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  4. Emergency department staff's attitudes toward narcotics and drug-seeking patients who fabricate symptoms: A multicenter survey
 
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Emergency department staff's attitudes toward narcotics and drug-seeking patients who fabricate symptoms: A multicenter survey

Journal
Journal of Acute Medicine
Journal Volume
3
Journal Issue
1
Pages
1-5
Date Issued
2013
Author(s)
MING-JU HSIEH  
Lai T.-I.
FUH-YUAN SHIH  
TZUNG-JENG HWANG  
Cheng S.-F.
CHENG-CHUNG FANG  
DOI
10.1016/j.jacme.2012.12.002
URI
https://scholars.lib.ntu.edu.tw/handle/123456789/465620
Abstract
Background: Recently, there has been an increase in the amount of prescription narcotics used in Taiwan. Despite the possibility that patients suspected of abusing opioids are visiting emergency departments (EDs) to collect drugs, only few studies have assessed the attitudes of ED staff toward these fabricating drug seekers and narcotics prescription. Both issues are crucial in identifying fabricating drug seekers and for pain management. Purpose: The aims of this study were to investigate the attitudes of ED staff toward fabricating drug seekers and narcotics prescription, and to understand the characteristics of patients suspected to be fabricating drug seekers. Methods: From January 1, 2008 to December 31, 2008, 174 staff members of four EDs completed questionnaires to review their perceptions for patients with fabricated drug-seeking behaviors and their attitudes toward prescribing narcotics. The staff members were also requested to report the characteristics of those patients suspected of fabricating a need for narcotics. Results: According to the ED staff's clinical practice, the three most commonly fabricated drug-seeking behaviors were insistence on specific medications, frequent ED visits, and over-reporting of symptoms. Most medical personnel would choose non-narcotic analgesics as their first-line remedy. A total of 14 patients were reported as fabricating drug seekers. Conclusion: The fabricated drug-seeking behavior patterns described by the ED staff were similar to the descriptions mentioned in the literature and their attitudes toward prescribing narcotics were conservative. However, more interventions to overcome staff's opiophobia are needed to improve pain management. Reported fabricating drug seekers usually complain of abdominal pain, while parenteral meperidine was the most sought-after drug. ? 2013.
SDGs

[SDGs]SDG3

Other Subjects
narcotic agent; abdominal pain; adult; article; backache; cancer pain; clinical article; clinical practice; drug seeking behavior; fabricated drug seeking behavior; face pain; female; human; male; nurse; pain; physician; prescription; priority journal; questionnaire; rescue personnel attitude; resident
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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