Paedic Clinic Case

Improved Essays
ii. Scenario B. The observed and predicted concentrations do not match. This supports that the patient was not taking BNX-F as prescribed. If skipped doses are recorded, reasons should be investigated. A commonly reported reason for not taking medications is ‘forgetfulness’. Further discussion on the circumstances around this event and how it can be avoided is done. If no skipped doses are recorded and the patient reports taking the medication as prescribed, the PI reviews the medication diary and inquires on any new medication used. In case no new medications were used know to have significant drug interactions affecting the BUP serum concentrations, the PI informs the patient that this is not a regular situation and encourages him to remember …show more content…
What went well? What was challenging?
Did you experience any difficulties completing your diaries? Are you taking your medication as we discussed?” If the patient reports problems with taking the medication; the PI/Investigator will further question: “What were the circumstances? Were any problems related to the time of taking the medication? Let us work together considering another option to take your medication. If we find the right strategies, learning to take your medication can be an easier goal to help you achieve recovery faster”. If the patient reports no problems with taking the medication and is abstinent... “Congratulations on your success. You are demonstrating the expected responsibility, and determination to change. Your great progress toward your recovery is actually reflected on your assessments”
“Tell me how you were able to make this achievement?” If the patient is non abstinent….
“What were the circumstances? How could it have been avoided? We will need to keep trying and reinforce your abilities to manage. You have gone a good way so far and the road to recovery is not easy. To get you back on track, you will be initially attending a 5-day
…show more content…
11.8.1.3.4.1. Outcome I. The patient is abstinent and adherent to Suboxone® Many patients will adhere to treatment and remain abstinent. This is achieved at different stages in treatment. When the patient achieves this, the PI/Investigator: i. Praises and complement the patient’s ability to adhere to treatment and maintain abstinence. Discuss how most patients experience difficulty doing so. Ask the patient how he managed to do it so well. ii. Discusses common mistakes, such as when people drop treatment once they feel better. Reinforce the fact that completing treatment as prescribed for at-least 6 months recovery is more likely to continue. Moreover, explain that when recovery has progressed, these sessions serve as
“boosters and vaccines” to maintain recovery. iii. Discusses the patient goals and how promoting recovery would facilitate achieving such goals iv. Concludes sessions with positive

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