Episode 4: Fighting the Righting ReflexEpisode 4: Fighting the Righting Reflex
Compass Opioid Stewardship Clinical Cases
In this episode, Dr. Stader meets with Cindy, a fibromyalgia patient on longterm opioid therapy, to discuss decreasing her percocet following a DUI. Following the encounter, Dr. Barnett and Dr. Stader discuss the importance of pushing back...
18:29•13 Oct 2023
Patient Engagement: Avoiding the Writing Reflex in Opioid Therapy
Episode Overview
- Understanding the impact of the writing reflex in patient interactions
- The importance of engaging patients in the process of change
- Avoiding moralizing and maintaining a non-judgmental approach
- Exploring the complexities of motivational interviewing in clinical scenarios
- Empowering patients to state their own answers for better outcomes
“We're all good students, by the way. You don't get to medical school or through medical training, whether you're a PANP, without being smart and without being a person who likes to know the answers. But here, don't help people cheat. They have the answers within them and all we need to do is encourage them to state their own answers and we'll have much better effect.”
Imagine being a clinician faced with a patient on long-term opioid therapy who’s also grappling with a DUI. How do you approach the conversation without pushing them away? In this episode of the Compass Opioid Stewardship Clinical Cases podcast, Dr. Donald Stader and Dr. Rachel Duncan tackle this exact scenario. Through a role-play with Cindy, a fibromyalgia patient, they explore the delicate balance of guiding patients without falling into the trap of the 'writing reflex'—that urge to immediately offer solutions.
Dr. Stader and Dr. Peter Barnett then dive into why resisting this reflex is crucial for effective patient engagement and long-term success. They discuss strategies to build a therapeutic alliance, emphasizing the importance of listening and collaborating with patients rather than dictating terms. If you're a clinician aiming to improve your approach to opioid therapy, this episode offers practical advice and real-world examples that can make a significant difference in your practice.
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