A 53-year-old male presents to you with a 4-week history of low back pain. He does not have an identified traumatic event. He requests something for pain. He has a history of alcohol abuse but has abstained for 5 years. He has a 25-pack-year smoking history and is a current smoker. He takes fluoxetine 20 mg pod daily for depression. How would you use the Opioid Risk Tool resource to determine his risk for opioid abuse? How would you counsel him regarding treating his pain? Support your response with a minimum of two APRN-approved scholarly resources
A 53-year-old male presents to you with a 4-week history of low back pain. He does not have an identified traumatic event. He requests something for pain. He has history of alcohol abuse but has abstained for 5 years. He has a 25-pack-year smoking history and is a current smoker. He takes fluoxetine 20 mg pod daily for depression. How would you use the Opioid Risk Tool resource to determine his risk for opioid abuse? How would you counsel him regarding treating his pain? Support your response with a minimum of two APRN-approved scholarly resources
The Opioid Risk Tool (ORT) characterizes a concise, self-report screening tool developed to be used by adult patients in healthcare settings to examine the risk of opioid abuse in people managing chronic pain using prescribed opioids. According to Cheatle et al., (2019), ORT has a clinical value in providing healthcare professionals a simple, validated technique to quickly screen for the risk of opioid or to be qualified for opioid therapy. The administration and scoring of ORT are almost instant and the tool has been validated for both male and female patients. However, the tool cannot be used in non-pain populations. In the present case, the patient qualifies to be assessed using ORT because he presents with complaints of a 4-week history of low back pain. The ORT should be administered after the initial visit before the patient is initiated on opioid therapy for pain control. A score of three and below shows the minimal risk of future abuse of opioids. A score ranging between four and seven shows a moderate risk of abusing opioids and a score of eight and above shows higher chances of opioid abuse (Cheatle et al., 2019).
ORDER A PLAGIARISM-FREE PAPER HERE ON;A 53-year-old male presents to you with a 4-week history of low back pain. He does not have an identified traumatic event. He requests something for pain. He has a history of alcohol abuse but has abstained for 5 years. He has a 25-pack-year smoking history and is a current smoker. He takes fluoxetine 20 mg pod daily for depression. How would you use the Opioid Risk Tool resource to determine his risk for opioid abuse? How would you counsel him regarding treating his pain? Support your response with a minimum of two APRN-approved scholarly resources
Nurses play a vital role in counseling patients with pain. In the present case, the first step in counseling the patient is to examine the patient and take a health history and the pain of the history. The patient is expected to comply and provide all the details about pain, including injuries he ever suffered (Wong, et al., 2021). After taking the pain history and the nurse establishes that the low back pain is caused by strain or muscle pain, the patient will be advised to relax for while and avoid heavy lifting and arduous activity. Moreover, some pain medications can be recommended. Once the patient feels better, a nurse may teach him particular exercises to assist in strengthening muscles that support the patient’s back. The proposed activities may include walking, swimming, or other aerobics with low impact. If the pain persists, the nurse may recommend other tests or physical therapist.
References
Cheatle, M. D., Compton, P. A., Dhingra, L., Wasser, T. E., & O’Brien, C. P. (2019). Development of the revised opioid risk tool to predict opioid use disorder in patients with chronic nonmalignant pain. The journal of pain, 20(7), 842-851. https://doi.org/10.1016/j.jpain.2019.01.011
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A 53-year-old male presents to you with a 4-week history of low back pain. He does not have an identified traumatic event. He requests something for pain. He has a history of alcohol abuse but has abstained for 5 years. He has a 25-pack-year smoking history and is a current smoker. He takes fluoxetine 20 mg pod daily for depression. How would you use the Opioid Risk Tool resource to determine his risk for opioid abuse? How would you counsel him regarding treating his pain? Support your response with a minimum of two APRN-approved scholarly resources
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Wong, A. Y., Chan, L. L., Lo, C. W., Chan, W. W., Lam, K. C., Bao, J. C., … & Armijo‐Olivo, S. (2021). Prevalence/Incidence of Low Back Pain and Associated Risk Factors Among Nursing and Medical Students: A Systematic Review and Meta‐Analysis. PM&R, 13(11), 1266-1280. https://doi.org/10.1002/pmrj.12560
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A 53-year-old male presents to you with a 4-week history of low back pain. He does not have an identified traumatic event. He requests something for pain. He has history of alcohol abuse but has abstained for 5 years. He has a 25-pack-year smoking history and is a current smoker. He takes fluoxetine 20 mg pod daily for depression. How would you use the Opioid Risk Tool resource to determine his risk for opioid abuse? How would you counsel him regarding treating his pain? Support your response with a minimum of two APRN-approved scholarly resources.
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A 53-year-old male presents to you with a 4-week history of low back pain. He does not have an identified traumatic event. He requests something for pain. He has a history of alcohol abuse but has abstained for 5 years. He has a 25-pack-year smoking history and is a current smoker. He takes fluoxetine 20 mg pod daily for depression. How would you use the Opioid Risk Tool resource to determine his risk for opioid abuse? How would you counsel him regarding treating his pain? Support your response with a minimum of two APRN-approved scholarly resources
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