Re: Tubigrip
Tubigrip tends to be precribed as a signal of formally closing the consultation
(same as a GP'S prescription). This give the patient a false message and they go
away believing that their injury was sufficiently serious that the doctor felt
that a support bandage was required when this is not necessarily the case. This
is doing a dis-service to the individual as it actually makes them into a
patient and they are happy to adopt the patient role. It is far healthier to
encourage them that they have just bruised themself (or whatever) and to get on
with things. I try to encourage my juniours to only prescribe treatments if
they themselves, with the same injury, would drive several miles to the
Department for that treatment - my attempt doesn't always work!!
Nick Jenkins, Abergavenny
____________________Reply Separator____________________
Subject: Re: Opiates and Head Injury
Author: [log in to unmask]
Date: 24/09/98 8:59 PM
In message <[log in to unmask]>, Helen Deborah Vecht
<[log in to unmask]> writes
>The message <[log in to unmask]>
> from "Robert Anthony COCKS" <[log in to unmask]> contains these words:
>
>
>> Are there any other Sacred Turkeys list members would like to see killed by
>> Christmas ? What about witholding analgesia for severe abdominal pain,
>
>I'd be happy to kill this one for Christmas.
>Which method of slaughter would you suggest? ;-)
>
>> or witholding oxygen for COAD patients in acute respiratory failure ??
>
>I'd go so far as to say witholding oxygen from *any* sick or
>significantly injured A&E patient....
>
>> That should be enough for now !!
>
>Dunno. How useful is Tubigrip?
>
>Helen (who gave a very distressed girl IV Morphine for dysmen today)
>
>
>
>
Don't dismiss the totally unscientific but therapeutic tubigrip on
occasion. The patient might have sat in your waiting room for many
hours and to be dismissed with no reward for that patience is a bit
mean.
--
Dr Charles C Scott
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|