What concerns would the provider have with keeping patient

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Reference no: EM133734926

Problem

Phyllis is a 43-year-old divorced female with a history of traumatic brain injury secondary to a motor vehicle accident at the age of 28 initially presented with pain in her neck and shoulder, rated 8/10 on the visual analogue scale (VAS). The pain was alleviated by heat and massage and aggravated by increased activity and sleep. A regimen of long-acting morphine and immediate release (total = 160 morphine equivalents daily) reduced her pain to 4/10 on the VAS. To further reduce her pain, she started on medical cannabis (1:2 tetrahydrocannabinol [THC]: cannabidiol [CBD] ratio) at 2.5 mg THC daily using a vaping system. This regimen further reduced her pain to 2/10. Should she be weaned off the opioid narcotics? If so, why? If not, why not? What concerns would the provider have with keeping the patient on medical cannabis? What are the next steps if the patient's pain increased to 4/10 again?

Reference no: EM133734926

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