Pain scale - page 5

by webbiedebbie 15,848 Views | 40 Comments

My hospital uses a pain scale of 1-5 with faces. How effective is this, really? I had a patient tell me she was a 5 (worst pain) and yet she was on the phone laughing with a friend. Of course I documented that she said she was... Read More


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    a definite problem: I have a 21 year old friend that was rear-ended on the freeway. Was c-spined by medics and taken to the ER. She was released after xrays and diagnosed w/ only cervical bruising, and sent home w/ RXs for 30 oxycontin and 30 percocet.
    ARE YOU KIDDING ME??? 30 OXYCONTINS???

    Not so long ago this med was used for mainly hospice, and now it's first line out of the ED???????????
    CRAZY!!!!

    This drug is legal heroin. I'm not saying it should never be used. But my friend had no idea what it was. I mean people end up addicted this way.

    I have done work in addiction medicine. A thorough history should be done before giving these meds. I beleive in an addiction gene. What if her dad was a heroin addict or an alcoholic. She now has a greater chance of becoming addicted to the oxycontin or percocet after just a few pills.

    I had a patient who was a recovering IV heroin addict on methadone (not the best plan, but it can work). anyway, he had developed bronchitis. His PCP (who knew of his history) prescribed him phenergan w/ codeine and vicodin for his cough. OH MY GOD!!!!!!!!!!!!!!!!! Can you say gateway back into heroin?

    Another problem: Many pt's w/ C.F.I.D.S. and Fibromyalgia are taking upwards of 160 oxycontins/month. Some show up in the ER because they had breakthrough pain x2 during the month and took a couple extras. Now on a Friday they want 10 for the weekend. What would you do as the ER doc? (his primary isn't on call and the on call doc doesn't know this pt)

    The answers aren't easy....

    But...

    when you as a chronic pain patient (reapeatedly, monthly) don't have the foresight to call your primary on a wednesday WHEN YOU CAN SEE THAT YOU ARE GETTING LOW, and have been on this med for years, to get a refill, then show up at midnight in the ER on a friday demanding your oxys or percs, don't look my way for sympathy.

    harsh?
    yes...

    but all i ask is that you manage your disease responsibly, not through the ER every month...

    are all chronic pain sufferers coming to the ERs?

    absoultely not!!

    I feel for you. I have had 3 knee surgeries, and am bone on bone in my left knee. BUT, I would NEVER, NEVER go to the ER if I ran out of my vikes or percs!
    Last edit by hogan4736 on May 18, '03


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