|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Pain managementFrom: igold@cox.netMon Mar 27 17:05:10 2006
I for one have certainly seen an increase in pain meds for labor. Less than 10 years ago We rarely did epidurals. Now they are quite common. Ingrid Gold, CNM, Phoenix > > From: "Lynn Montgomery, MD" <apgar10@qwest.net> > Date: 2006/03/27 Mon PM 06:48:54 EST > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Subject: Pain management > > I am wondering if others have made the same observation as I have over the > years. When I first got out of residency and performed a laparoscopy, > whether for tubal ligation or otherwise, I discharged patients with 16 > Tylenol with codeine. I never heard back from patients regarding pain or > requests for refills. > > Now I have been been doing scopes for 18 years. Over that time, I have seen > a progressive increase in the requirement for post-operative pain > management, despite my procedures being exactly the same. In the recovery > room, patients are requiring much more immediate post-op pain medication. I > now discharge patients with Lortab 7.5 mg, #30 and quite routinely get > called on post-op day 3 or 4 for a refill - which I typically refuse. > > I place part of the blame on the hospital's use of its "Pain Scale", where > they counsel patients pre-operatively on gauging their pain on a scale from > 1-10. They are taught that if "they" feel they are greater than a 4-5, > their pain is not adequately controlled. Nursing staff doesn't do their own > assessment any longer, but rather relies on the patient's own assessment of > their pain - hell when the recovery room nurses call to advise me of a > patient's post-operative pain, they don't even know the patients vitals. > > It seems that we have created a culture of better living through > pharmaceuticals and we are expected to provide the remedy. > > I would be very curious regarding others observations in this regard. > Lynn >
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Sep 2 05:07:00 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.