OBSTACLES TO PAIN RELIEF – PRESCRIPTIONS FOR TABLETS

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Don’t leave the doctor’s surgery without prescriptions for enough tablets to take the required dose, every six hours in this case, until your next appointment. In our example, this means you would need 112 tablets. You may not, in fact, take all of those tablets, but at least you are free to decide what’s best for you. If you don’t have the tablets, you don’t have the choice.

Your doctor may say that twenty tablets per prescription is the maximum he or she can prescribe. This is not true. In Australia, your doctor can apply to the Department of Health for permission to give you enough painkillers per prescription to last one month. Permission is always given for people with cancer. Find out from a doctor or pharmacist what regulations apply in your country.

If you are in hospital, you have to rely on nurses as well as doctors to get the painkiller you need. First, ask your doctor to write up your painkiller to be taken regularly, (every three to six hours as is appropriate for the particular painkiller), not ‘as required’. If it is written up ‘as required’ you will have to ask for every dose. Even once you persuade the nurse you do need it, you will have to wait while senior nurses and keys are found, so cupboards can be unlocked to get your painkiller out. You shouldn’t have to go through this and you won’t have to if you can persuade your doctor to say you must have the painkiller regularly.

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ACCIDENTS

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(1.) Don’t panic.

(2.) Assume command (someone has to). (3.) Assess the situation …

Any injuries?

How many?

How bad?

(4.) Delegate specific people to do specific things; particularly with road accidents. Block traffic or divert vehicles on one side of the accident (many a minor injury has been converted to a major one through a car ploughing into the injured person on the road). Send someone to phone police and someone else to phone for an ambulance.

(5.) Move the patient out of danger if it is not practicable to block the traffic. If you worsen the injuries by moving the victim, this is better than the injured — or yourself — being killed by another car.

(6.) Remember the A-B-C of saving lives …

A is for airway. Is he breathing? If not, start artificial respiration. If breathing, check whether it is easy or labored respiration. If he is unconscious and lying on his back, lift his lower jaw upwards and forwards. This lifts the tongue, stopping it from falling back and blocking the airway. Take out false teeth!

 is for bleeding. Look for bleeding, then stop it. Direct pressure will nearly always stop brisk haemorrhage. Put your THUMB on it, or your hands. Pads and bandages are great, but take time. Remember. NO TOURNIQUETS!

Ñ is for conscious state. If unconscious, check the airway as above, turn the head to one side, or, if there is no other apparent injury, place the patient on his side, so that in case of vomiting the vomitus cannot enter the lungs.

R … to that A-B-C let’s add an «R» — Re-assess! Keep going back over the A-B-C.

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