Comment: NP perspective

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NP perspective

Being a nurse practitioner I run into this scenario all the time.

Here is how I view the patient-provider relationship. It is a partnership. You come to your doctor/provider asking for a service. In this case you want them to write you a prescription to treat a sort of disease or condition you have. Your provider now has a responsibility to care for you and for that condition. Writing a prescription is not just writing some words on a piece of paper, it comes with liabilities. If something happens to you because of taking that medication and your provider is not aware of it because he hasn't seen you in a year but he continues to write for your prescriptions, he is being negligent. If the medication can cause liver or kidney damage or anything else and he is not doing regular blood tests, he is being negligent. And if you sued him, you could win. Now with that being said, if you understand the risks of not being thoroughly cared for and only want him to write for your prescriptions and your provider is ok with that, I would recommend you sign a contract with him, freeing him of his responsibilities and stating that you understand the risks. This is what I do with some of my patients.

I have patients that do not want to do mammograms every year and regular paps, or do colonoscopies. I explain that without these preventative measures, there is a risk of death from breast cancer, cervical cancer, and colon cancer. If they still choose to decline these tests, they sign that they understand and this covers me as the provider and allows the patients to continue to receive the care they are seeking.