Episode 9: A Positive UA - Principles of MI in PracticeEpisode 9: A Positive UA - Principles of MI in Practice
Compass Opioid Stewardship Clinical Cases
In this episode, Dr. Stader utilizes the principles of MI when navigating an encounter with Sam, a patient who just had a routine UA test positive for fentanyl, an opioid he is not prescribed. Dr. Barnett and Dr. Stader debrief the details of this...
24:06•13 Oct 2023
Mastering Difficult Conversations: Episode 9 of Compass Opioid Stewardship
Episode Overview
- Episode 9 delves into a delicate encounter between Dr. Stater and Sam, a patient testing positive for fentanyl
- Motivational interviewing principles are employed to navigate the unexpected results and guide Sam towards positive change
- The episode highlights the complexities of patient encounters and the significance of compassionate, non-judgmental care
- Dr. Stater's approach demonstrates the value of building trust and fostering open communication in patient-physician relationships
- Insightful discussions offer valuable lessons for clinicians managing patients on chronic opioid therapy
“This was a complex scenario, and Don, you really utilized some of the techniques we have learned to help steer the conversation with Sam towards a more positive outcome.”
Imagine facing a patient who just tested positive for fentanyl, an opioid they weren't prescribed. In this episode of the Compass Opioid Stewardship Clinical Cases podcast, Dr. Donald Stader dives into such a challenging scenario with Sam, a patient grappling with unexpected test results. Utilizing motivational interviewing (MI) techniques, Dr. Stader navigates this sensitive conversation, aiming to build trust and encourage positive change without judgment. Alongside Dr.
Barnett, they unpack the complexities of this encounter, shedding light on the physician's delicate role in setting boundaries while maintaining empathy. This episode is a must-listen for clinicians looking to enhance their skills in managing difficult patient interactions with compassion and effectiveness.

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