History of opioid dependence

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Question

The patient is a 48-year-old female with a history of opioid dependence, currently prescribed Suboxone at a dosage of 8 mg twice daily. She was seen for a follow-up appointment. The patient is alert and oriented to person, place, time, and situation, and she is ambulatory using a wheelchair. Her general appearance was noted to be unkempt, and she has a history of osteomyelitis. The primary concern expressed by the patient is very poor sleep, which she attributes to persistent pain in her knees particularly the right knee as well as discomfort in her lower back. She describes the pain as achy, rated at 8 out of 10. Additionally, the patient reports an increase in anxiety levels, cravings, and an increased appetite. These symptoms have led her to request a knee brace to potentially alleviate pressure and provide support for her right knee. The patient's concerns, particularly regarding her poor sleep and heightened anxiety, indicate that her pain is significantly impacting her quality of life and daily functioning. Continuing to monitor the patient's mental health, along with implementing supportive interventions to enhance her sleep quality, will be integral to her care plan.

Reference no: EM133873727

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