A 78-year old woman presents with worsening arthritic pain. What factors are contributing to her pain and what are the management options?
RACGP for 2 (Category 2) pointsToggle information
This activity has been accredited for 2 (Category 2) points in the RACGP QI & CPD Program for the 2017–2019 triennium (activity number 92258).
ACRRM for 1 Core point for GPsToggle information
This activity has been accredited by ACRRM for 1 Core point in the ACRRM PD Program for the 2017–2019 triennium (ACRRM ID: 9088).
- Recognised for the Practice Incentives Program Quality Prescribing Incentive (PIP QPI)
In this case study you will meet Pina, a 78-year-old woman who is experiencing worsening arthritic pain. She is finding it increasingly difficult to cope with the pain, especially as she lives alone.
What factors do you think are contributing to Pina's pain and what management options would you recommend? How can you apply a biopsychosocial model of care to help manage Pina's pain? Where do opioids fit into the overall approach?
Complete this case study at your convenience on the device of your choice (computer, tablet or smartphone). Receive instant feedback, compare your approach to that of your peers and read expert commentary provided by leading pain specialist Dr Newman Harris.
By completing this case study you will be able to:
- Implement a systematic approach to managing chronic non-cancer pain.
- Discuss pain management goals with patients experiencing chronic pain.
- Identify contributing factors (yellow flags) to chronic non-cancer pain.
- Recognise and support patients with chronic non-cancer pain in whom a trial of opioid therapy may be beneficial.
- List adverse effects associated with long-term opioid therapy.