Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

Dealing in Drugs

The primary provider should be dispensing and tracking the medication, but quite often he/she will simply state _this is not my field (referring to a class of drugs) and allow someone else to prescribe.

The secondary provider(s) then may cross boundaries and refer a second or third narcotic, second or third antidepressant, anti-inflammatory, etc.

There are obvious and there are subtle concerns:
a. Obvious: This unmonitored avalanche of medications can be a source of harm and/or abuse for the patient
b. Subtle: The patient can spend much of his/her day just keeping track of medications

The solution lies in being certain that someone evaluates the patient, not the medication:
1. Does the patient know his/her medications and why they are prescribed?
2. Does the patient take the medication as directed?
3. Does the patient recognize adverse side effects?
4. Is the patient able to recognize when redundant medications are being prescribed?
5. Is the patient able to communicate his/her concerns and physical responses to those who are prescribing?

Part of this evaluation must also be a determination whether all of those prescribing are willing to re-examine and alter their prescribing behaviors.

Unfortunately, the feelings, thoughts and behaviors of the patient are not often independently and formally examined.

Comments for this post are closed.

The Red Flag Age Group

In my clinical experience there are actually two age groups which present problems of rehabilitation. The first group is …
Read Blog Post

economic

Economic

Economic. The State lottery systems have shown us that people without a strong economic understanding can be easily separated …
Read Blog Post

Finding Case Focus

The longer a case goes unresolved, the less likely it is to do so. There are actually three sources for this ; some of which …
Read Blog Post