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NR 603 Artifact 3, NR 603: Advanced Clinical Diagnosis, and Practice Across the Lifespan, Chamberlain CA$18.14   Add to cart

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NR 603 Artifact 3, NR 603: Advanced Clinical Diagnosis, and Practice Across the Lifespan, Chamberlain

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NR 603 Artifact 3, NR 603: Advanced Clinical Diagnosis, and Practice Across the Lifespan, Chamberlain

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  • May 24, 2023
  • 13
  • 2022/2023
  • Exam (elaborations)
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NR 603 Artifact 3
NR 603: Advanced Clinical Diagnosis and
Practice Across the Lifespan

, 1.The patient is a 58-year-old woman with chronic pain due to

inflammatory arthritis. She presents for her first appointment with

you in a primary care office. She states that she is aware that she is

asking for an early refill of her Oxycontin however she is traveling out

of state, and she is concerned that she may have a flare-up on her

trip.


Apply the steps in SBIRT to this scenario


Screening, Brief Intervention, and Referral to Treatment (SBIRT) are used to

identify and deliver services to those at risk for substance use disorders,

depression, and other mental health conditions (Hargraves et al., 2017).

SBIRT is an effective tool that can be used to empower primary care

providers to help identify and treat patients with substance use and mental

health problems before costly symptoms emerge (Hargraves et al., 2017).

As primary care providers, we can identify and intervene early (Hargraves et

al., 2017). Educating the patient on the risk of opioid addiction will be

important in this scenario. Up to 25 percent of patients receiving long-term

opioid therapy in a primary care setting struggle with addiction (Torres et

al., 2017). Determining if patients have been exposed to narcotics in the

past and whether they have developed a tolerance for narcotics is helpful in

establishing a patient/provider relationship with trust, as well as determines

the potential for abuse, and or misuse, or overdose (Torres et al., 2017).

Using a Drug Screening Questionnaire (DAST) can help determine if the

patient would benefit from a reduction, education, or referral to receive

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