How do you approach and manage patients’ pain and symptom management needs when they have a history of substance abuse or addiction?

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Sample interview questions: How do you approach and manage patients’ pain and symptom management needs when they have a history of substance abuse or addiction?

Sample answer:

  1. Establish Trust and Open Communication:
  2. Approach the patient with empathy, understanding, and without judgment.
  3. Build rapport by actively listening, showing genuine concern, and respecting their autonomy.
  4. Collaborate with the patient to establish realistic pain and symptom management goals.
  5. Acknowledge and address any fears, concerns, or misconceptions they may have about pain management.

  6. Comprehensive Assessment:

  7. Conduct a thorough pain and symptom assessment, including:
    • Type, location, intensity, and duration of pain.
    • Associated symptoms (e.g., nausea, vomiting, constipation).
    • Current and past substance abuse history, including substances used, patterns of use, and duration.
    • Comorbid conditions and their impact on pain management.
  8. Document the assessment findings and regularly monitor changes in pain and symptom severity.

  9. Individualized Treatment Plan:

  10. Develop a comprehensive treatment plan tailored to the patient’s unique needs, preferences, and goals.
  11. Consider non-pharmacological pain management strategies, such as relaxation techniques, massage, music therapy, or guided imagery.
  12. For pharmacological pain management, select medications carefully, considering their potential for misuse or addiction.
  13. Start with low doses and titrate up gradually to minimize the risk of side effects and potential diversion.

  14. Medication Management:

  15. Monitor medication use closely for efficacy, side effects, and signs of misuse or diversion.
  16. Educate the patient about the safe use and storage of prescribed medic… Read full answer

    Source: https://hireabo.com/job/2_0_21/Hospice%20Nurse

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