Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

Medication Concerns

There are four major areas of concern when medicating an injured worker:

1. Is the patient inadequately medicated and, therefore, is in such pain that all attempts to chart a path for a future becomes blocked by the discomfort that he/she is unable to tolerate?

2. Is the patient overly-medicated so that there days are filled with adverse side effects including somnolence, nausea, dizziness and/or disorientation?

3. Is the patient appropriately medicated for the true problem or are they medicated for sleep when the problem is depression or medicated for pain when the problem is anxiety.

4. Is the medication itself giving rise to psychological complaints such as agitation, irritability, restlessness, alterations of mood, apprehension and even mild hallucinations?

Quite often we have very inadequate histories on these patients. We do know whether they are capable of, or willing to, take their medication as prescribed. We do not know if they are reliant upon other family members to titrate their medication.

Not infrequently, lack of timely approval for medication results in either delayed initiation of a needed medication or delay in timely refill of approved medication.

I believe one of the greatest concerns is the we medicate these patients with mood and cognition altering drugs and then fail to measure the changes that occur. Months later someone says they are depressed or agitated, but there has been no psychological assessment as to whether these symptoms are the direct result of the medication regimen and/or the patient_s compliance with that regimen.

Comments for this post are closed.
relatedness

Relatedness

Relatedness to injury: There are far too many times that when treating an injured worker, I come upon serious health problems …
Read Blog Post

Effect of Alcohol on Case Resolution

Specific psychological problems should be expected when an individual loses part of his/her body in an accident. Many are …
Read Blog Post

The Drama of Trauma

The drama of trauma: events occur in a context. That context fuels the drama that surrounds the injury. Injury always has …
Read Blog Post