NR565 Week 3: Collaboration Café CPGs Related to Opioid Prescribing

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Course

 NR565 Advanced Pharmacology Fundamentals

Preparing the Collaboration Café

Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.

General Instructions

Step 1: Review your assigned client scenario below. Your assigned client is based on the first letter of your last name in the chart below. The scenarios below depict inappropriate or excessive opioid use.

Last NameClient from Week 3 Lesson
A – EDavid Ball, a 45-year-old male, is currently taking hydromorphone (Dilaudid) 4mg PO QID for chronic pain from fibromyalgia.
F – JTerrence Brown, a 71-year-old male, is currently taking oxycodone 10mg/acetaminophen 325mg (Percocet) QID for neuropathic pain from diabetic peripheral neuropathy.
K – NGeraldine Marzec, a 60-year-old female, is currently taking oxycodone ER (OxyContin) 20mg PO BID for chronic low back pain from an old injury.
O – RBola Ogunwande, a 31-year-old female, is currently taking oxymorphone ER 5mg PO QID for migraines.
S – VLe Chin, a 54-year-old male, is currently taking morphine sulfate (MS Contin) 30mg PO TID for dental pain.
W – ZMarianne Rubenstein, an 80-year-old female, is currently taking hydrocodone 10mg/acetaminophen 325mg (Norco) PO QID for osteoarthritis.

Step 2: Review the client’s case and CDC’s (2022) CPG related to opioid prescribing. You can use the Ctrl F function on your keyboard to assist in your review of the CPG to help find keywords.

Step 3: Analyze and critique your assigned case and answer the prompts below with explanation and detail, providing complete references for all citations.

Step 4: Reply to peers with different assigned clients.

Include the following sections:

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Introduce your client, their situation, and their medication regimen. Calculate and describe your client’s daily morphine milligram equivalents (MME). Provide your calculations and a rationale for your answer. Refer to this linkLinks to an external site. Open this document with ReadSpeaker docReader for reference.
    2. Discuss how your client’s daily MME falls above or below the threshold for additional consideration. How do you know?
    3. Consider the need for additional considerations given the total MME, the limited information available in the case, and the risks for overdose. What other consultations, prescriptions, and education may be required given their current individual circumstances and medications?
    4. Consider the appropriateness of your client’s medication regimen. According to the CPG, what other prescriptions may be more appropriate for their individual circumstances? If no change is needed or warranted according to the CPG, state that with support from the CPG.

SOLUTION

Introduce your client, their situation, and their medication regimen. Calculate and describe your client’s daily morphine milligram equivalents (MME). Provide your calculations and a rationale for your answer.

David Ball is a 45-year-old male who has a diagnosis of chronic pain related to fibromyalgia.  He is currently taking 4mg of Dilaudid, four times a day, orally.  Dave’s daily MME is 80.0 MME/day.  He takes 4mg, four times a day which is a total of 16mg of Dilaudid daily.  The MME conversion factor is 5.  16mg per day, multiplied by the conversion factor of 5 is equivalent to 80.0 MME/day.…..Please click the icon below to access the solution.