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.
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Harold: Trauma Pain
Keywords: Acute, Adult, Chest/Breast, Depression, Generalized, Head/Neck, Leg, Trauma
Interprofessional Management of Acute to Chronic Leg Pain
CA is a 48-year-old female patient who is status post left total knee replacement arthroplasty under a general anesthetic. Patient controlled analgesia was initiated in the post-anesthesia care unit. After transfer to the regular ward, the patient complains of worsening acute post-surgical pain coupled with chronic pain from inflammatory degenerative joint disease.
Keywords: Acute, Adult, Chronic, Depression, Joint, Leg, Musculoskeletal, Post-Surgical
Marty: Perioperative Pain Management
Marty James is a 55-year-old African American female with a 10 year history of left knee pain.
Keywords: Acute, Anxiety, Chronic, Depression, Joint, Leg, Middle Age, Musculoskeletal, Post-Surgical
Mildred: An Older Adult with Persistent Knee Pain and Dementia
Mildred is 83 years old and suffers from chronic, constant knee pain that prevents her from doing things around the house. She recently moved next door to her son so he can provide the extra help she needs with grocery shopping, cooking, and doing heavier housework. An x-ray of her knee displays moderate to severe knee osteoarthritis.
Keywords: Chronic, Dementia, Joint, Leg, Musculoskeletal, Older Adult, Rheumatic/Fibromyalgia
Mrs. Wright: Opioid Conversion in Medically Complex Patients
The module follows Mrs. Wright, a 65-year-old woman with a past medical history that includes chronic low back pain, anxiety, hypertension, diabetes and chronic kidney disease.
Keywords: Acute, Anxiety, Diabetes, Hypertension, Leg, Older Adult, Post-Surgical
Mrs. Wright: Opioid Use Risk and Risk Mitigation
The module follows Mrs. Wright, a 65-year-old woman with a past medical history that includes chronic low back pain, anxiety, hypertension, diabetes and chronic kidney disease. Mrs. Wright has been admitted to the hospital for repair of a broken ankle. You, the learner, will assist the orthopedic and pain teams with her care.
Keywords: Acute, Anxiety, Diabetes, Hypertension, Leg, Older Adult, Post-Surgical
Peter James: A Veteran with Phantom Limb Pain
Peter James is a 49-year-old veteran with phantom limb pain. While in the reserves he was injured by an IED in Afghanistan. His lower left leg was amputated at Walter Reed. He wants to better control his phantom limb pain so he can take on a farm management opportunity.
Keywords: Anxiety, Chronic, Depression, Leg, Middle Age, Neuropathic, Peripheral Neuropathies