If a patient with chronic pain shows signs of drug diversion, what should the nurse discuss with the physician?

When a patient with chronic pain exhibits signs of drug diversion, it is crucial for the nurse to discuss these concerns directly with the physician. Drug diversion refers to the misuse or theft of prescribed medications, which poses significant risks not only to the patient but also to public safety and the integrity of prescription practices.

Addressing drug diversion is essential because it may indicate that the patient's pain management plan is being compromised or that the individual is struggling with substance use issues. By discussing these concerns with the physician, the healthcare team can work collaboratively to assess the patient’s condition, ensure appropriate monitoring, and decide on the best course of action for both managing the patient’s pain and addressing potential misuse.

This discussion may lead to a reevaluation of the patient’s treatment plan, including the potential for alternative pain management strategies or more stringent monitoring practices to prevent further issues. Addressing drug diversion promptly is critical to ensuring patient safety and maintaining an ethical approach to pain management.