Julianna has explained the five patterns of enabling as described by the text, and I would like to use an example for enabling based on a situation that I was thrown into professionally. I once had a forty-something year old (Patient A) patient that presented to the ED as a heroin overdose. The patients seventy-something year old mother called EMS after finding her son unresponsive on the bedroom floor. Patient A was a well known poly substance abuser that preferred heroin to achieve his high, but would use ANYTHING in its place, he has overdosed at least 7 times during my time in the ER. His mother a frail women, would "ride in" with the ambulance each time (stroking his head and telling him "everything will be okay"), instructing the ER staff to "opt …show more content…
Opting out is our hospital's way of not allowing anyone to receive information about the patient or let them know they are in the department (avoiding and shielding). Patient A is unemployed and receives social security/ disability and lives with his mother who contributes to a lion share of his financial support. Last year she purchased him a brand new BMW, "because he needed to get around" and it is rumored that she has refinanced her mortgage three times, has several loans where she is the co-signer, and she herself holds a part-time job to keep up with the bills (attempting to control and taking over responsibilities). It is my belief that Patient A's mother assumes that he is "not really" endanger, especially with the advent of Narcan and medical intervention (rationalization and accepting). Although, it has never been disclosed on her part, I am sure that she provides him with money to purchase the drugs he consumes (cooperation and