to give pain meds or not to give meds? - page 4
I NEED SOME INPUT HERE...I'M GETTING TEASED AT WORK AND CALLED THE"TYLENOL QUEEN" BECAUSE I GIVE TYLENOL OR PAIN MED ORDERED TO MY DEMENTED PATIENTS THAT CAN'T ASK FOR THEIR PRN'S OR DON'T REMEMBER... Read More
Oct 2, '06Quote from CapeCodMermaid:chuckle :chuckle Good one, capecod!! Yes, I did google it, but I'm not sure how much good it will do me.Some doctor named Beers must have had lots of time on his hands one day so he studied many drugs. The ones that are BAD to use in the elderly population were put on a list which he named after himself. Old people are old people no matter where and some drugs are just not good for them. Darvon and Darvocette have metabolites that really affect livers...valium is on the list, Benadryl...it's very extensive. You can do a google search to get a copy. As for not calling docs for pain meds....yikes!!! Call 'em and if they give you a hard time, let your medical director AND administrator AND the DNS know.
I've not had any problem with any of the docs I've called at nite - most of them were ones I'd worked with at the hospital. I don't call for piddling stuff, and I know how to ask for what I want after all these years.
It's our DON who made the rule about not calling them - she told me 'After all, this is only a nursing home.' And I still don't care - I'll call when I consider it appropriate.
Oct 3, '06Be proud of your title. You are doing your job well. Unfortunately, I have seen the same thing as The Commuter in my facility. Anyone giving frequent narcs are under a watchful eye. I don't give a rats a$$, because I assess the pt.and if I feel it is needed, they are medicated and I document to back it up.
These poor dementia Pts need your good assessment skills!!
Oct 3, '06I think you're right on. Bless you for caring for our frail elderly loved ones. They deserve excellent care and it sounds like your patients are blessed to have you.
Oct 5, '06:flowersfoThanks to all of ya'll for making me feel better! I was doubting myself there for a while...good thing came from this. Have new grads on duty that read the site and have started asking me questions on how to pick up on body language with access of demented patients...getting some good teaching in. thanks again "the Tylenol Queen"
Oct 5, '06I absolutely agree with give Tylenol and other PRN meds based on the asessment- if they need something-give it regardless of what other nurses might say. I've worked PRN in a longterm care facility for many of my nursing years. I've also found that if you have pt who aren't sleeping at noc may need pain meds. I also discovered that they may not be sleeping well because they are cold. I was surprised how many people would go to sleep just by putting a warm pair of cotton socks on their feet. It works wonders.
Oct 5, '06I agree with the others. It's a title to be proud of! I, too, give more pain meds than most. There is one case in particular that no one was giving this patient any pain meds because she couldn't ask for them. Everyone assumed her agitation and her constant state of of diaphoresis were due to her diagnoses and side effects of medications. After a week of medicating this patient with regular tylenol, the diaphoresis was almost nonexistent and the agitation had significantly reduced. She now has a routine pain med and she is like a totally different person. I truly believe that we are guilty of UNDERmedicating for pain than we are of overmedicating.