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Harold is an adult male with pain from trauma experienced in a car accident. This case covers assessing the aspects of the pain experience in a trauma patient with substance use disorder by integrating the health history into the treatment decision-making process, examining multimodal approaches to treat acute trauma across transitions of care, recognizing the biopsychosocial impact of the treatment of acute pain in patients with substance use disorder, and designing an appropriate treatment plan using case-based learning to address acute trauma related pain in patient with substance use disorder.
Ms. Jackson is a 38-year-old, African American nurse who completed treatment for triple negative breast cancer 5 months ago. She opted for bilateral mastectomy, radiation, and chemotherapy. The patient is frustrated that she still experiences pain, states “it’s ruining my life."
Ms. Tatum is a 30 year-old woman with a history of opioid use disorder (heroin and fentanyl) who has been treated for 2 months with buprenorphine/naloxone (Suboxone) in a substance use disorder treatment program. 4 months after she transitioned her medications to her PCP, she was in a Motor Vehicle Accident and sustained multiple left-sided rib fractures as well as a jaw fracture. She has severe pain in the face, neck, and ribs and needs an acute pain management plan.
Pam is a 41-year-old woman diagnosed with breast cancer approximately one year ago. Pam underwent treatment including a bilateral mastectomy and subsequent breast reconstruction. Now she is experiencing pain that she feels should be improving.