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You are a case manager making a home visit to a patient who was discharged after having a stroke and falling. This fall caused a hip fracture and the patient still has significant pain, but you believe that he should be able to begin more ambulation. You review the charting by the visiting nurse indicating that he is taking narcotic pain medication several times a day. As you begin your assessment, the patient complains of excessive pain and wishes to stop the ambulation exercises you are doing with him. You determine that he is having significant pain and ask him if he thinks that he needs more of his prescription pain medicine. He says, "I haven't taken any pain medicine since last week except Tylenol. That's all the nurse says I need." By your assessment, the patient is clear, aware, and not forgetful. You then examine all his medications and find there is no bottle of prescription meds for pain, only Tylenol.
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