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

Your Heart and Nutrition

Your Heart and Nutrition

Prevention is better than a cure. Learn how to cherish your heart by taking the necessary means to keep it pumping healthily and steadily through your life.

Get My Free Ebook

Post a comment