Breaking down the silos of medical error

Humphrey, Kimberly; Brichko, Lisa; Cobbett, Joanne

doi:10.1111/1742-6723.13350

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2020

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“…Although modern healthcare is thought to be delivered by multidisciplinary, distributed healthcare teams, there is often a lack of teamwork and communication, which can lead to ineffective and unsafe patient care [50,51]. This may be most evident in the management of chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Physician-Delivered Pain Neuroscience Education for Opioid Tapering: A Case Report

Agarwal¹,

Louw

Puentedura

2020

IJERPH

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We describe the case of a 75-year-old female with chronic low back pain (CLBP), on opioids for more than 15 years. She presented with an acute episode of nausea, vomiting, abdominal pain, and shortness of breath. After a complete work-up, it was concluded that her presenting symptoms were likely due to her high levels of CLBP and high dose opioids. At the time of intervention, her opioid dosage was between 50–90 MME (Morphine milligram equivalent) (Norco 8 × 7.5 mg/day + Fentanyl 12 mcg patch). She was subsequently seen by the physician for seven outpatient internal medicine appointments over nine months and received Pain Neuroscience Education (PNE) in conjunction with monitored tapering of opioids and other medication associated with her CLBP. This case report demonstrates how a physician might deliver PNE as a viable nonpharmacological treatment option for the tapering of long-term opioids for chronic pain.

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Section: Discussionmentioning

confidence: 99%