Opioid Use Disorder Case Study

What was Patient E originally prescribed opioids for?

What substance did Patient E start using after prescription opioids?

What emergency treatment did Patient E receive after two overdoses?

What two forms of therapy are discussed with Patient E for his opioid use disorder?

What was Patient E's response to methadone maintenance?

After what timeframe did Patient E experience a relapse following detoxification?

What long-term treatment approach did Patient E decide on after his relapse?

What key factor did the clinician emphasize about opioid use disorder?

Case Study of Patient E

Patient E, 54, has active opioid use disorder
Began using prescription opioids for back pain after serving in the infantry
Eventually left military service and is now a construction worker
Used heroin for 3 years, likely synthetic fentanyl
Experienced two accidental overdoses requiring naloxone
Diagnosed with opioid use disorder, residual chronic back pain, and opioid cravings
Refused methadone maintenance due to daily dosing requirement and safety concerns related to machinery operation
Partner received education on naloxone use
Successfully completed 12-step meetings and detoxification within 5 days
Experienced relapse after 6 weeks, revived with naloxone
Enrolled in buprenorphine/naloxone therapy, aiming for monthly injections
Advised of the importance of continuous counseling and understanding of potential relapses
Importance of the biologic basis and lack of judgement surrounding substance use disorder was stressed
Patient continues with 12 step meetings, individual therapy, and physical therapy for back pain
Continued need of naloxone nasal spray for emergency use stressed during follow-up appointments

This case study explores the journey of Patient E, a 54-year-old construction worker struggling with opioid use disorder. It highlights the patient's history, treatment challenges, and the importance of ongoing counseling and understanding substance use disorders. A focus is placed on the biologic basis of addiction and relapse prevention.