Rethinking 'Drug-Seeking': A New Perspective on Acute Care
Just like many of you, my they-just-need-to-be-cut-off approach to patients exhibiting signs of substance use, missed the fact that patients with substance use have dependence and withdrawal, and by not managing dependence and withdrawal in my practice, I forced patients to buy their substances on the street to stave off withdrawal.
Picture this: a patient comes into the emergency room in severe pain, allergic to multiple medications, and insists on morphine. Is this addiction, genuine pain, or withdrawal? In this eye-opening episode of 'Addiction in Emergency Medicine and Acute Care', Dr. Casey Grover tackles the often misunderstood label of 'drug-seeking'. Dr. Grover dives into a real clinical case and discusses a perspective piece on the topic, urging us to reconsider how we view and treat these patients.
He argues that the term 'drug-seeking' oversimplifies a complex issue, potentially leading to inadequate care. By focusing on the underlying causes—be it dependence, withdrawal, or severe pain—we can offer more compassionate and effective treatment. With 64% of adult Emergency Department patients meeting criteria for problematic substance use, it's clear that a change in approach is needed. Dr. Grover's insights are not just theoretical; they have real-world implications for improving patient outcomes and reducing stigma in healthcare.
Tune in to learn why it's time to retire the term 'drug-seeking' and adopt a more nuanced perspective on substance use disorders.