Are there circumstances when a provider may write PRN medication orders that allow variation in administration based on patient preference such as in the following examples ?
Example 1: Orders are written to administer ‘acetaminophen for mild pain’ and ‘hydromorphone for moderate pain’. However, due to the side effects of hydromorphone, the patient requests to take the acetaminophen even though pain was reported as ‘moderate’.
Example 2: A post-partum patient has PRN pain medications written as follows: morphine for severe pain, hydromorphone written for moderate pain and acetaminophen written for mild pain. New moms who report moderate or severe pain may request to take the acetaminophen as they do not want to take the other medications as they are breastfeeding.