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The Addicted Patient |
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Mr U is your patient. He is 48 years old and has a fractured hip femur and is on bedrest. He has several comorbid conditions including a history of opiod abuse and staff suspect alcohol abuse. He requests pain medication regulary. Your coworkers are upset at the amount of medication he requests although he does not request more than the physician's orders allow. You have noted some nurses actively delaying his medication and some who state that they will refuse to give him any narcotic analgesic. You medicated him at 8 am and in your discussions with him, he has told you that he nurses have refused to give him medication. He seems to have some difficulty moving in the bed. It is 10:30 and he has requested additional medication. What is your response? Why? Do you have any other ethical concerns or responsibilities? |
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Principles of pain management and Addiction |
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Connecticut Board of Nurse Examiners |
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Pain Management in the Patient With a History of Addiction |
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Drug Enforcemnet Agency |
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Treatment of Chronic Pain in Recovering Addicts |
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Medical Policy of Pain Medication |
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Pain Relief in Substance Abusers |
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