Yes, Again

OK it’s another anti-narcotic rant.  This is directed to all the providers out there.  A couple of things you should know:

1. Don’t give narcotics for benign musculoskeletal pain. Give physical therapy and a prescription for weight loss instead.

2.  Don’t give narcotics for osteoarthritis. Give physical therapy and Tylenol instead.

3.  Don’t give narcotics for functional abdominal pain. Give fiber and a prescription for cognitive behavioral therapy instead.

4.  Don’t give narcotics for depression. Give hope, listening and a prescription for cognitive behavioral therapy instead.

5.  Don’t give narcotics for a personality disorder.  Give boundaries and a prescription for cognitive behavioral therapy instead.

6.  Don’t give narcotics for fibromyalgia.  Give sunshine, aerobic exercise and a prescription for cognitive behavioral therapy instead.

7.  Don’t give narcotics for headache.  Unless the headache is due to a brain tumor or metastatic cancer.  Then feel free.

8.  Don’t give narcotics to keep the nurse from paging you.  Give support to the RN, give respect, give listening.

9.  Don’t give narcotics because a patient demands it-if the patient has one of the above clinical conditions.  Give listening, give compassion, give a prescription for cognitive behavioral therapy.

10.  Don’t give narcotics because it’s easier for you-give yourself the gift of thoughtful evaluation and prescribing.

Tracy Cardin

Tracy Cardin, ACNP-BC, SFHM is the Associate Director of Clinical Integration at Adfinitas Health and also serves on SHM’s Board of Directors. Prior to this, she was the Director of NP/PA Services for the University of Chicago and worked in private practice for a group of excellent pulmonologists/intensivists for over a decade. She has been a member of SHM for over ten years and has over twenty years of inpatient experience, which seems incredible as she cannot possibly be that old! Her interests include integration of NP/PA providers into hospital medicine groups and communication in difficult situations.

In her free time, she likes to run and lift, read and write and hang out on the front porch of her semi-restored Victorian house with her dear family and friends while drinking a fine glass of red wine and listening to whatever music suits her whimsy.

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