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Worried

• Message 1. 

  Posted by Mum's favourite child is Jennifer (U11299800) on Sunday, 31st October 2010

  A close relative has been admitted into my local hospital whilst on a visit to me. He has a very difficult and in many ways lonely life. Procedures have been carried out which have relieved his medical condition. He insists he is still in pain and is being given strong painkilling medication.
  
  My worry is that all this is more about not wanting to return home (he's told me he doesn't want to go back any time soon). My further worry is that he has a strong history of drug abuse and that he may be exaggerating his pain.
  
  Advice anyone?

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• Message 2

  , in reply to message 1.

  Posted by carrick-bend (U2288869) on Sunday, 31st October 2010

  Sun, 31 Oct 2010 10:23 GMT, in reply to Mum's favourite child is Jennifer in message 1
  
  Talk to his medical team?
  They won't be able to discuss him with you, patient confidentiality, but at least you'd have given them your input, for them to be aware of.

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• Message 3

  , in reply to message 2.

  Posted by Mum's favourite child is Jennifer (U11299800) on Sunday, 31st October 2010

  Tks C-B... this is an idea I've thought of. He should be discharged in a couple of days. If this doesn't happen I'll do it.
  
  I hate this doubt, it's making me feel unsympathetic in case he's 'putting it on'. He clearly relishes all the attention he's receiving and who can blame him.

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• Message 4

  , in reply to message 3.

  Posted by Sister Primrose of the Red Tinsel Flag (U5405579) on Sunday, 31st October 2010

  Substance abuse does seem to corrupt the body's pain mechanisms, in either direction. I looked after a girl who's body failed to notice that her womb had ruptured (potentially life threatening) - none of the usual blue light type symptoms manifested themselves over a period of three hours. Also cared for substance abusers who register physical symptoms of pain for contractions that were barely palpable and could not be detected by electric monitors.
  
  He might well be in more pain than seems likely, though it doesn't make you a bad person to wonder. You should deffo share your concerns with staff, particularly if one of your concerns is that the rellie might be hoping to come and live permanently with you. If this is not on the table the staff need to know this to help with discharge planning.
  
  PP

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• Message 5

  , in reply to message 4.

  Posted by Mum's favourite child is Jennifer (U11299800) on Sunday, 31st October 2010

  His days seem to alternate between 'oh god i'm in such pain I can hardly speak', immediateley followed by "all the staff & patients just love me, the consultant thinks I'm wonderful" i.e. IT'S SHOW TIME!
  
  I do try and remember that the staff will have seen it all before and are sure to recognise it for what it is, if indeed it's a put-on.

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