clarify the question on guidelines for pain medicine

[alaja]

I want to clarify that only after the man left did I realize what I found and associated his behavior with what appeared to be the over use of pain medicine.  I only learned after he left unexpectedly about the deal with the doctor and hospice concerning his medicines.  Lots of ppl once placed on medicine (pain) do sometimes develop addictions and I suspected that he might be one of those but the end stage liver also causes different behavior.  I have researched the hep c/cirrhosis in great detail.  Yes I should have looked more closely but it is done and over now.  I was a fool bottom line.  I would never have done for him all that I did in the three years we were together had I known of his past.  I always thought his violent behavior was due to the disease; hence I learned after he was gone that was not the case.  I only learned of the sale of RX drugs this past thursday when the local sheriff paid me a visit.  So I don't want anyone to think I would have supported his behavior or his abuse had I known but I did not so it is neither here nor there.  The doctor here wanted to know about the guidelines for future reference.  He treats lots of hospice patients. He does not want to do anything to harm someone; his goal is comfort.  Sorry if I came across wrong.

[cindyfs48]

sorry to hear about how is life effected yours.drug abuser effects everyone around them.my sister has hep c.i do to but im going to treat soon.anyway my sister is very addicted to prescription drugs and when she runs out early she gets em wherever she can find them.her 2 sons also lives with her 2 grown men they also use drugs,they still her money and they beat on her and there is nothing we can do to help her.her boys control her.she cant get help for her hecp cause she dont want to stop using.i hurt so bad cause i cant help her.i know one dy one of her kids will harm her worst than before.we cant do nothing cause she takes up for them and denys they are doing it,1 spent a year in jail for it and is doing it again.i have hepc but i dont do drugs.so im going to treat here real soon.but i will keep you in my prayers and him to.everyone need a prayers.god bless

[fretboard]

I read your other post and I was gonna respond to that when I saw this one.  Hospice and doctors are concerned in providing comfort for the terminally ill patient.  I've actually worked with Hospice ppl and they are very nice caring ppl.  There aren't any specific guidelines that I know about, however here is some information that you can check out.  Also if you google anything, you will get alot of hits, not all the time but most of the time.  I can not tell you anything about your relationship with that man, as I don't know either one of you.  All I can say is that I was in your same position at one time and you can't call em' right all of the time.  Some addicts just don't want recovery, I'm glad I did.  
The use of morphine derivitive drugs has always been a controversial subject, between doctors, both pro and con.   God Bless

http://sciencemag.org/cgi/content/abstract/sci;309/5734/623  

http://pubmedcentral.nih.gov/articlerender.fcgi?artid=1603777

[Andromedae]

I really don't know about any "guidelines" for treating people who are addicts of some sort.  I only have heard that doctors will not tend to prescribe treatment medication for uncontrolled addicts because:

1. The treatment is hard enough on the body as it is without the added stress of additional drug toxicity.

2. The treatment is much less effective for an active alcoholic. (presumably for other types of drug abusers as well though I am not entirely certain on this)

3. The treatment is expensive (40-60 thousand give or take)  and the tendency is for insurance companies and health care agencies to not waste such money on someone who is killing them self already - or so I have heard.

But the bottom line in my eyes , alaja, is that if your doctor wants the best information on treatment guidelines then she should be asking her own peers and doing her own research.  Not asking us.