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Pages:
2 pages/β‰ˆ550 words
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3 Sources
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Other
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
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MS Word
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Topic:

SL Buprenorphine-Naloxone Treatment

Case Study Instructions:

1)      Given the information above, what is your assessment of whether SL Buprenorphine-Naloxone is a suitable intervention for Peter at this point? Please justify your answer, and list additional information you think will be helpful in treating Peter at this point.

2)      Assume you are one of the PMHNPs with a DEA Waiver at the office-based multidisciplinary mental health clinic and initiate home-based SL Buprenorphine-Naloxone treatment for Peter. Please describe detailed plans (dose, interval, assessment, education and clinical agreements, adjuncts if there are any) for the first seven days of the treatment, with special attention to avoiding precipitated withdrawal in the process.

Case Study Sample Content Preview:

Case Study
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Part 1
22-year-old Caucasian male Peter is currently being treated with buprenorphine/naloxone, which is sold worldwide under the brand name Suboxone. It is actually a combination medication that consists of naloxone and buprenorphine. At this stage, I think buprenorphine/naloxone is suitable for Peter and doctors should carry on with this treatment option. Besides its benefits, the side effects should not be forgotten, which include breathing problems, restlessness, sleepiness, low blood pressure, and stomach problems. It does not look like Peter has any of these problems, which is a plus point since buprenorphine/naloxone will help him get rid of addiction in next few weeks or months if he acts upon the advice of his physician and does not tell a lie to them regarding his day-to-day activities.
While dealing with the patient, the doctor should make him understand that the excessive use of buprenorphine or naloxone may cause problems for him in the long run. At the lower dose, buprenorphine/naloxone results in significant effects. According to M. Killias, injecting buprenorphine/naloxone is dangerous for a person who has been using heroin, methadone or morphine for quite a long time, which means Peter should not think of injecting it on his own. Instead, he should always seek the help of the doctor in order to be ensured of health (Killias, 2009).
At this point, Peter can also be treated with detoxification and residential treatment. Getting the patient off drugs with detoxification has now been possible. During detox, the alcohol or drug is flushed out of the body under the supervision of health experts. Similarly, Peter can be encouraged to attend the residential tre...
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