Opioid Refugee Squatting in SNF; Refuses Discharge

Situation: 56 year old morbidly obese female with bilateral hip AVN status post bilateral THA with multiple medical comorbidities (RA, COPD, DM, HTN, and Crohn;s disease) admitted to SNF for post-acute care rehabilitation. Post-op course complicated by DVT and difficult to control pain. Acute care hospitalist RX's FNT TD 150 mcg/hr and oxycodone 30 mg Q 4 hrs PRN BTP prior to transfer to SNF. POD #21 patient now ready for DC to apartment with home health. Background: You... Opioid Refugee Squatting in SNF; Refuses Discharge
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums