...Written Critique of Group Project Seven: Rebecca Pratiti Group Number: 4 Email Address: prebecca0155@gmail.com Name of the Group Project: Prescription Opioid Misuse (POM) among Rural U.S. Adolescents Group Number: 7 Summary of the Problem: The problem being addressed is the Prescription Opioid Misuse (POM) among U.S. adolescents in rural areas and its association with the risk of heroin use, overdose and deaths. 1-3 Additional indirect indicators affected by POM are emergency department visits and hospital admissions for opioid use and overdose.4,5 Main Argument: The committee’s main argument is that by implementing evidence based school education program there would be a significant decrease in the prevalence...
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...Identification of the Problem: Opioid Epidemic in the United States: A Public Health Problem The opioid epidemic occurring in the United States is one of the most widespread public health problems facing the nation today. The use of prescription opioids, a pain reliever, has increased fourfold since 1991, equating to an additional 140 million opioid prescriptions being prescribed in 2013 than in 1991 [1, 5]. Furthermore, the sale of prescription opioids in hospitals, pharmacies, and doctor’s offices has risen 300% since 1999 [7, 13]. This has led to a windfall for pharmaceuticals, as OxyContin, an opioid led to 3.1 billion dollars in sales in 2010 [28]. Thus is due to the fact that the United States alone consumes 80% of the worlds opioid...
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...means. As a result, there has been a massive increase in both the number of addicts and overdoses. Though as of late the opioid crisis has been receiving media attention, little has been done to inhibit the problem. Although the roots of the opioid crisis are multifaceted, pharmaceutical...
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...The article, “Do No Harm: CDC Guideline for Opioids and Chronic Pain” by Frieden basically reiterates the CDC guidelines mentioned previously. However, Frieden believes with safer prescribing the opioid epidemic could resolve. Today, with 249 million prescriptions being written, which is enough to grant all American adults with their own bottle. With so many prescriptions being written, it's no surprise 40 adults die each day from prescription opioid. There is no other known drug used for nonfatal conditions which kill users so often. When prescribing opioids the risks and benefits are not weighed. In fact, most doctors were taught opioid could not produce an addiction. Furthermore, doctors are either choose to ignore or are ignorant of the fact that opioids are not proven to control chronic pain long-term; other...
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...Controlled Substance Prescription The inappropriate use of controlled substance (CS) particularly opioid analgesics is alarming and has been associated with illnesses and deaths across the globe. Although most are prescribed for genuine reasons and taken in responsible ways, there is considerable over-prescription, particularly of pain medications known as opioids. Coincidentally, the opioid is not the only drug being abused and overly prescribed. Antidepressants, stimulants, and tranquilizers fall into this category; just to mention a few. The increase in prescriptions of these medications has been linked to the frequency of abuse (Chen et al., 2014). According to the latest National Survey on Drug Use and Health provided by the Substance...
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...I am working in the medical surgical unit for the last ten years and I have taken care of many patients who are addicted to opioid pain medications. The rate of opioid abusers are increasing. Yesterday I was working as a charge and I can tell you, out of our 16 patients eight of them were for pain management. A young man with history of wound in his leg refused the discharge as his wound is still not healed. He is taking Dilaudid 1 mg every four hours for his pain and other breakthrough pain medications. Patient was refusing IV antibiotics for no reason. I also heard that he place bleach on his wound. We take care of such patients in a daily basis as such population is common among our patients. The costs of prescription...
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...The opioid epidemic has become a prominent issue across America. Fathers, mothers, sisters, and brothers have been ripped from family members arms to pay the neverending debt that comes with addiction. According to the CDC, “From 2000 to 2015, more than half a million people have died from drug overdoses,” and many more in the few years since (Understanding the Epidemic).Unless the United States Government places stringent regulations on the pharmaceutical and healthcare industries, the opioid crisis, a significant health threat to Americans, will continue unabated. (Body One) The pharmaceutical companies lobbying of congressmen is one leading contributor of the opioid crisis that is currently plaguing the United States. Congressmen are...
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...countries it is more common to use morphine or other strong opioids in these situations. In 2004, the National Institute for Health and Clinical Excellence produced guidance on the management of caesarian section, which recommended the use of intrathecal or epidural diacetylmorphine for post-operative pain relief.[14] In 2005, there was a shortage of diacetylmorphine in the UK, because of a problem at the main UK manufacturers.[15] Because of this, many hospitals changed to using morphine instead of diacetylmorphine. Although there is no longer a problem with the manufacturing of diacetylmorphine in the UK, some hospitals there have continued to use morphine (the majority, however, continue to use diacetylmorphine, and diacetylmorphine tablets are supplied for pain management). Diacetylmorphine continues to be widely used in palliative care in the United Kingdom, where it is commonly given by the subcutaneous route, often via a syringe driver, if patients cannot easily swallow oral morphine solution. The advantage of diacetylmorphine over morphine is that diacetylmorphine is more fat soluble and therefore more potent (by injection only), so smaller doses of it are needed for the same analgesic effect. Both of these factors are advantageous if giving high doses of opioids via the subcutaneous route, which is often necessary in palliative care. The medical use of diacetylmorphine (in common with other strong opioids such as morphine,fentanyl and...
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.............................................. 2 Opioids ................................................................................................ 2 Local Anaesthetics .............................................................................. 3 Side Effects.......................................................................................... 3 Pharmacodynamics ............................................................................. 4 Pharmacokinetics ................................................................................ 5 Legal Aspects ...................................................................................... 6 Conclusion .......................................................................................... 6 References .......................................................................................... 7 Table 1. Effects of CNS depression associated with increasing plasma concentrations of lidocaine................................................................. 4 1 Summary This report discusses the intended uses and advantages of two types of analgesic drugs, opioids and local anaesthetics. The severity of the side effects for each category of analgesia are assessed. Methadone is an opioid that is regularly used in veterinary medicine, the pharmacodynamics and pharmacokinetics of this opioid are compared against that of the common local anaesthetic, lidocaine. Opioids are classed as either schedule 2, 3 or 5 controlled...
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...FOR IMMEDIATE RELEASE (Midway, Utah) The National Institute on Drug Abuse recently reported 115 Americans lose their lives every day as a result of an opioid overdose. Sadly, this is only one class of drugs that is abused, and there are numerous others. Individuals need to be aware of the signs of addiction in their lives and in their loved ones. This includes an addiction to inhalants, alcohol, over-the-counter medications, and marijuana. When a person does suffer from an addiction, Chateau Recovery (chateaurecovery.com) can be of help. "Addiction comes with high costs, not only for the individual but for the country as a whole. The opioid addiction currently costs the country $78.5 billion a year, and this is only for opioids that are legally...
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...As stated by Diagnostic and Statistical Manual of Mental Disorders American Psychiatric Associate. (2014), “similar to the risk generally observed for all substance use disorder, opioid use disorder is associated with a heightened risk for suicide attempts and completed suicides”. The assessments that were given showed that Marifel was at a high risk of suicide, the family showed a history of drug addiction (based on the genogram), and Marifel was willing to accept and accomplish the therapy based on her PTSD that was determined, drug abuse, and suicide. A diagnosis concerning the mental state could not be evaluated based on the information that was given however, there is the suspicion that a mental health disorder could be given. This will be accomplished after the client has had further evaluation from other health care persons. This will be performed on the client because there may have been a possible brain injury...
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...Trena Hopkins SWK 582 Reflective Journal #2 I will be writing this journal on the information that I obtained from the presentation of the Substance Use Disorder and the Opioid Epidemic power point. Opioids are used in the management of acute pain that is very intense in the absence of other pain reliever. A major challenge that has emerged with the use of these drugs, however, is the addiction and dependence associated with them. The people at risk of developing opioid dependence include the individuals with chronic pain and those with other underlying mental disorders or substance use disorders. Bio-psychosocial stressors are also established predisposing factors for opioid abuse. People all over America, from all ages, and all races...
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...Public Policy: Prescription Drug Abuse According to the National Center for Health Statistics and Centers for Disease Control and Prevention, between 1999 and 2007, there has been a 402% increase in the number of prescription opioid pain relievers consumed by the U.S. public. From 1999 to 2007, the rise in prescription drug overdoses in the U.S. has increased by an astounding 17,000 and the deaths have increased from three deaths per 100,000 population to nine deaths per 100,000 (Chen, Hedegaard, and Warner). There are many experts declaring that there is an epidemic in regards to the amount of prescription drug abuse in America; others believe that the epidemic is a myth. But whether or not there is, the statistics are alarming. In order to...
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...The issue in question involves the overuse of prescribed opioid medication and the unnecessary overdose death rates that accompany it. Drug overdose is a big ongoing issue throughout the United States. The medication that is supposed to help with pain causes more harm than healing. A temporary fix creates a more permanent problem, “death” rather than a permanent solution. With proper guidelines and stricter regulation on dosage, usage, and physician prescribing, the chances of overdosing and death due to overdose could be decreased over time. The programs in place now are not as effective as they should be, this is seen with the increase in the rate of overdose from prescription drugs. Ayesha Sajid et al. states, there was a twofold increase...
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...A Comparison of Methadone and Suboxone in Opioid Treatment Program Julien Nougarou Upper Iowa University Abstract Addiction to opioids is a common problem throughout the world. Maintenance treatments such as Methadone and Suboxone are effective in lessening the desire to consume illicit drugs, but they are not perfect options for drug treatment as each has negative effects, too. In this paper, both the positive and negative effects of the drugs Methadone and Suboxone will be determined and evaluated in order to better ascertain the better treatment. It was concluded that the effectiveness of each treatment can only be determined on a case-by-case basis, as the factors of success are often dependent on the patient receiving the treatment. There are various criticisms for both modes of treatment, but no other means of treating opioid addiction have yet to be found. There are improvements that could be made for both treatments, but regardless of improvements each mode of treatment is risky as there is no miracle cure for opioid addiction. Introduction In 1864, The New York State Inebriate Asylum, the first in the country, opened in Binghamton, NY. It was the first of a growing network of inebriate asylums that treated alcoholism and addiction to drugs such as opium, morphine, cocaine, chloral, ether, and chloroform. Today, when talking about opioid addiction and dependency treatments, two controversial but efficient treatments stand out from the lot: Methadone and Suboxone...
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