Abstract
The intent of the current article is to highlight via a case vignette challenges faced when managing pain across care transitions in an older adult with multiple comorbidities, including, but not limited to, opioid use disorder (OUD). This case will highlight the role of different medications for OUD, namely buprenorphine/naloxone, methadone, and naltrexone. Furthermore, the case illustrates medication-related considerations in addition to action steps that are needed when working with older adults. [
Journal of Gerontological Nursing, 48
(7), 4–9.]
Subject
Gerontology,General Nursing
Reference29 articles.
1. Renal impairment: a challenge for opioid treatment? The role of buprenorphine
2. Centers for Disease Control and Prevention. (2016). CDC guideline for prescribing opioids for chronic pain–United States, 2016. https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm
3. Buprenorphine Pharmacology Review: Update on Transmucosal and Long-acting Formulations
4. Screening for and Management of Opioid Use Disorder in Older Adults in Primary Care
5. Federal Register. (2021).Practice guidelines for the administration of buprenorphine for treating opioid use disorder. https://www.federalregister.gov/documents/2021/04/28/2021-08961/practice-guidelines-for-the-administration-of-buprenorphine-for-treating-opioid-use-disorder