So I was pushed towards an article about the DEA coming down on issues within The Controlled Substance Act, which its purpose is to protect against abuse. This is a good thing because Narcotics , such as Percocet, Oxycontin, Fentanyl , and morphine, as well as many benzos, such as Xanax , are killing people every year, even young people. But when this organizations start bending the rules , and actually start taking the needed the medicine out of the hands of the sick and injured, especially the geriatric community ( the actual people that need it the most and abuse it the least ), they are only doing harm.
DEA crackdown hurts nursing home residents who need pain drugs
By Carrie Johnson
Washington Post Staff Writer
Thursday, October 29, 2009Heightened efforts by the Drug Enforcement Administration to crack down on narcotics abuse are producing a troubling side effect by denying some hospice and elderly patients needed pain medication, according to two Senate Democrats and a coalition of pharmacists and geriatric experts
Tougher enforcement of the Controlled Substances Act, which tightly restricts the distribution of pain medicines such as morphine and Percocet, is causing pharmacies to balk and is leading to delays in pain relief for those patients and seniors in long-term-care facilities, wrote Sens. Herb Kohl (D-Wis.) and Sheldon Whitehouse (D-R.I.).
The lawmakers wrote to Attorney General Eric H. Holder Jr. this month, urging that the Obama administration issue new directives to the DEA and support a possible legislative fix for the problem, which has bothered nursing home administrators and geriatric experts for years.
The DEA has sought to prevent drug theft and abuse by staff members in nursing homes, requiring signatures from doctors and an extra layer of approvals when certain pain drugs are ordered for sick patients.
The law, however, “fails to recognize how prescribing practitioners and the nurses who work for long-term care facilities and hospice programs actually order prescription medications,” Kohl and Whitehouse write. They conclude that delays can lead to “adverse health outcomes and unnecessary rehospitalizations, not to mention needless suffering.”
Most nursing homes do not have pharmacies or doctors on site, adding to delays for patients who fall ill late at night or in transition from a hospital.
Justice Department and DEA officials had no immediate comment. The DEA sent out guidance last summer in response to some of the pleas, but it did not resolve the central issue of whether a nurse could serve as an agent of a doctor and administer pain medication with a verbal directive rather than a written prescription from a doctor.
The problem took on new urgency this year after the drug agents heightened their enforcement of the rules at pharmacies in Ohio, Michigan, Wisconsin and Virginia. The pharmacies face tens of thousands of dollars in fines if they deviate from strict controls that require doctors to sign paper prescriptions and fax them to a pharmacy before a nurse can administer them in the nursing home setting.
“The system is broken. It isn’t working, and patients are suffering,” said Claudia Schlosberg, director of policy and advocacy for the American Society of Consultant Pharmacists. “While we need to ensure there are proper controls on the medications, the overall law enforcement concern has to be compatible with meeting patients’ needs, and right now it’s not.”
Doctors in nursing homes say the restrictions do not take into account that many more patients, with higher levels of illness and pain, are moving into long-term-care sites and out of hospitals.
William Smucker, medical director of the Altenheim Nursing Home in Ohio, said that the “delay is not what I would want for myself or my family, and it’s not the way I practice in other settings.”
Terence McCormally, a doctor who cares for patients in nursing homes in Northern Virginia, said the tug of war reflects “the tension between the war on drugs and the war on pain.”
“For the doctor and the nurse, it’s a nuisance,” he said, “but for the patient it is needless suffering.”
If you look on the wall of your local Clinic, Hospital, or Doctor’s Office, it clear states “Patients Rights” or “Your Rights As A Patient ” , in which they clearly state your rights. You get that ” YOUR RIGHTS” not what should happen or what could be possible, no it is your RIGHT ! One of those rights , is the right to Pain Management, if your in pain they will help you reduce or alleviate this said pain to the best of there ability. Not they will help you when seen fit by the DEA,
I get what they are trying to do , but when their attempts to reduce drug abuse actually hinders the people who need it to survive. It would be like if our country decided in order to fight terrorist they were going to close there borders permanently, no one out, no one in. Yes it would help, but it would take our rights from underneath us, and would do more harm then good. That is what is happening in this cause, in my humble opinion. And to be honest they are endangering the lives of these people, there have been studies that show pain can cause damage to the heart. I am sorry but our elderly use to take care of us , the least we can do now it do the same for them, and not make them do without.
