In a pickle...

live4today, RN · Jan 15, 2004

Just heard on the news about a doctor who is up against charges and also will possibly lose her medical license for "over medicating" her patients. She's a pain management doc, and said she gave her patients what she felt they needed to control their pain. She's being accused of being over zealous with that authority.

So, even the docs can be charged for pain control of their patients...damned if they do...damned if they don't.

sharann, BSN, RN · Jan 18, 2004

I would like to see more practitioners charged for UNDER-medicating their patients. I am so sick of seeing doctors ignore pain orders for children and geriatric folks (as well as women and foreign-born/and un-insursed patients)

I just can't wait to have the doctor/nurse in the hospital gurney in the PACU and asking them if they want 1 or 2 Tylenols for their post-knee or abdominal surgical pain!!!!!!

angelbear · Jan 18, 2004

What I dont get is if we are officially dx'd with a chronic pain disorder for which there is no cure what is the fear of addiction. We will always need pain meds and probably increasing pain meds how do allegedly intelligent MD not get this. And those higher ups who are over regulating legitimat pain management need to experience uncontrolled pain management bet things would change mighty quick.

MAGIK GIRL · Jan 19, 2004

Originally posted by Rapheal
What will it take?

IMHO all that is needed is to follow the golden rule that pain is what the patient states it is. I have believed some of my pain mgmt. patients to be drug seekers and addicts and I believed that they were creating huge physical and family problems by being addicted. But what I perceive, what I suspect...... does not matter. All a nurse has to do is leave his/her value judgements at the door. It makes my job much more simple and I never have to worry that I didn't treat someone's pain because of MY belief or perception.

I am sorry for any poster's that have chronic pain. I wish you the best.

agreed!

hogan4736, BSN, RN · Jan 20, 2004

Originally posted by MD Terminator
Perhaps for them to suffer from chronic pain for just a day?

Dave

I have had 3 knee surgeries, and have bone on bone from a menisectomy in my left knee...

motrin and naprosyn work well...

percocet for 3 weeks post surgery (10 years ago), none since...

that's just me though...

one gift i'd like for a day: an "empathic pain feeler" for all my patients in triage...(a device yet to be invented)...it would allow the triage nurse (or any nurse) to perfect the triage process for those actually in pain...the nurse would feel the actual/perceived pain that the patient tells you...

sean

Dave ARNP · Jan 20, 2004

While good in theory...

I would have to beleive if we actually FELT their pain, we'd ALL be in support of medically assisted suicide.

We will never know HOW BAD the pain is for some people. It would be great if we "knew" but frankly I doubt some of us could handle just...how...bad...it is.

Dave

hogan4736, BSN, RN · Jan 20, 2004

dave,

we would feel it for just for 30 seconds...

c'mon, let's invent it!

:cool:

fab4fan · Jan 21, 2004

Originally posted by MD Terminator
While good in theory...

I would have to beleive if we actually FELT their pain, we'd ALL be in support of medically assisted suicide.

We will never know HOW BAD the pain is for some people. It would be great if we "knew" but frankly I doubt some of us could handle just...how...bad...it is.

Dave

How true!

jadednurse · Jan 21, 2004

Originally posted by hogan4736
I have had 3 knee surgeries, and have bone on bone from a menisectomy in my left knee...

motrin and naprosyn work well...

percocet for 3 weeks post surgery (10 years ago), none since...

Bravo for you. But the point you're missing is that people have different pain threshholds. What's the point of this? So, if Sean's pain can be managed w/ this regimen, so can everyone elses?

WTF???

Dave ARNP · Jan 21, 2004

Go Jaded... Go Jaded!

::claps::

Dave :smokin:

hogan4736, BSN, RN · Jan 21, 2004

Originally posted by hogan4736
that's just me though...

sean

jaded, I'll include the part you omitted (from my quote) which is my way of saying THAT IS JUST ME!!!!!!!!!!!!!!!!!!!

NOBODY ELSE!!

please...WTF????????????????????????????????????????

sean

jadednurse · Jan 21, 2004

I saw it, I just didn't believe you meant it.

Your post may have read "blah, blah, blah, blah, blah, blah...but that's just ME" when, at least to ME, it really implied ...

"I've had painful conditions and managed just fine w/ minimal pain meds, now why can't these whiny pain sufferers just suck it up and deal with it and quit exhibiting drug seeking behavior and making my job difficult."

What exactly WAS the point of mentioning your particular pain management experience anyway?

Other than to say, again, that you've had painful conditions and required less meds than other people.