The Pain Opioid Epidemic: Case Presentation

Why the Medical Case Presentation?

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The Medical Case Presentation is an essential framework for a focused disciplined approach to addressing medical problems. Healthcare professionals use the Medical Case Presentation to identify, analyze, develop, implement and monitor a solution based “treatment plan” for medical problems. When used effectively, it allows healthcare professionals to communicate and share information among varied clinical disciplines to develop testable hypotheses for simple and complex problems. The framework allows for clearly identifying problems and providing objective data to support the diagnosis and “treatment plan.” The Medical Case Presentation is uniquely positioned to address systematic changes over time. Through progress notes addressing specific problems, we’ll be able to adapt to new issues to clearly identify problems and potential solutions.


The Medical Case Presentation offers a framework to address the challenges of the United States, in confronting our political and financial problems. The challenges of The Opioid Epidemic and the related Epidemic of Chronic Pain are addressed. The process is used to translate symptoms of these challenges into the best solutions based on existing information. The treatment plan is most effective when the problems addressed are clearly defined, reliable and relevant data is provided, a problem list is generated, alternatives for action discussed and the plan offers actions to address short and long term challenges.

The treatment plan of the Medical Case Presentation offers a comprehensive, multi-prong, multistage action plan that is​​ divided into immediate, short and long term actions. The treatment plan format allows us to engage in a healthy deliberative political process toward our vision:

By September 2022, every individual who experiences pain (acute and chronic) has access to and is able to receive evidence based, best practice informed treatment that improves their well-being in outcomes that matter for them.

By September 2022 there are no reported deaths of opioid overdose, serious medical harm associated with opioid use are reported in the US.

By September 2022 the official approach to opioid addiction and dependence is informed by a public health related then criminal justice approach.

By March 2022 individuals suffering with opioid use disorders have access to affordable, evidence based treatment.

We believe that together, following a treatment plan, we can solve the Pain Opioid Epidemic and build a system that we can be proud of, and change the political culture that has been so destructive.

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Components of the Case Presentation to explore and address the Opioid-Pain Ecosystem in the United States and provide a treatment plan for the related challenges of pain management, opioid use, dependence, addiction, abuse, overdose and the "War on Drugs" and its consequences.

Identifying Information: This identifying information section provides identifying information of the problem (person/ system/challenge/ symptom) that is the subject of the case presentation.

Chief Complaint: The chief complaint section describes the problem to be addresses in a brief concise manner. Usually it reflects what the patient is stating as their problem.

Presenting Problem: The history of present condition section addresses the problem in more detail providing a timeline and associated systems and impact of the problem presented.

History of the Present Condition: The history of present condition section addresses the problem in more detail providing a timeline and associated systems and impact of the problem presented.

Current Treatment: The current treatment section will be used to describe the various plans that are currently used to address the problem.

Current Services: The examination of current services section will provide data that is associated with the functioning of the Pain and Opioid use related services .

Past Treatment: The prior treatment and response by problem section will highlight prior efforts addressing the challenges of pain and opioid Use related issues.

Review of Systems: The review of systems section will examine the various stakeholders, and describe their interests, motivation, resources and prior input into addressing the challenge of opioid use.

Data: The data section will provide data that is associated with the various aspects of the Pain Opioid Epidemic and the "War on Drugs"

Problem List: The problem list section will review the problems identified and will discuss their importance for reform.

Differential Diagnosis, Assessment and Discussion: The differential diagnosis section reviews the various general categories that impact addressing the challenge of opioid use.

Treatment Plan: The treatment plan section describes the process we will utilize to achieve our mission, listing goals and clearly defined milestones toward our vision.

Outcomes and Monitoring: Periodic follow up to assess the status and adjust the treatment plan.

More about the Medical Case Presentation

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