by Admin
DEA crackdown hurts nursing home residents who need pain drugs
Oct 29, 2009
By Carrie Johnson
Washington Post Staff Writer
Heightened efforts by the Drug Enforcement Administration to crack down on narcotics abuse are producing a troubling side effect by denying some hospice and elderly patients needed pain medication, according to two Senate Democrats and a coalition of pharmacists and geriatric experts.
Tougher enforcement of the Controlled Substances Act, which tightly restricts the distribution of pain medicines such as morphine and Percocet, is causing pharmacies to balk and is leading to delays in pain relief for those patients and seniors in long-term-care facilities, wrote Sens. Herb Kohl (D-Wis.) and Sheldon Whitehouse (D-R.I.).
The lawmakers wrote to Attorney General Eric H. Holder Jr. this month, urging that the Obama administration issue new directives to the DEA and support a possible legislative fix for the problem, which has bothered nursing home administrators and geriatric experts for years.
The DEA has sought to prevent drug theft and abuse by staff members in nursing homes, requiring signatures from doctors and an extra layer of approvals when certain pain drugs are ordered for sick patients.
The law, however, “fails to recognize how prescribing practitioners and the nurses who work for long-term care facilities and hospice programs actually order prescription medications,” Kohl and Whitehouse write. They conclude that delays can lead to “adverse health outcomes and unnecessary rehospitalizations, not to mention needless suffering.”
Most nursing homes do not have pharmacies or doctors on site, adding to delays for patients who fall ill late at night or in transition from a hospital.
Justice Department and DEA officials had no immediate comment. The DEA sent out guidance last summer in response to some of the pleas, but it did not resolve the central issue of whether a nurse could serve as an agent of a doctor and administer pain medication with a verbal directive rather than a written prescription from a doctor.
The problem took on new urgency this year after the drug agents heightened their enforcement of the rules at pharmacies in Ohio, Michigan, Wisconsin and Virginia. The pharmacies face tens of thousands of dollars in fines if they deviate from strict controls that require doctors to sign paper prescriptions and fax them to a pharmacy before a nurse can administer them in the nursing home setting.
“The system is broken. It isn’t working, and patients are suffering,” said Claudia Schlosberg, director of policy and advocacy for the American Society of Consultant Pharmacists. “While we need to ensure there are proper controls on the medications, the overall law enforcement concern has to be compatible with meeting patients’ needs, and right now it’s not.”
Doctors in nursing homes say the restrictions do not take into account that many more patients, with higher levels of illness and pain, are moving into long-term-care sites and out of hospitals.
William Smucker, medical director of the Altenheim Nursing Home in Ohio, said that the “delay is not what I would want for myself or my family, and it’s not the way I practice in other settings.”
Terence McCormally, a doctor who cares for patients in nursing homes in Northern Virginia, said the tug of war reflects “the tension between the war on drugs and the war on pain.”
“For the doctor and the nurse, it’s a nuisance,” he said, “but for the patient it is needless suffering.”
It is time for the DEA to be disbanded once and for all.This agency has outlived it’s usefullness.They are causing more harm than they are doing good and have absolutly no business telling a doctor what or when or how much medication a patient need’s. These are cops not doctor’s they do not have any medical training or even a degree in pharmacology so they should not be dictacting rules or regulations concerning these substances .Impeached president Richard Nixon started the DEA and gave them the task of eliminating ilegal drugs in america some 40 yrs ago now, And what have we gotten for the billions spent on the DEA? Well let’s just see. 1. Drugs are now much more readily avalible every where you go in america you can purchase any drug you wnat. 2. Cheaper drugs the prices of all drugs have decreasesd since then heroin is far cheaper than it was just 10 yrs ago as is cocaine .and 3. The purity of these drugs except cannabis are way stronger than they were 40 yrs ago. 4.We have over crowded our prisins with non violent drug offenders to the point that we now are releasing early dangerous criminal’s and sex offenders to make room for addicts that should be in treatment not a prison cell.and now we taking the few remaing years of peoples lives and destoying them to make the DEA look like they made a differance because these allegedly brave agents have found it’s easier and safer for them to go after a old women than a drug dealer . These cowardly agents should all be reassigned to cleaning bed pans in the nursing homes of the people they have caused to suffer
Thank you for the good work you are doing. I really appreciate your efforts. It seems criminal to me that people are allowed to suffer when medications exist that could ease the pain.
Another travesty of justice. The DEA should be going after the tobacco industry for all the deaths from that drug.