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.
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