What is the treatment for pseudoaddiction?
A. Discharge your patient from the practice secondary to drug seeking behavior
B. The patient has demonstrated a genetic tendency for addition and should be monitored carefully
C. To redesign the analgesic regimen so that analgesics are provided at an appropriate dose and dosing interval
D. To call a family intervention and address the problem from a psychosocial protocol
E. Taper the patient off of their current pain medication and change to a different analgesic
Answer: C
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Biomechanics
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- A 54-year-old male construction worker has had low back pain for about two months. He has had previous episodes of low back pain. Now, the pain is more intense than it was on prior episodes and seems to be getting worse rather than improving over time. He does remember lifting very heavy steel beams and the pain is now unbearable. He complains of numbness in both legs and across his buttocks. He is embarrassed to report that he was incontinent of urine and stool this morning. You should plan on:
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- What are the 4 A's for pain management?
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- A 56-year-old female with a known history of seropositive rheumatoid arthritis maintained on etanercept injections presents complaining of right knee pain and swelling for two days. She has been in good health otherwise and denies fevers and chills. She reports stiffness in the right knee that lasts for longer than 1 hour. Her other joints are doing well. You perform an arthrocentesis and remove 30cc of clear fluid. You send the sample to the lab, and 24 hours later no organisms are seen. The patient follows up later that day. The best course of management for this patient is:
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