OTHER

Question 1

What are some signs suspicious for drug seeking behavior

Answer 1

Typical requests and complaints
- Aggressively complaining about need for certain medication
- Asking for specific drugs or brands by name
- Requesting dose increase
- Claiming multiple allergies to alternative medications
- Anger or irritability when question closely on symptoms

Inappropriate self-medication
- Hoarding of drugs (safescript)
- Extra doses
- Using controlled substance for non-pain relief purposes (enhance mood or aid sleep)
- Injecting oral formulation

Inappropriate use of general practice
- Doctor shopping
- Multiple, frequent presentations with no pathology identified

Resistant behaviors
- Unwilling to consider other drugs or non drug treatments
- Frequent unauthorized dose escalation after being told that it is inappropriate
- Refusing diagnostic workup or consultation

Manipulative or illegal behavior
- Claiming to be on waiting list or unable to afford follow up
- Using aliases
- Pattern of lost or stolen prescriptions

Question 2

What are the risk factors for MRSA

Answer 2

Health care exposure during the prior 12 months
- recent hospitalisation
- residence in long term care facility
- recent surgery
- hemodialysis

Patient specific risk factors
- known MRSA colonization or past infection with MRSA
- Recent close contact
- IVDU
- Homelessness
- Antibiotic use in prior 6 months
-HIV infection

Environmental exposure assossciated with outbreaks of MRSA skin abscess
- Incarceration or prison gaurd
- Military service
- Living in crowded communities
- Attending or working in childcare centres
- Sharing needles, razores or other sharp objects

Question 3

What are barriers limiting homeless people from seeking medical attention

Answer 3

Personal Barriers
- Mental health disorders
- Competing interests with ensuring food and somewhere to sleep are daily issues, lowering the priority of health needs
- Medication security

Relationship Barriers
- Feeling judged and stereotyped from previous poor interactions with medical practitioners

Practical Barriers
- Decreased access as rely on public transport or walking