Boy my little post opened up a hornets nest! I could write an essay on this, but basically Shan I would not give you the job, and weeneldo I would give it to you!
Boy my little post opened up a hornets nest! I could write an essay on this, but basically Shan I would not give you the job, and weeneldo I would give it to you!
Admin
Please never reveal personal details on the forum.
Keep it clean because I'll be watching !
I confess that my attitude in the beginning was not good. Gradually I began to realise that the policy was harm reduction and once I accepted this, I began to feel more reasonable. My original attitude was because I was caught out by a script which had been cleverly altered. This was long before the days of Methadone. I had my Hep C vaccination when started needle exchange. We always asked addicts for their returns but many lived in hostels with their own cinbins. Just remember to be on guard and maintain a professional relationship. Too friendly, they will be asking 'favours'.
johnep
Last edited by johnep; 18th, August 2011 at 02:01 PM.
Thank you for your replies. I also believe these patients should be treated equally as any other.
Other then the drug issue is there anything else I should be asking about the pre-reg
im a third year student so I am sure you can understand we haven't covered at uni
Many thanks
student
I don't agree entirely with this. As much as we'd like to, i don't think it is possible to completely ignore our own personal beliefs and i think it would be wrong to do so.
The worst thing you can do to any marginalised group in society is assume 'they are all the same'. With the addicts sub-culture outsiders tend to characterise them based on the one thing that identifies them as a group: drug addiction, which is a fair observation to make, however it is important that we look beyond this and treat every patient (addicts, the elderly, yound people, whoever...) with courtesy and respect their situation.
Has anyone had any really bad experiences with aggresive addicts in the past, just out of interest? It would be good to see how situations have been resolved or defused. (or how they have dramatically spun out of control)
Yes, I've been threatened with a hammer, thieved from, called incompetent because I was doing an MUR when the client arrived, and he told me he'd been waiting for 3 hours when it was only 10 a.m and we'd opened at 9 a.m. I still get on with most of them (you can't please everyone...), know about their family, care about their social problems, organize that they actually get the prescribed medication, rather than the default that some multiples give, basically, care about them in the same way that I care about everyone else! I love my job.
HEHEHE thanks for your honest opinion. I already have one anyway
My point were not from what I think or I do in my practice, but what people around feel about this whole thing. If you have read clearly the first answer was mine, where I clearly said I would treat them as much as I would treat if the prime minister was to be one my regular patients. So, no question of treating them any special or bad in comparison to other customers. In terms of helping them, it is something which no one has ever in any official position has ever given any clear guidance. The newdirections people have some carers supposed to be looking after them and all information is supposed to be confidential. I have 4 methadone clients. 1. been on between 40ml to 65ml up and down in the past 3 years I have been here. missing many doses. Almost all the staff know him, are friendly, we do joke, tease etc. etc. but he never changed attitude towards coming off, we never bothered as long as we have done our part of the duty for which we get paid smartly. 2. A person working somewhere (confidential) pick-up, was on 55ml 3years ago down to 50ml 2 years ago and in between was asked to go on supervision by a new doctor at the new directions when he literally cried in the pharmacy consultation room. I had a chat 3 months ago casually to him about taking it seriously and now he is on 35ml pick up twicw a week. 3. Same case as numer 2 but well determined to come off the meth, sometimes brings his kid too. in one year he has dropped from 60ml weekly pick up to 32ml weekly pick up and he intentionally misses one or two days as he feels he doesn't need it. 4. Don't want to talk.
Well, in all these cases they know and we know what they have gone through. and what they are going through, but unless they decide to consult us we are not in a position to advice anything. We feel bad for them but there are other needy customers who would be willing to follow the health advice given to them to better their health.
Just my thoughts.
Shan![]()
Admin
Please never reveal personal details on the forum.
Keep it clean because I'll be watching !
A hammer? That could have ended very badly indeed. We had to 'bar' a client for threatening staff and stealing, even as they were escorted out we were told we were "making a big mistake". But at the end of the day plenty of chances were given and the patient was causing problems for the staff. Lets just say the police were very helpful.
I've never worked with the multiples but I know a lot of people who have and they all say the same thing: poor customer service (some multiples worse than others).