You are preparing to discharge a 43-year-old male patient who has received treatment for a fracture of the right tibia. You provide the patient with a prescription for a narcotic analgesic to be used as needed for pain, along with information about the medication. The patient states, “I don’t need the prescription. My cousin just had surgery and didn’t take all of his pain medicine. I can just use his. That will be cheaper for me, anyway, since I don’t have insurance.” (Learning Objectives 3, 4, and 5)

1. a. Discuss the legal and therapeutic implications related to the patient taking narcotic analgesics that have been prescribed for another person.

b. With these implications in mind, how should you respond to the patient?

2. How should you respond to the patient’s concern about the cost of his medication?

  1. a. Legal and Therapeutic Implications:
  • Legal Implications: Taking a prescription medication that has not been prescribed to you is illegal and can have serious consequences. It is considered a form of drug diversion and can lead to criminal charges.
  • Therapeutic Implications: Using another person’s prescription medication can be dangerous, as the dosage may not be appropriate for your individual needs. Additionally, the medication may have expired or may have been tampered with. This could lead to adverse side effects or ineffective pain relief.
  1. a. Legal and Therapeutic Implications:
  • Legal Implications: Taking a prescription medication that has not been prescribed to you is illegal and can have serious consequences. It is considered a form of drug diversion and can lead to criminal charges.
  • Therapeutic Implications: Using another person’s prescription medication can be dangerous, as the dosage may not be appropriate for your individual needs. Additionally, the medication may have expired or may have been tampered with. This could lead to adverse side effects or ineffective pain relief.
  1. b. Responding to the Patient:

You should respond to the patient by explaining the legal and therapeutic risks associated with taking another person’s prescription medication. Emphasize the importance of following the prescribed dosage and instructions to ensure safe and effective pain management. You may also want to explore other options for managing pain, such as over-the-counter pain relievers or physical therapy.

  1. Addressing the Patient’s Concern About Cost:

You can offer the patient information about resources that may help them reduce the cost of their medication, such as:

  • Patient assistance programs: Many pharmaceutical companies offer patient assistance programs that can help reduce or eliminate the cost of prescription medications for eligible patients.
  • Generic alternatives: Inform the patient about generic alternatives to the prescribed medication, which are often less expensive.
  • Prescription discount cards: There are many prescription discount cards available that can help lower the cost of medications.

You can also discuss the importance of taking the prescribed medication as directed to avoid complications and ensure effective pain management. By addressing the patient’s concerns and providing information about available resources, you can help them make informed decisions about their healthcare.

 

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