Tuesday, May 19, 2015

Pain Medication Addiction – Could it be Malpractice?

Could it be medical malpractice if a patient becomes addicted to narcotic painkillers that were prescribed to battle chronic back pain?  It all depends on the circumstances and requires the advice of a medical expert in the same field as the doctor being sued weighing in on the ‘standard of care’.

An example from an article in NOLO described a doctor who prescribed pain medication to a patient who had a heroin addiction.  Is it malpractice if the patient did not disclose this past addiction? Another example involves a physician who prescribed pain meds to a patient for post-operative back pain.  After five years, the severe back pain was still present and the patient was now addicted to the pain medication.  A case could be made that the doctor was negligent for not referring the patient to a pain management specialist for treatment with non-narcotic drugs.

Especially with the addition of meaningful use, physicians have very little time with patients and often have to prescribe pain medications without being able to ask every possible question about their history. 

Guidelines are in place that strictly require doctors to warn patients about the risks of addiction.  The question in a lawsuit would be whether the patient heeded the warnings and followed instructions, or was the physician negligent in giving proper warnings.

A medical malpractice lawsuit about pain medication involves proving negligence on the part of the doctor.  However, could lawsuits like these do more harm than good since doctors might be more reluctant to provide pain medications for fear of lawsuits even if those medications are necessary? 


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