Ihe diagnosis of drug-seeking behavior may not be possible in the ED. Ihe medical record can provide a wealth of information regarding the patient, including documentation proving the patient is supplying false information. Often the diagnosis is suspected in the ED but cannot be confirmed. In such cases, a notation should be made in the chart listing the physician's concerns, but physicians should be careful when using diagnoses such as "drug-seeking behavior" without solid evidence. A listing or card file at the nurses' desk of "drug seekers" violates patient-physician confidentiality unless it is part of the patient's permanent medical record and subject to the same controls restricting access. Drug-seeking behaviors can be divided into two groups: "predictive" and "less predictive" of drug-seeking behavior (lable. , . 34-5). The behaviors listed under "predictive" are illegal in many states and form a solid basis to refuse narcotics to the patient. However, the possibility still exists that the patient could have pain and should be evaluated for a medical or surgical illness and possibly treated with a nonnarcotic drug.

frt+KTVWl ftídod LTL-íriooVng yo'•fFXH'' Ei Di fnulfUA

riJ^kliliih |j L£ ti itfjlrviu

L.in jIiiltl B- rtcm-e ureotwi AJnra 4c- lAVrn HWJ iddKÍnfl t^unlinuH^rThypiEivii rurraiicq

Ï Fink ruhifir lU^xiili rruL i h i nx uwivc Imi riD-Jni,™ J Dprfy Ljinj Ut-uïv Aílrv. n m ,-Ly-wi rvWflM*

Pi I' m-ih^lr pnirifAMI luifMifl

AhHirf w]wn rflïriid Mvlnplr rin-x ¿IUffTrfJ

L.'^l l-ILklUllh-. ftillLII

"UcbwvKxi in ih.1 cmjE|Qaf> c_"L ujJin lui ui 11 -1 r.y nmlri

Was this article helpful?

0 0
Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook

Post a comment