Opioid Stewardship in Multimorbidity: Balancing Pain, Function, and Polypharmacy ___________________
19. Which action exemplifies the clinical pharmacist’s role in interprofessional opioid stewardship for multimorbid patients? A) Conduct comprehensive medication reviews, recommend renal/hepatic dose adjustments, coordinate deprescribing, and provide medication education. B) Order and interpret imaging for back pain and manage structural findings as the lead clinician. C) Provide psychotherapy as the primary behavioral health provider and bill independently for counseling. D) Independently prescribe and titrate opioids without collaboration or oversight from a prescriber.
20. A patient with chronic pain, depression, and insomnia resists tapering opioids. Within an integrated, biopsychosocial approach, which
service should be embedded to address pain beliefs, readiness to change, sleep, and potential misuse? A) Add a benzodiazepine nightly for insomnia to enhance function and reduce anxiety. B) Increase the opioid dose to target minimal pain scores in hopes of improving mood and sleep. C) Switch to meperidine to avoid tolerance and use it as a long-term maintenance analgesic. D) Behavioral health integration offering CBT for pain, motivational interviewing, substance use assessment, and sleep hygiene counseling.
Course Code: MDNJ01ST
20
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