- Tue Sep 03, 2019 8:45 pm
In 2001 there was a big joint commission that labeled pain as the “fifth vital sign” amongst peoples temperature, BP, pulse, respiratory rate. This was just a part of an even larger movement which included how docs were rated (pt satisfaction scores) and compensated in their ability to have adequately treated a patients pain during a hospital stay ,post-surgically, and even out-patient visits in which the patient was painful.
I’m trying to keep this limited, so that, plus a slew of other political, inadequate research, and pharm moves many of you are already familiar with put us where we are at today.
My thoughts are pretty simple as far as resolution— everybody needs to change. Docs need to have more hard conversations with pts about not prescribing opioid pain medication regardless of what it does to their pt satisfaction/ compensation for disease/ procedures they are not truly necessary. There’s obviously still exceptions to this and appropriate times to prescribe them. And patients need to understand that after being opened up in the operating room, they’re not going to be pain-free afterwards. (Not directed at you Matt, that doc likely gave that amount to every pt that left his OR as standard procedure)— which likely became so because of what was said above.
The overall concept of pain-free medicine is almost exclusive to our culture in America and this is essentially what we’re dealt with because of it. But overall, I’ve been getting the impression that we’re heading in the right direction as of late.... finally.
Maybe we haven't drank enough Busch- Nolan