dopetalk does not endorse any advertised product nor does it accept any liability for it's use or misuse

This website has run out of funding so feel free to contribute if you can afford it (see footer)

Author Topic: Harm reduction in hospital facilities  (Read 3747 times)

Offline nurse_K (OP)

  • Regular
  • *
  • SA_Chat+
  • **
  • Join Date: Nov 2016
  • Location: Europe
  • Posts: 32
  • Reputation Power: 7
  • nurse_K is new on the scene.
  • Gender: Female
  • Last Login:August 24, 2020, 12:58:44 AM
Harm reduction in hospital facilities
« on: December 09, 2016, 10:55:36 PM »
Found this article. Basically its common sense, and it gives some practical advise and suggestions on how to implement harm reduction in a hospital setting.

enjoy

http://healthydebate.ca/2016/07/topic/harm-reduction-hospitals-injection-opioids


friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions

Offline Chip

  • Server Admin
  • Hero Member
  • *****
  • Administrator
  • *****
  • Join Date: Dec 2014
  • Location: Australia
  • Posts: 6502
  • Reputation Power: 0
  • Chip has hidden their reputation power
  • Gender: Male
  • Last Login:Today at 05:24:31 AM
  • Deeply Confused Learner
  • Profession: IT Engineer
Re: Harm reduction in hospital facilities
« Reply #1 on: December 10, 2016, 01:58:13 AM »
i see many familiar situations in that article - i once landed in hospital after shooting humongous amounts of Methadone. only to be given 10 mg. of Morphine on top of my 80 mg dose of Methadone at the time.

i didn't sleep for a fortnight and was in a lot of pain.

i can't imagine what i would've felt like if i hadn't been on Methadone program ... hospitalisation when i was an IV opiate user was always my greatest fear.

great article.

... another looming issue is GHB/GBL/1,4-BD addicts who wind up in hospital - there are no formal, established protocols for that (yet).
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
I do not condone or support any illegal activities. All information is for theoretical discussion and wonder.
All activities discussed are considered fictional and hypothetical. Information of all discussion has been derived from online research and in the spirit of personal Freedom.

Offline nurse_K (OP)

  • Regular
  • *
  • SA_Chat+
  • **
  • Join Date: Nov 2016
  • Location: Europe
  • Posts: 32
  • Reputation Power: 7
  • nurse_K is new on the scene.
  • Gender: Female
  • Last Login:August 24, 2020, 12:58:44 AM
Re: Harm reduction in hospital facilities
« Reply #2 on: December 10, 2016, 03:06:13 AM »
The article emphasizes the importance of adequate ( spelling?) pain treatment for patients with addiction whilst in hospital. It simply makes no sense that you can be treated for this and that infection, but at the same time withdrawal symptoms are neglected. Part of the oath is to cause no harm and ease pain.

I find this article raises a very important question; why go to hospital if  you will not receive the necessary help. Not least; how come you from a medical view can accept that patients have to go to the streets to get adequate pain relief. Its embarrasing.


friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions

Offline Chip

  • Server Admin
  • Hero Member
  • *****
  • Administrator
  • *****
  • Join Date: Dec 2014
  • Location: Australia
  • Posts: 6502
  • Reputation Power: 0
  • Chip has hidden their reputation power
  • Gender: Male
  • Last Login:Today at 05:24:31 AM
  • Deeply Confused Learner
  • Profession: IT Engineer
Re: Harm reduction in hospital facilities
« Reply #3 on: December 10, 2016, 03:20:17 AM »
... and i have heard many stories of friends having to bring Heroin etc. in to stop the abject misery.

i, myself, have had to get (extra) Methadone in, otherwise it would've been horrid.

maybe the problem is that the hospital staff often think "if they walked themselves into a dependency then they can't be trusted with their own health so why should we bother, too ?"

friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
I do not condone or support any illegal activities. All information is for theoretical discussion and wonder.
All activities discussed are considered fictional and hypothetical. Information of all discussion has been derived from online research and in the spirit of personal Freedom.

Offline nurse_K (OP)

  • Regular
  • *
  • SA_Chat+
  • **
  • Join Date: Nov 2016
  • Location: Europe
  • Posts: 32
  • Reputation Power: 7
  • nurse_K is new on the scene.
  • Gender: Female
  • Last Login:August 24, 2020, 12:58:44 AM
Re: Harm reduction in hospital facilities
« Reply #4 on: December 10, 2016, 03:35:50 AM »

maybe the problem is that the hospital staff often think "if they walked themselves into a dependency then they can't be trusted with their own health so why should we bother, too ?"

It is not acceptable. Nor does it justify.  Would you treat the diabetes patient or the patient with COPD in the same manner?  Would you be stingy with the insulin so the patient could learn his or her lesson?

I often argue that we would rather know what the patient is taking ( we give the methadone, morphine) than  a patient runs outside the hospital and takes whatever he or her can get her hands on.

Firstly because it means the patient relaxes once they know that their withdrawal symptoms will be addressed, ( no conflicts) secondly they dont leave prior to discharge ( finish their Iv treatment).

Actually this is not rocket science, but just plain common sense.
« Last Edit: December 10, 2016, 04:02:41 AM by chipper »
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions

Offline Chip

  • Server Admin
  • Hero Member
  • *****
  • Administrator
  • *****
  • Join Date: Dec 2014
  • Location: Australia
  • Posts: 6502
  • Reputation Power: 0
  • Chip has hidden their reputation power
  • Gender: Male
  • Last Login:Today at 05:24:31 AM
  • Deeply Confused Learner
  • Profession: IT Engineer
Re: Harm reduction in hospital facilities
« Reply #5 on: December 10, 2016, 04:07:52 AM »
{snip}

Firstly because it means the patient relaxes once they know that their withdrawal symptoms will be addressed, ( no conflicts) secondly they dont leave prior to discharge ( finish their Iv treatment).

Actually this is not rocket science, but just plain common sense.

common sense isn't that common and it's going to take much time and energy to convince the majority of nurses (and doctors) ... i applaud you on your deeply human, empathetic and best-practice attitude, though.
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
I do not condone or support any illegal activities. All information is for theoretical discussion and wonder.
All activities discussed are considered fictional and hypothetical. Information of all discussion has been derived from online research and in the spirit of personal Freedom.

Tags:
 

Related Topics

  Subject / Started by Replies Last post
0 Replies
2336 Views
Last post January 28, 2016, 03:48:27 AM
by candy
5 Replies
6159 Views
Last post July 24, 2018, 12:32:51 PM
by Chip
1 Replies
2132 Views
Last post December 07, 2018, 10:27:14 PM
by bignasty
0 Replies
1252 Views
Last post November 06, 2019, 08:54:28 AM
by Chip
0 Replies
1063 Views
Last post November 28, 2019, 08:18:10 AM
by Chip
0 Replies
1822 Views
Last post March 12, 2020, 06:23:22 PM
by Chip
0 Replies
227 Views
Last post June 11, 2021, 04:52:29 PM
by Chip
0 Replies
247 Views
Last post June 14, 2021, 03:31:18 PM
by Chip
0 Replies
275 Views
Last post June 14, 2021, 03:33:06 PM
by Chip
0 Replies
188 Views
Last post July 13, 2021, 06:56:11 PM
by Chip


dopetalk does not endorse any advertised product nor does it accept any liability for it's use or misuse





TERMS AND CONDITIONS

In no event will d&u or any person involved in creating, producing, or distributing site information be liable for any direct, indirect, incidental, punitive, special or consequential damages arising out of the use of or inability to use d&u. You agree to indemnify and hold harmless d&u, its domain founders, sponsors, maintainers, server administrators, volunteers and contributors from and against all liability, claims, damages, costs and expenses, including legal fees, that arise directly or indirectly from the use of any part of the d&u site.


TO USE THIS WEBSITE YOU MUST AGREE TO THE TERMS AND CONDITIONS ABOVE


Founded December 2014
SimplePortal 2.3.6 © 2008-2014, SimplePortal