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This piece centered around the Emergency Room and not with private practices or other pain management centers. The research paper went on about some of the problems that arise in the emergency rooms. Part of it is lack of total understand of the physicians, part of it is the patients expectations. One thing that always stood out was the number of chronic pain patients who use the emergency room as the primary source of pain medications. Digging into the problem, it seems that those same patients were discharged from other private practices for abusing pain medications.American College of Emergency Physicians said:
Despite a heightened awareness in recent years, health care providers still fail to treat pain consistently and adequately. Patients don't get analgesics early enough, often enough, or in correct dosages. When they are discharged, patients leave with inadequate prescriptions to treat their pain while at home.
Some patients return to the emergency department prior to or instead of seeing their primary care physician for follow-up because of unrelieved pain.
This failure to properly alleviate pain stems from clinician barriers such as a lack of knowledge and a reluctance to give analgesics under certain medical conditions or in specific patient populations. It is the duty of health care providers to relieve pain and suffering. Therefore, all physicians must overcome their personal barriers to proper analgesic administration.