"I Just Don't Feel Heard": A Case Study on Opioid Use Disorder and Pain Management.

J Pain Palliat Care Pharmacother

Houston ER Opioid System (HEROES), School of Biomedical Informatics, UTHealth Houston, Fannin, Houston, Texas, USA.

Published: December 2023

AI Article Synopsis

  • - The opioid epidemic demands a new approach for treating patients with opioid use disorder who experience acute pain, as many start using prescription opioids after injuries or pain episodes.
  • - Patients without prior opioid exposure (opioid naive) who are prescribed opioids are at higher risk for developing chronic use compared to those who receive non-opioid alternatives.
  • - This case report will detail one patient's experience with opioid use escalation, recovery efforts, discussions with her doctor about alternative pain management options, and the challenges faced in achieving effective pain relief, while also focusing on a shared decision-making process.

Article Abstract

The nation's opioid epidemic requires a paradigm shift in the way patients with co-occurring opioid use disorder are treated during episodes of acute pain. Patients are often introduced to prescription opioids after an extremity fracture or sprain or resulting from musculoskeletal back, abdominal, or dental pain. Opioid naive patients who receive their first opioid prescription on discharge from the emergency department may be more likely to develop chronic opioid use compared to patients receiving non-opioid pain medications. This case report will highlight one patient's journey including initial prescription opioid use, escalation into illicit opioids, entry to a recovery and treatment program, discussions with her physician about alternative therapies, and barriers to satisfactory pain relief. A shared decision-making model will be explored.

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Source
http://dx.doi.org/10.1080/15360288.2023.2250340DOI Listing

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