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December 06, 2010
Letting people in nursing homes suffer is a small price to pay...
Quick question. What gives the Drug Enforcement Administration the right to determine what pain medications elderly people should be getting, when they should get it, and who gives it to them? Kohl wants to change DEA rules that allow pharmacists to dispense drugs to nursing home patients only with a verbal or written prescription from a doctor. Advocates say this results in unnecessary medication delays because most nursing facilities do not have a full-time doctor on staff and may have trouble reaching a doctor at crucial moments.(Via Glenn Reynolds.) Excuse me, but isn't this a medical issue? Or are senior citizens suffering from pain in rest homes now considered criminal suspects? I have no doubt that the DEA would say that it isn't trying to deny rest home patients pain relief, but that the goal is to stop the illegal diversion of drugs to the black market. If so, then why are they not simply going after the people who they determine to be actually diverting and selling the drugs? Instead, by making it harder for everyone else to get them (under the guise of crime prevention), they're sending a clear message that they consider everyone who supplies or needs pain meds to be a potential suspect. Do they really think a single drug-diverting criminal entrepreneur will be deterred by this harassment of law abiding people in pain and their caregivers? Has not history shown that drug criminals who flout the laws will simply adjust their tactics as needed? (If anything, they might see this as another opportunity to make more money if street prices go up.) The DEA's tactics remind me of the silly (and largely discredited) idea that making it tougher to buy guns will stop criminals from getting them. Pain relief prevention will not prevent crime. posted by Eric on 12.06.10 at 04:01 PM
Comments
There's no reason the change should slow down pain medication. The physician should have a standing order for pain medication on an as-needed basis. If the order isn't there, the physician deserves to be interrupted by a phone call to get the order. I made plenty of calls to doctors when I was a nurse in charge of a nursing home; most of them return calls in a timely way and let the nurse get the job done. New regulations can only help if the doctor is a douche who doesn't return urgent phone calls. And in that case, the patient needs a new doctor anyway. If it's really an emergency situation, the patient doesn't belong in a nursing home, s/he belongs in an ambulance to the nearest emergency room. Don · December 7, 2010 02:50 PM Post a comment
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