A team-based approach to Mr. Tatum’s care will promote improved pain management and support during this acute stress while helping her maintain her recovery from OUD.
Medical Clinician/Dentist
Diagnose and treat injury, monitor medication responses, and refine plan.
Addiction Specialist and Recovery Coach Consultations
Often not available in all settings; psychiatry, nursing and social work services may also assist
- Facilitate transition to home buprenorphine/naloxone dose and community-based team care
- Address anxiety about risk of recurrent use and support continued recovery
- Include review of protective/risk factors for recurrent use and self-harm/violence
- Keep informed of discharge plan and follow-up needed
Social Work Involvement
To strengthen supports, help with problem solving.
- Facilitate transition on discharge with community-based resources
Nurse/Case Manager
For communication and coordination of services
- Facilitate a unified patient-centered team plan acceptable to patient
- Post-discharge care plan
- Provide patient education and counseling
- Aid in monitoring the safety/efficacy of the plan
Spiritual Care
To promote comfort and support and present a less distressing view of current challenges.
Pharmacy
To collaborate with care team to identify medication-related problems, make recommendations as needed, monitor therapy, answer medication questions, serve as a resource for patient education, and ensure access to treatment during hospitalization and upon discharge.
Other team members as appropriate
E.G.: Physical Therapy, Speech-Language Pathology, Nutrition, etc.