Bola Ogunwande, a 31-year-old female, is currently taking oxymorphone ER (Opana) 5mg PO QID for migraines.
General Instructions:
Step 1: Review your assigned client scenario below. The scenario below depict inappropriate or excessive opioid use.
Client scenario: Bola Ogunwande, a 31-year-old female, is currently taking oxymorphone ER (Opana) 5mg PO QID for migraines.
Step 2: Review the client’s case and CDC’s (2022) CPG related to opioid prescribing. You can use the Ctrl F function on your keyboard to assist in your review of the CPG to help find keywords.
Step 3: Analyze and critique your assigned case and answer the prompts below with explanation and detail, providing complete references for all citations.
Include the following sections:
• Answer all questions/criteria with explanations and detail.
1. Introduce your client, their situation, and their medication regimen. Calculate and describe your client’s daily morphine milligram equivalents (MME). Provide your calculations and a rationale for your answer. Refer to the attached opioids clinical practice guidelines for reference.
2. Discuss how your client’s daily MME falls above or below the threshold for additional consideration. How do you know?
3. Consider the need for additional considerations given the total MME, the limited information available in the case, and the risks for overdose. What other consultations, prescriptions, and education may be required given their current individual circumstances and medications?
4. Consider the appropriateness of your client’s medication regimen. According to the CPG, what other prescriptions may be more appropriate for their individual circumstances? If no change is needed or warranted according to the CPG, state that with support from the CPG.
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