All Episodes

March 28, 2021 66 min

Patients experiencing homelessness can add extra layers of complexities to emergency or inpatient care. Dr. Joe Mega provides some much needed perspective about the needs of our patients experiencing homelessness and how healthcare professionals can care for them more effectively.


  • Homeless patients are often concerned about their belongings being stolen due to theft or abatement
  • If a patients is concerned about their belongings, ask if there is someone they can call to look after them OR find out if there are any services that can check on the patient’s belongings while they are hospitalized

  • Pets

  • Pets are often like family members to the homeless and there is a hesitancy to be separated from them
  • If this is a concern for your patient, look to see if your local animal shelter can keep the animal while your patient is hospitalized

  • Substance Abuse

    When people are in the throes of addiction, this is often their #1 priority and they live in fear of experiencing withdrawal

  • Make sure that you are addressing your patients substance abuse concerns by asking questions like “When did you last drink/use and how can I help keep you comfortable?”
  • Opioid withdrawal can be treated with buprenorphine (Suboxone)
  • Alcohol withdrawal can be treated with benzodiazepines, gabapentin, phenobarbital, etc. Check out Episode 6: Acute alcohol intoxication and withdrawal syndrome for more info.
  • Methamphetamine-induced agitation can be treated with benzodiazepines and antipsychotics such as mirtazapine or risperidone.


    Ask questions like these:

  • “I want to help keep you in the hospital. How do you think we can do that?”
  • “How much do you usually drink a day and how does how you’re feeling now compare to past withdrawals?”
  • “When was your last drink?” or “when did you last use?”
  • Present the situation to the physician in a constructive way such as “I’m worried that the patient might leave, because they’re starting to feel unwell. What do you think about giving them something to help prevent withdrawal such as x, y, and z”

    It’s important to put it in the context of how easy it is, for someone with resources in home to access food, and then compare it to a person who doesn’t have a home. Just opening a refrigerator and getting access to some to what they want to eat is, is not a convenience that most people have.

    Be Trauma Aware
    The homeless have often experienced extreme trauma and horrible experiences that either contributed to their homelessness or resulted from it.

    It’s important to be “trauma informed” and consider reframing your mindset from “What is wrong the patient” to “What happened to the patient?”

    Give-away: Tribe RN BadgeGuru Set 2.0
    To win a free set of Tribe RN’s BadgeGuru Set 2.0, simply enter your email address on the homepage to start receiving email notifications when new episodes come out.

    Visit to check out these badge cards or other cool nursing items like pen lights, stethoscope cases, etc.

    You can also join the supportive Tribe RN Facebook Community.

    Mark as Played

    Advertise With Us

    Popular Podcasts

    Dateline NBC
    Crime Junkie

    Crime Junkie

    If you can never get enough true crime... Congratulations, you’ve found your people.

    The Piketon Massacre

    The Piketon Massacre

    The most notorious mass murder in Ohio’s history happened on the night of April 21, 2016 in rural Pike County. Four crime scenes, thirty-two gunshot wounds, eight members of the Rhoden family left dead in their homes. Two years later a local family of four, the Wagners, are arrested and charged with the crimes. As the Wagners await four back-to-back capital murder trials, the KT Studios team revisits Pike County to examine: crime-scene forensics, upcoming legal proceedings, and the ties that bind the victims and the accused. As events unfold and new crimes are uncovered, what will it mean for all involved? What will it mean for Pike County?

    For You

      Music, radio and podcasts, all free. Listen online or download the iHeart App.


      © 2022 iHeartMedia, Inc.