Transcript Pain Management VS Drug Addiction

Pain Management VS Drug Addiction
An Ethical Decision to Treat or Not
BY
Talisa
Burris
Pain
Pain is a significant public health problem.
Chronic pain alone affects approximately 100 million
U.S. adults.
Pain reduces quality of life, affects specific
population groups disparately,
Costs society at least $560-635 billion annually."
Source:
"
Institute of Medicine, "Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research" (Washington, DC: National Academy of Sciences, 2011), p. 5.
http://www.nap.edu/openbook.php?record_id=13172
Pain Management Video Clip
What is Pain
Management?
“Pain
Management also known
as Algatry: a branch of medicine
employing an interdisciplinary
approach for easing the
suffering and improving the
quality of life of those living with
pain” (Pain Community Center
Organization, 20014).
Current Issues with Pain Management
• DEA- Cracking down on doctors prescribing controlled pain
medications
• Family doctors are now referring patients to Pain Management Clinics
instead of treating pain themselves- Delay in care
• Pain Management Clinics have long intake waiting list
• No Prescription Pain Medication for the First 30 Days.
• Patients go through withdraw
• Patients in constant pain
Patients self-medicate with Tobacco, Alcohol, and Illicit Street Drugs
•
•
Patients fail mandatory urine test and get discharged from pain management
clinics.
•
Patients become regular illicit drug users
(Medline Plus, 2014)
Drug Addiction Verses Drug Dependence
• Drug Addiction
• Strong urge to use substance
• Inability to stop using
substance
• Inability to perform normal
daily functions without
substance use
• Performing illegal activities to
use and access substance
• Compulsive use of a
substance, despite its
negative or dangerous effects
(Mayo Clinic, 2014)
• Drug Dependence
• Need of a drug to function
normally
(University of Maryland Medical
Center, 2004)
“Unmitigated pain
and suffering are
often thought to
rob people of their
dignity”
Legal Standards
Nurses are held accountable by
their state Nurse Practice Act to
effectively manage their patient’s
pain through assessments,
interventions, and advocacy.
Ethical Principals
Beneficence
Medical Care Professionals have the duty
to provide care that benefits the patient
• Proper Assessment of Pain
• Appropriate Administration and Treatment
of Pain Relief
• Proper Evaluation of Pain Relief and
Comfort
Ethical Principals
Autonomy
Patients has the right to Autonomy
• The right to voice their preference of treatment of
pain
Pharmalogical
Meditation
Natural Remedies
Prayer
Physical Therapies
CBT
Advocacy
Ethical Principal
Nurses have the Moral and
Ethical duty to advocate for their
patients comfort and pain relief
Fallacies of Reasoning:
Pain Management
“I have severe pain in my hip, but if I take this pain
medication, I will become addicted”.
“I’m not prescribing anything else for pain, their
not in pain, it’s their addiction. The DEA won’t
take my professional license”.
Nursing Roles
Nurses have a role in competency and must be knowledgeable
• Knowledgeable of personal pain experience
• Knowledgeable of the different types of pain
• Knowledgeable of the different treatments of pain
• Knowledgeable of the different side effects of pain management
• Knowledgeable of the administration of pain management treatments
• Knowledgeable of the different type of pain assessment tools
Nurses have a role as an Advocator and must advocate for their patients
Reference
Mayo Clinic. (2014). Drug Addiction. Retrieved from Mayo Clinic Web site.
Medline Plus. (2014, December 3). Substance Use Disorder. Retrieved from Medline
Plus Web site: http://www.nlm.nih.gov/medlineplus/ency/article/001522.htm
Pain Community Center Organization. (20014, December 7). Pain Management.
Retrieved from Pain Community Center Web site:
http://www.paincommunitycentre.org/article/ethics-pain-management
University of Maryland Medical Center. (2004). Drug dependence. Retrieved from
University of Maryland Medical Center Web site:
http://umm.edu/health/medical/ency/articles/drug-dependence
Wikipedia Organization. (2014, October 14). Pain Management. Retrieved from
Wikipedia Web site: http://en.wikipedia.org/wiki/Pain_management