Thanks all for your input! There are some terrible stories that you all talked about
. I hope I made the patient feel a little better. I told him I could tell he was in pain, and got him a bedside commode to use since he kept falling. (Who really wants to use a bedpan right??) I also heard the patient's doctor and nurse talking about
this guy today. It seemed like the doctor understood what was going on with him and so did this particular nurse. The doc did say he would have to monitor his pain meds, but he sent him home with what seems like adequate releif. So atleast his doc has some knowledge and wasnt withholding meds. I understand him having to monitor the meds. I have seen patients go to several different docs for several meds, have a family member call to get pain meds, etc. So there has to be some trust between everyone (ie You give me meds, I will be responsible with them.) We had another woman who came in tonight who comes to the hospital off and on and again with the eyes rolling when they heard her name. Although last time she was here she did try to break into her PCA pump to get more dilaudid, but there may have been a reason for that like LACK OF PAIN CONTROL! I just dont get it the complete lack of compassion! She was on like 6 different pain meds at home dx of addisons, fibro, hypothyroid, degenerative disc disease, etc. hello all painful!! So again folks educate your caregivers. I think I would appreciate a handout sometimes from people with pain diagnosis/not so common diseases. It might help if they were put in the chart, and the staff could glance over it. You would never tell a cancer patient he wasnt having pain because everyone knows cancer. And you are so right about
age playing a difference. Maybe thats how I can advocate for some of these people. I could print out articles from WebMd. I might be onto something with that........
Heres another thing that irratates me is that my sed rate is consistantly over 30 and I have to fight to get Tramadol. Freaking ULTRAM! I clearly have immflammation causing pain, and take tylenol/motrin around the clock with my tramadol (my poor liver and kidneys!!). And some of these people come in with script
s for like 10 different meds from different docs....... I think thats where all this stems from. You cant feel someone elses pain, so some people abuse that. Its a shame for us all who are really suffering.
Anyhow thank you all for your input!
Dx: UCTD vs autoimmune spondyloarthropathy vs psoriatic arthritis (ie Limbo x5 yrs) Raynaud's, proteinuria
Rx: Plaquenil 400mg, Ultram PRN, Sulfasalazine 2 gram