Substance Abuse Problem and Medical History

Substance Abuse Problem and Medical History Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning.

Substance Abuse Problem and Medical History
Substance Abuse Problem and Medical History

Support your answers with examples and research and cite your research using APA format.

Substance Abuse Problem and Medical History

Howard is a 24-year-old male who presents to the clinic his wife for what he states is severe lower back pain. He states the pain is so bad that he rates it as a ì50 out of 10.î He also tells you that due to a past medical history of an ulcer, he cannot take any medications ìlike Motrin.î He states that the pain is from a car accident in 2012 and that it flairs up and he needs pain medications. He also tells you that he has a high pain tolerance and that when he gets pain meds he requires the higher doses.

SELECT DISCUSSION 3 OR 4

Discussion 3

You are concerned that this patient may have a substance abuse problem.

What screening testing is available for you to use that is reliable and valid?

What strategies would you suggest for this patient if he was found to have a problem?

What type of referrals would you make?

Discussion 4

After some investigating, you find that Howard actually is seeing a pain specialist who has given him epidural injections and prescribes medication for him.

How does that impact any intervention that you may consider?

What other pharmacological options could you offer him?

What nonpharmacological options could you suggest?

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