{"id":1640,"date":"2018-09-03T09:06:49","date_gmt":"2018-09-03T08:06:49","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=1640"},"modified":"2019-06-27T13:38:43","modified_gmt":"2019-06-27T12:38:43","slug":"opioids-and-pain-in-the-emergency-department-a-narrative-crisis","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/09\/03\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\/","title":{"rendered":"Opioids and pain in the emergency department: a narrative crisis"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1637\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/medhum_44_3_Cover.jpg\" alt=\"\" width=\"350\" height=\"474\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/medhum_44_3_Cover.jpg 400w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/medhum_44_3_Cover-221x300.jpg 221w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/p>\n<p>The commentary by Jay Baruch and Stacey Springs, \u2018<a href=\"https:\/\/mh.bmj.com\/content\/44\/3\/213\">Opioids and pain in the emergency department: a narrative crisis<\/a>\u2019, is available through open access in the <a href=\"https:\/\/mh.bmj.com\/content\/44\/3\">current issue<\/a> of\u00a0<em>Medical Humanities<\/em>.<\/p>\n<p>A young woman presents to the emergency department in a sickle cell crisis, complaining of unbearable pain. When asked to rate it on a scale of 1 &#8211; 10, she rates it at 10. Having received a does of opioids and other medication, she is talking and laughing, and seems to be in less discomfort. However, when asked to rate her pain again, she maintains that it remains at 10. Is this opioid seeking behaviour?<\/p>\n<p>Baruch and Springs suggests that the subjective nature of pain and the backdrop of the opioid crisis in the USA, present \u2018major obstacles to understanding, appreciating and responding to patients complaining of pain\u2019. They work through the \u2018narrative challenge\u2019 that pain presents, and the prospect of addressing this challenge by means of greater proficiency with stories.<\/p>\n<p>Baruch explains it better in the brief audio-clip below.<\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-1640-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/Jay-Baruch2.mp3?_=1\" \/><a href=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/Jay-Baruch2.mp3\">https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/Jay-Baruch2.mp3<\/a><\/audio>\n<p>Read the full article on the <em>Medical Humanities<\/em> Journal <a href=\"https:\/\/mh.bmj.com\/content\/44\/3\/213\">website<\/a>.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The commentary by Jay Baruch and Stacey Springs, \u2018Opioids and pain in the emergency department: a narrative crisis\u2019, is available through open access in the current issue of\u00a0Medical Humanities. A young woman presents to the emergency department in a sickle cell crisis, complaining of unbearable pain. When asked to rate it on a scale of [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/09\/03\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028],"tags":[15044],"class_list":["post-1640","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Opioids and pain in the emergency department: a narrative crisis - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/09\/03\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Opioids and pain in the emergency department: a narrative crisis - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"The commentary by Jay Baruch and Stacey Springs, \u2018Opioids and pain in the emergency department: a narrative crisis\u2019, is available through open access in the current issue of\u00a0Medical Humanities. A young woman presents to the emergency department in a sickle cell crisis, complaining of unbearable pain. When asked to rate it on a scale of [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/09\/03\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-03T08:06:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-06-27T12:38:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/medhum_44_3_Cover.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/09\\\/03\\\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/09\\\/03\\\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Opioids and pain in the emergency department: a narrative crisis\",\"datePublished\":\"2018-09-03T08:06:49+00:00\",\"dateModified\":\"2019-06-27T12:38:43+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/09\\\/03\\\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\\\/\"},\"wordCount\":197,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/09\\\/03\\\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/files\\\/2018\\\/09\\\/medhum_44_3_Cover.jpg\",\"keywords\":[\"research\"],\"articleSection\":[\"Journal Announcements\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/09\\\/03\\\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/09\\\/03\\\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/09\\\/03\\\/opioids-and-pain-in-the-emergency-department-a-narrative-crisis\\\/\",\"name\":\"Opioids and pain in the emergency department: a narrative crisis - 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