Excessive opioid use

David Ball, a 45-year-old male, is currently taking hydromorphone (Dilaudid) 4mg PO QID for chronic pain from fibromyalgia. 

Preparing the Collaboration Café

Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.

General Instructions

Step 1: Review your assigned client scenario below. Your assigned client is based on the first letter of your last name in the chart below. The scenarios below depict inappropriate or excessive opioid use. 

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.  

Step 4: Reply to peers with different assigned clients.

Include the following sections:

I.
Application of Course Knowledge: 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 

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 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.