A Healthesystems publication

Spring 2014

At A Crossroads in Pain Management

A physician followed an opioid tapering plan to reduce an injured worker’s morphine equivalent dose (MED) by 50 percent. He is at a crossroads in his efforts to reduce MED further because alternative therapies are needed. 

Case Scenario Background: Dr. Jones inherited Patient X six months ago when the patient moved to a new community. The patient had suffered a shoulder and neck strain at work two years ago and continues to experience radiating pain. Her drug regimen includes multiple opioids and a muscle relaxant. The patient became clinically depressed and psychiatric drugs were added to her drug therapy; however, she did not take them regularly and her depression worsened.

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1 -2014 Healthesystems proprietary database.
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