also, Folks.... This thread's title says a lot: "pain in the ed"

We're not talking about anyplace else in this thread. I think, perhaps to a degree, this is why this discussion may become heated at times. I, myself, come solely from an ED perspective. In reading these other posts again, it is quite obvious that most others do not. ED is particularly different from most other nursing contacts for pain control. It is usually in the form of acute pain control, not chronic, that pain is treated. And the ED/EMS is abused in a wide variety of ways - not just seekers. I have seen in the past year alone, people using the EMS to get from one side of town to the other - no real medical problems for which treatment is desired. Just a "free" way to get to another crack house across town.

ERKev
Top
 
No. 156
from athomas91
Old Jan 14, 2004, 09:30 AM

jeez....what is this 2nd grade?!?!? noone should ever have to apologize for their opinion, or their personal experience...Magikgirl - there is no need to apologize - you have a right to your thoughts just as others do....where has mutual respect gone?!?!

i may not agree w/ certain posts - some may even be offensive - i however attempt to take them w/ the consideration that others have had different experiences from mine -
Top
 
No. 157
from MAGIK GIRL
Old Jan 14, 2004, 09:30 AM

Default Re: WAKE UP!!!
Originally posted by ERKev
Yes... This has gotten quite heated. And I think it's important for all to understand that our areas of practice differ, so our experiences differ. I, myself, work in a number or Detroit area EDs. We have a DEFINATE problem with SEEKERS!!! And I use the term NOT as an epithet, but as a very good descriptor. On some evenings as many as 30% of the people I see are there simply for pain drugs. At one particular ED I work at there are about 4 other EDs within the city that are all conected by the same computer system. We see the records of all of their visits! These people (not all, but many) make the rounds from ED to ED. In a perfect world, we could refer them to help and they might very well take us up on the help. But, most simply get peeved and split for the next ED.

Now, you can look down on me and my usage of the term "seeker" and call me uncaring, but I am there, in the trenches, night after night with no breaks and no relief. Then, enter the seekers. They don't even stick with the same stories from one visit to the next, often only a few hours apart! They swear they haven't been treated before! They also (as previously mentioned by on of those nasty people using the term "seeker") threaten our lives and actually DO wait around and watch for you to leave. I have a close friend (ED nurse) that had a pistol held to her head in the parking lot by a SEEKER.

I've cried more times than I can even recall over the people I've had under my care. And, further, I'll be the first one to push for proper pain control! But, there are seekers. They do cost us a great amount in time and resources. They do detract from the legitimate pain patients who get lumped into the same category. THEY ARE THERE....

ERKev
excellent post!
Top
 
No. 158
from MAGIK GIRL
Old Jan 14, 2004, 09:34 AM

Originally posted by athomas91
jeez....what is this 2nd grade?!?!? noone should ever have to apologize for their opinion, or their personal experience...Magikgirl - there is no need to apologize - you have a right to your thoughts just as others do....where has mutual respect gone?!?!

i may not agree w/ certain posts - some may even be offensive - i however attempt to take them w/ the consideration that others have had different experiences from mine -
thanks athomas91. i thought i was in another reality for a moment - being chastized and scolded for my opinions.
Top
 
No. 159
from ERKev
Old Jan 14, 2004, 09:47 AM

Default Re: Re: WAKE UP!!!
Originally posted by MAGIK GIRL
excellent post!
Thank you, MAGIK GIRL...

As I said before in this thread, I am very impressed by all the posts here! I makes me proud of our profession! Even though some posts seem a little condescending, the writers obviously care deeply about those in their charge. We are truely a caring profession, thus the passion in our posts. I am truly proud of you all...

ERKev
Top
 
Page 16 of 19 « First < 1112131415 16 171819 >
Reply




Thread Tools


Who's Online
62 members
943 guests
1,005

5

Four Lehigh Valley Health Network nurses accused of...

48

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

7

The hard to reach on-call doctor, and its effects on...

12

Woman charged with passing off prescription drug as...

26

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

14

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

14

Really interesting article on Indian open hearts



46

Dear preceptor

1

Society Needs Care Too

13

Why am I doing this, anyway?

2

Nurse Heal Thyself

10

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

42

What Do Operating Room Nurses Do?

14

My Little Old Jedi

21

I love this job......

23

"I hear voices"

20

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: