What do you think of this verbiage??

From PCP referral paperwork...Patient takes oxycodone 15 mg TID, works at gas station. Family hx of alcoholism. Single mom. Also has fibro. How do you appraise the providers medical decision making to refer a patient who declines pain management to a pain clinic? Is this patient-centered care with justifiable shared decision making? Would the patient attest to receiving "high value," quadruple aim care responsive to her personalized needs? What's your next move? View attachment 226579
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums