1. The patient is a 58-year-old woman with chronic pain due to inflammatory arthritis. She presents for her first appointment with The patient is a 58-year-old woman with chronic pain due to inflammatory arthritis you in a primary care office. She states that she is aware that she is asking for an early refill of her Oxycontin however she is traveling out of state and she is concerned that she may have a flare-up on her trip.
2. The patient is a 24-year-old man brought to your clinic by his family for an evaluation. The patient states that he is struggling with prescription pain pills and wants help. He appears to be in opioid withdrawal; he describes anorexia and diarrhea, he is yawning and sweating upon examination. He scores 15 on the Clinical Opioid Withdrawal Scale (COWS), indicating moderate withdrawal.