Preview

Opioid Misuse

Good Essays
Open Document
Open Document
538 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Opioid Misuse
The drugs contain opioids are substances that are derived from pharmacologically similar to opiates, which includes a strong family of analgesics that carry with important risk of addiction. These opioids are a blessing for the people who have debilitating pain, helps to manage and get back to normal functioning, but in contrast it can destroy the lives of an individual with addiction. Prescription drug misuse has become a nationwide epidemic with deaths quadrupling since 1999 (Centers for Disease Control and Prevention [CDC], 2016).

The objectives for the change is to avoid opioid misuse and to effectively manage opioid risk in patients treated for chronic pain. The proposed articles were reviewed to evaluate various methods available to
…show more content…
Hospital admissions associated with opioid related complications, that can even happen with the regular prescribed and “weaker” codeine (McCrorie et al., 2015). Along with patients, most of the practitioners also have dissatisfaction about the way of chronic pain management and they will be more receptive of any new strategies for the management of chronic, non-cancer pain, and opioid prescribing. I have included 5 research articles in the data abstraction and analysis for the project after a comprehensive literature search. Each type of PICOT question has different levels of evidence (Melnyk & Fineout-Overholt, 2015). I have developed an intervention-based question so I have included 2 systemic reviews and 3 qualitative studies, which discusses different ways to identify the opioid misuse and the guidelines for the proper management of opioid prescriptions. The data abstraction is outlined in the matrix including study design, sample, and statistical outcomes. All the studies have pressed the importance about the high risk of prescription overdose-associated death and the significance of adequate monitoring and management. Most of the studies have similar recommendations about practices for reducing the opioid associated risks, despite the inconsistency on development methods, suggesting attention to drug-drug and drug-disease interactions, all features of monitoring, comprising prescription monitoring programs (PMP), urine drug testing, screening tools (to monitor opioid adherence), and development of Abuse Deterrent Formulations (ADF) of opioids

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Nora D Volkow Summary

    • 76 Words
    • 1 Page

    Nora D. Volkow gave a visual representation showing that the dispensing of opioids in pharmacies has increased in recent years. Volkow is talking about how bad opioid addiction is. Opioid addiction increases the number of overdoses and more people think it's ok to take pain pills. Prescription medicine can be very helpful to people that are in pain. But too many doctors are writing prescriptions for these people and the pills are too easy to get.…

    • 76 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Opioids Case Studies

    • 1716 Words
    • 7 Pages

    The case study relates to Mr Brown, who was diagnosed with acute pulmonary oedema secondary to acute renal failure, due to excessive use of opioids. The assignment will address Mr Brown’s initial presentation and assessment, relevant past history, medications and the current assessment finding that had him admitted to the intensive care unit. The patient’s pathology results and drug treatment to correct his electrolyte imbalances will be discussed briefly. The assignment will discuss the effects of age related physiological effects on respiratory, cardiovascular and renal system and lastly the pathophysiology and treatment on opioid toxicity, acute renal failure and acute pulmonary oedema.…

    • 1716 Words
    • 7 Pages
    Good Essays
  • Better Essays

    Katie's Case Summary

    • 1445 Words
    • 6 Pages

    8). It has been shown that prescription opioid abuse is creating an escalating burden on society (Birnbaum, White, Schiller, Waldman, Cleveland & Roland, 2011, p. 662). Opiate addiction as a whole, produces increased health care costs. Costs related to prevention, treatments, and research. There are increased costs of the criminal justice system, correctional facilities and property lost due to crime. Opiate addiction is known to decrease workplace productivity. Not only are there lost wages and excess absenteeism at work, there is also excess disability costs (Birnbaum, et al., 2011, p.…

    • 1445 Words
    • 6 Pages
    Better Essays
  • Good Essays

    In the multivariate analysis examining predictors of medication nonadherence, we found that compared with patients who did not use any opioid medication in the previous period, patients using >4 opioid medications had higher odds of medication nonadherence. Other risk factors for nonadherence included age 1 physician office visits in the previous…

    • 774 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Opioid Epidemic Summary

    • 366 Words
    • 2 Pages

    The author of the editorial, “Doctors Will Play a Critical Role in the Opioid Epidemic,” posted in the New York Times, claim that doctors will need to make safe and effective decisions for treatment of pain due to statistics from the Centers for Disease Control and Prevention revealing the rise of opioid overdose deaths since 1999. The author states that there are many other alternatives that can be given to treat pain and doctors should be considering them before writing out prescriptions for opioids. This article focuses mainly on the statistics of opioid use and overdose deaths, alternative treatments, and the different steps that health care providers can use to minimize the risk of addiction. Its information is to ensure the safety of…

    • 366 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Human Services Case Study

    • 763 Words
    • 4 Pages

    The Cleveland Clinic's' Anesthesiology Institute drew closer the procedure from the point of view of dynamic avoidance, including particular compulsory instruction programs for all office work force on a repeating premise, reinforced techniques for the identification and anticipation of redirection of controlled substances, upgraded ability building for discovery of weakness, and executed a multi-faceted medication testing system, including irregular and "for reason" pee screens, for counteractive action and early recognition of mishandled soporific medications and different substances of misuse (Tetzlaff,et al., 2010). Opioid physician endorsed solutions are both a wellbeing and a security issue in your work environment. Medicines are capable, exceptionally addictive medications that can possibly bring about debilitation, expand the danger of working environment occurrences, blunders and harm notwithstanding when taken as endorsed. Remedy painkillers additionally significantly build specialists' pay expenses, expand the length of laborer incapacity and build work time lost (White,…

    • 763 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    References: Beard, R. A., Cicero, T. J., Inciardi, J. A., & Surratt, H. L. (2009). Prescription Opioid…

    • 4853 Words
    • 13 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hagemeier, N. E., Gray, J. A., & Pack, R. P. (2013). Prescription Drug Abuse: A Comparison of Prescriber and Pharmacist Perspectives. Substance Use & Misuse, 48(9), 783-790. doi:10.3109/10826084.2013.787101…

    • 517 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Perhaps the article wanted to focus on the prescriber’s side of this ethical issue but it is important to note that the pharmacist plays a crucial role. While the physician is prescribing the opioids, it is the pharmacist that often takes the heat if there is an issue with the prescription. From personal experiences, I have observed how situations can turn ugly quick when the pharmacist cannot fill an opioid prescription for whatever reason. This could be due to the insurance not paying for it because it is too early to fill or the pharmacist suspecting that the patient is a drug seeker due to multiple scripts from different providers. In a small town like Milford, the pharmacist could play a role in monitoring how much and how often a patient fills their opioid prescriptions. They could look for trends such as early refills, which could indicate the patient is either a seeker or their pain is not adequately controlled. Pharmacists could also use their knowledge of medications to assist physicians design alternative therapies for adequate pain control. This is an example of the value of altruism in which the pharmacist can establish a positive and respectful relationship with the physician in order to provide the best care for their patients (Haddad). It is unfortunate that some patients will not be able to get adequate pain control with the new restricting guidelines. As the last patient of Dr. Wergin explained, “the people who are abusing these medications are ruining it for the rest of us.”…

    • 476 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Longer-Term Use of Opioids With opioid misuse a top public health problem in the United States, this report examined longer-term use of narcotics in 21 states and how often recommended treatment guidelines for monitoring injured workers with longer-term use were followed by physicians. The monitoring included services, such as drug testing and psychological evaluations, which can help prevent opioid misuse by injured workers that could result in overdose deaths, addiction, and diversion. However, the study found relatively low compliance with medical treatment guidelines in most states. The information provided will help public officials identify means to strengthen the design or implementation of public policies related to narcotic use, and help payors target efforts to better manage the use of narcotics while providing appropriate care to injured workers and reducing unnecessary risks to patients and unnecessary costs to employers. Among the study’s finding: • Among 2009/2011 claims with longer-term use of narcotics, 18-30 percent received drug testing in most states studied, with the 21-state median at 24 percent. Over the study period, the percentage of workers with longer-term use of narcotics who received at least one drug testing increased from 14 to 24 percent in the median state. However, the use of the service was still lower than recommended by treatment guidelines. The use of psychological evaluation and treatment services continued to be low. Only 4–7 percent of the injured workers with longer-term narcotic use received these services in the median state. Even in the state with highest use of these services, only 1 in 4 injured workers with longer-term narcotic use had psychological evaluation and 1 in 6 received psychological treatment. Little change was seen in the frequency of use of these services.…

    • 400 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Opiates are a group of narcotics that contain opium or natural synthetic opium (Shoenfeld, 2012). Some of the commonly abused opiates include: Oxycodone, Hydrocodone, Heroin, Codeine, Morphine, and Methadone as well as many other pain medications. They can be crushed and snorted, taken orally, and even injected. The most restrictive legally available drugs are the opiates Methadone and Morphine (Shoenfeld, 2012). They are prescribed for severe pain. Individuals can be prescribed methadone as an option for treatment but in reality is highly addictive and commonly abused.…

    • 1082 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Opioid Research Paper

    • 814 Words
    • 4 Pages

    Opioids are substances that relieve pain by binding to pain receptors in your brain and spinal cord. Opioids include illegal drugs, such as heroin, as well as prescription pain medicines.…

    • 814 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Opiates

    • 1904 Words
    • 8 Pages

    The abuse of opiates started back in the 1900's. Throughout these years the abuse has become advanced. Marvin D. Seppala M.D. a chief medical officer stated in his book Prescription Painkillers: History, Pharmacology, and Treatment. "Drugs have been used for millennia in their natural form." “These agents were reprocessed and made more widely available in highly refined and far more potent forms- among them morphine and heroin (refined from opium leaves) and cocaine (from coco leaves) (p8)." Although prescription painkillers are legal in the United States with a prescription from a physician, many Americans are oblivious about the tremendous negative effect opiates have on one’s health mentally and physically.…

    • 1904 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Prescription Drug Abuse

    • 1030 Words
    • 5 Pages

    Today I am going to talk to you about prescription drugs abuse. Many of us know people that take prescribed medication on a daily basis and I don’t know about you guys but I have seen people that have become addicted in which it’s sometimes painful to watch. No one decides to get addicted to prescription pain pills, sometimes a person’s body becomes immune the amount and that’s why they need more and more to help control the pain. What is prescription drug abuse? According to NIH (National Institute on Drug Abuse), “Prescription drug abuse is the use of a medication without a prescription.” From the website drugabuse.gov ,” In 2009, 16 million Americans age 12 and older had taken a prescription pain reliever, tranquilizer, stimulant, or sedative for nonmedical purposes at least once in the year prior to being surveyed. Source: National Survey on Drug Use and Health (Substance Abuse and Mental Health Administration Web Site). The NIDA-funded 2010 Monitoring the Future Study showed that 2.7% of 8th graders, 7.7% of 10th graders, and 8.0% of 12th graders had abused Vicodin and 2.1% of 8th graders, 4.6% of 10th graders, and 5.1% of 12th graders had abused OxyContin for nonmedical purposes at least once in the year prior to being surveyed.”…

    • 1030 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Silversides, A.. (2009). Opioid prescribing challenges doctors. Canadian Medical Association. Journal, 181(8), E143-4. Retrieved from Research Library.…

    • 2089 Words
    • 9 Pages
    Powerful Essays