How do you handle patients who have a history of chronic pain or opioid dependence?

Sample interview questions: How do you handle patients who have a history of chronic pain or opioid dependence?

Sample answer:

Patient Assessment and Evaluation

• Conduct a thorough medical history to understand the nature, duration, and severity of chronic pain or opioid dependence.
• Assess the patient’s current medication regimen, including opioids and other pain relievers.
• Evaluate the patient’s mental health status and any history of substance abuse disorders.

Collaborative Care Planning

• Collaborate with the patient’s primary healthcare provider and pain management specialist to develop an individualized care plan.
• Establish clear goals for pain management, opioid reduction, and functional improvement.
• Discuss the risks and benefits of various treatment options with the patient.

Anesthetic Management

• Consider non-opioid pain management techniques such as regional anesthesia, nerve blocks, and multimodal pain therapy.
• Use opioids cautiously and in combination with other medications to minimize the risk of respiratory depression and addiction.
• Monitor the patient closely for signs of opioid tolerance, dependence, and withdrawal.

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