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Prescribing Narcotics for Pt with Drug Abuse Hx

Pain   (4,664 Views | 15 Replies)

NurseQT has 10+ years experience .

8,074 Profile Views; 344 Posts

You are reading page 2 of Prescribing Narcotics for Pt with Drug Abuse Hx. If you want to start from the beginning Go to First Page.

RNOTODAY has 18 years experience as a BSN, RN and specializes in NICU, ER, OR.

1,116 Posts; 21,435 Profile Views

What would you like the doc to DO, give the PT a stick to bite on every day, and to be humane , a fresh one daily? I mean come on, a broken ( femur? ) you said?

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46 Posts; 1,090 Profile Views

I don't think the original post was judgmental. I think its a legitimate questions if the doctors have posted this note all over the patient's chart. I think I would also question why so many high dose strong narcotics have been ordered for the patient if they didn't try another route. Pain management is a tricky field. 

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hppygr8ful has 18 years experience as a ASN, RN, EMT-I and specializes in Psych, Addictions, Elder Care, L&D.

8 Followers; 3 Articles; 3,089 Posts; 34,498 Profile Views

My own history with both addiction and totally botched pain management has led me to several conclusion that I would like to share. You can Google my journey on this pain management forum but I would first ask you read through what I have to say. TO the OP when I read your original post I didn't immediately think you were being that judgmental. If you don't have training in pain  management one could easily be concerned unless you know what each of the meds is used for. Also I wasn't concerned about a lack of compassion on your part until you brought up your own family history. Then you projected your own experience and feeling onto the life story of someone else. 

I started drinking at about 13 years of age and progressed to drinking alcoholically with just a few years. I am a survivor of childhood abuse and the time I took an alcoholic drink was honestly the first time in my life I felt comfortable in my own skin. Fast forward through 30 some odd years of drinking a few years of sobriety I was facing a host of painful auto-immune diseases that left me debilitated and on Medicaid and Medicare retired to a wheel chair and unable to function. 

I had major surgery followed by a post surgical wound infection that took months to heal. My new primary care doctor at the time asked if I liked life in a wheelchair and would I allow her to try to help me. She had a back-ground in pain management and started me on low dose opioids, muscle relaxants and a sleeping pill. My life immediately improved. I got out of that wheel chair. Stared doing physical therapy and all things were looking up until that physician retired about a year ago. Enter the opioid pandemic police and it was all stripped a way. Putting me in in tractable pain . I had to fight to my right for treatment and ultimately one and was returned to the same protocol minus the sleeping pill. I was given a choice to give up the opioid or the sleeper and I choose pain relief.  This past year I did something I never thought I'd do again and rode a horse.

Oh there I go getting all wordy and emotional again.

_____________ anyway I'll continue the story If you want me too?

Hppy 

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amoLucia specializes in LTC.

2 Followers; 5,735 Posts; 47,708 Profile Views

Hppy - Am admiring  your advocacy for addiction & substance abuse issues.

Edited by amoLucia

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