When your ED patient has chronic pain or addiction
Courtney Reinisch, RN, DNP, APN-C, MSN

September 2008 
Volume 38  Number 9 - Supplement: ED Insider
Pages 6 - 8
  PDF Version Available!


Tiffany Harris, 45, is in your ED requesting pain medication for a migraine headache. Again. She's being treated by a psychiatric neurologist after organic causes of her migraines were ruled out. She didn't maintain her contract with the neurologist to only take opioids that he prescribed, and not seek pain medication at the ED, and she has a history of visiting multiple EDs seeking meperidine and hydromorphone, despite having completed inpatient drug rehabilitation.

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