Medical Student 8 Hour Buprenorphine Training-Session 4: Patient Evaluation

Video Transcription

Video Summary

In this video, Dr. Kelly Fedorio discusses the evaluation of patients with opioid use disorder and the importance of building a therapeutic alliance with the patient. She emphasizes the need for healthcare providers to maintain a nonjudgmental attitude and to remain empathic towards the patient's suffering. Dr. Fedorio highlights the importance of using non-stigmatizing language and maintaining patient confidentiality while also prioritizing patient safety. <br /><br />She discusses the comprehensive assessment of patients, including obtaining a medical and psychiatric history, reviewing physical evidence of disease, and seeking collateral information from other providers. The video also mentions the importance of using screening tools to assess for underlying substance use and psychiatric problems. Dr. Fedorio explains the significance of conducting a physical examination to identify signs of current opioid use or withdrawal.<br /><br />The video discusses the treatment options available for patients with opioid use disorder, including buprenorphine, naltrexone, and methadone. Dr. Fedorio emphasizes the need for patients to understand the appropriate use of medications and the potential risks associated with alcohol and other drugs. She also mentions the importance of monitoring patients through urine drug screens and pill counts to reduce the risk of diversion.<br /><br />Lastly, Dr. Fedorio talks about the importance of establishing a treatment agreement with the patient and involving the entire healthcare team in providing effective care. She concludes by highlighting the need for ongoing support and monitoring to ensure successful treatment outcomes.

Keywords

opioid use disorder

therapeutic alliance

comprehensive assessment

treatment options

monitoring

patient safety

substance use