In The Gambia, Opioids Are Not an Option

In The Gambia, powerful pain killers are hard to come by—generic versions of Tylenol and Advil are the primary option, even at the main hospital in the capital, Banjul.
 
That does not deter nurses like Nadia Drammeh.
 
Many of her patients—80-90%, she estimates—walk in complaining of pain. In many settings in the US, health workers would start by trying to treat the pain.

But Drammeh’s goal is not to get rid of the pain; rather, she considers the pain a clue to get to the root of the problem. “Drugs are last when it comes to nursing,” she says.

NPR Goats and Soda

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