Opioid discussion: As you are all well aware, the opioid use/misuse in this country has reached catastrophic proportions, to the point that it is deemed an epidemic. As healthcare workers, we must be cognizant of this situation; some of you will be prescribing in the future and need to understand the multiple issues surrounding opioid prescribing. Read the scenario below and briefly answer the questions 2 paragraphs
A 54-year-old woman with chronic pain due to inflammatory arthritis presents to the emergency department (ED) stating that she is having a flare of her arthritis but is out of her Oxycontin and immediate-release oxycodone. She is aware that it is too early to fill her prescriptions, but she insists that she will be traveling out of state and really needs her medications. She presents on a Saturday when her clinic is closed, and her primary care physician is on vacation.
What red flags do you see in this case? Could this patient have a substance use disorder?
Due to the opioid misuse in this country, many ERs have instituted guidelines for dealing with this type of situation name a few.
What are some ways to approach this patient and resolve this issue?
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