Pain relief without fostering addiction

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How can we, as nurses, encourage adequate pain relief, yet help our patients avoid the pitfalls of addiction? Let's face it, many people get their first encounter with narcotics after surgery. Some have a hard time weaning themselves off of them afterwards. It's a real problem that can destroy lives.

We don't want to cripple our patients' recovery and rehab by discouraging pain relief. But, there's definitely a lack of forthright communication in the medical field regarding the real dangers of narcotics.

Since I'm wrestling with this subject myself, recovering from a painful surgery and rehab, I've been giving it a lot of thought. I'm having a hard time finding a balance, and probably too paranoid. Yet, I've seen the horrors of narcotic dependence too.

Specializes in TCU, Dementia care, nurse manager.

Here is a link to a 2012 review paper, Prescription Opioid Abuse in Chronic Pain:A Review of Opioid Abuse Predictors andStrategies to Curb Opioid Abuse" in Pain Physician, "the official journal of the American Society of Interventional Pain Physicians".

Speaking of predictors and assessments.

http://www.thblack.com/links/RSD/PainPhys2012_15_ES67_RxOpioidAbuseInChronPain-26p.pdf

Specializes in Psychiatric Nursing.

@hppygr8ful, I recently locked horns with a nurse practitioner who was reluctant to order pain meds for a patient with liver cancer & cirrhosis because his UDS was positive for cocaine. Her exact words- "Well, his pain hasn't stopped him from using cocaine. How much pain can he really be in?" I like your statement that it is not a nurse's job to worry about the potential for addiction. I also feel that it is not our job to judge. My patient may have been using cocaine, but that doesn't mean that he does not deserve to have his pain controlled.

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