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Methadone treatment case study vignettes
Methadone treatment case study vignettes
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The purpose of methadone is to help clients control their urges for addiction and withdrawal symptoms for a better future. From listening to the charge nurse, there could actuality be a possibility to help patients who are addicted to opioids, manage their lives and create a better future without dependency or addiction. Many clients start off on the wrong foot, but through the help of the methadone clinic, many patients continue to live their lives to the fullest. Methadone management has helped many clients discover their purpose in society and to function adequately. At the beginning of the rotation, I saw nurses give patients their methadone(liquid form), and perform tests like UA and a breathalyzer for specific patients. Patient by patient …show more content…
Usually pregnant clients are referred by hospitals who understand that help is needed not only for the baby but also the mom. While pregnant , the methadone maintenance treatment helps by controlling the withdrawal symptoms, especially during the first stages of pregnancy. Treatment works better, or obtains good results, if the addiction or dependence is discover early. Also during pregnancy, baby gets about 90% of the dose and 10 % is left for mom, therefore, sometimes the methadone clinic,along with a nurse,counselor, and doctor would increase the dose so mom does not suffer the withdrawal symptoms. After baby is born, the baby is placed in the NICU for evaluation. At the same time, or even before putting the baby in the NICU, they do a Glascow scale assessment. If the baby has symptoms of withdrawal they would give the baby morphine and titrate until good results develop and baby is in the safe zone. During PP and taking care of infant, methadone should be administered with caution because mom will start to get full dosage(100%) as compared to 10 % during pregnancy. A Nurse,along with CPS will come and visit the mom and baby, assessing the community resources and development of the
The methadone program at Rosthern Hospital is a very active and intense program. Boast over 20 patients that are regular methadone users, the involvement of the physicians, pharmacists, nurses, and addiction counselors are key (Melle, 2016). Dr. Melle is the coordinator of the methadone program at Rosthern Hospital. His roles include, patient recruitment, patient care management, follow up care, and most importantly prescription and dosage of the methadone (Melle, 2016). Pharmacist’s role in methadone treatment is providing the methadone to the hospital, as well as in Warman pharmacy they monitor and dispense some methadone to some of the patients in the methadone program. Addiction counselors are an outside resource that the staff at Rosthern hospital can utilize. There are not social workers or counselors at Rosthern, but Dr. Melle and the nurses prefer if their patients are regularly seeing an addiction counselor while in the methadone program. Finally, the nurses role in the methadone program is early treatment and monitoring of patients during detox, the continued monitoring or patients when methadone doses change, dispensing methadone and monitoring our patients in the recovery program, and observation of patient’s success during the program. Together the interprofessional team has successfully treated dozens of patients, and the methadone program address the needs of both the patients and the addiction issues that are plaguing the surrounding communities (Melle,
Neonatal Abstinence Syndrome (NAS) is a group of problems a newborn experiences when exposed to addictive drugs that the mother consumes during pregnancy. NAS is a growing concern in the United States and can have significant adverse effects on newborns. Shortly after birth, the infant can display many physical symptoms of withdrawal. In addition, substance abuse during pregnancy can cause premature birth, low birth weight, seizures, birth defects, Sudden Infant Death Syndrome (SIDS), and possible long-term cognitive and behavioral problems. The 2010 results from the National Survey on Drug Use and Health: Summary of National Findings reported incidence of substance abuse among pregnant women within the United States....
With the growing number of individuals addicted to these narcotics, the need for better therapies and treatments to end these addictions has grown exponentially. Of these therapies and treatments prescribed to these patients, the newest and seemingly most celebrated is a treatment known as Suboxone therapy. This therapy is for those individuals who have opiate addictions and are seeking help toward a more speedy recovery (Thompson-Gargano, 2004).
And in the long run, I don’t think that it’s worth it to showcase needle exchange as the top preventer of the transmission of HIV. I am all for methadone treatment because of the fact that opiates are extremely hard to get off and in this way it is proven that the addicts can at least try to assimilate themselves back into normal living if that is their wish.
According to Brady and Ashley “Pregnant women with substance abuse issues faced many internal barriers to treatment. These include shame and fear of being judged by care providers, fear of being reported to social services and losing custody of children and public assistance resources, and co-morbid conditions such as depression and anxiety.If pregnant drug abusers know they will be punished for their actions, they will be less likely to search for help. Causing even greater complications in the fetus’s condition, instead of the mother seeking help to solve her addiction problem.” Just try to put yourself in the shoes of one of these
Drug and alcohol use in pregnancy poses a threat to the neonate’s development and the obstetric provider has an obligation to screen for substance use. Substance use in pregnancy can place the developing fetus at risk for in-utero opioid dependence, fetal-alcohol syndrome, preterm labor, and other consequences of maternal alcohol, tobacco, and illicit drug use.(6) Within the past three years La Crosse County has seen a marked increase in the amount of heroin use.(7)
Methadone gives these people the freedom to make choices once they become independent of the street opioid, often the choice where they would like to wean off of methadone and become completely drug free. There is a much better chance at long-term recovery success when methadone treatment is used. Harvard has estimated that “about 25% of patients eventually become abstinent, 25% continue to take the drug, and 50% go on and off methadone repeatedly.” (Harvard). 25% may seem like a low number, but it is important to remember that without methadone the rate of being cured is much lower, and even the 75% who continue to take methadone occasionally are functioning members of society who are not on the street or participating in
This leads to the second school of thought on medically assisted treatment. There has been a great deal of debate about the medication used to treat Opiate addiction, methadone. Many feel that the drug methadone is simply trading one drug in for another, as the addiction to methadone is quick and almost more powerful than an opiate addiction (Nelson, 1994). The withdrawals effects are far more intense with methadone and for this reason it is a lifetime maintenance medication. Some suggest that more rehabilitative programs are needed that would address the social problems the users have to help them recover, instead of the methadone program that is viewed...
The nursing profession is guided by the principal of nonmaleficence, or “Do no harm”. Nurses are responsible for maintaining and optimizing a patient’s quality of life. When nurses fail to care for themselves, they also put their patients at risk. The patient has a reasonable expectation to receive safe and competent care. The influence of drugs and alcohol greatly deteriorate the judgment and skills of any good nurse. Increased patient workload, long hours, personal stress, and sleep deprivation put many nurses in a position to self-medicate. It is my position that high-risk specialty employees undergo drug testing in order to be held accountable and help keep their patients and themselves safe from harm.
Methamphetamine is said to have first made its appearance in the United States as early as World War II (Anglin, Burke, Perrochet, Stamper, & Dawud-Noursi, 2000). It was given to soldiers and pilots to increase their endurance as well as their attentiveness. Roughly two decades later, a liquid form of methamphetamine became available for the treatment of heroin addiction. It wasn’t until the 1990’s where it really began to be a problem. In trailer parks across Oregon, methamphetamine abuse was at an all-time high (Byker, 2011). By 2003, meth had begun spreading throughout the United States as the number of reports of meth labs increased from as far east as Florida.
Opioid dependent individuals who are in inpatient treatment have a 60% chance of relapsing; another estimate suggests that less than 25% of addicts will remain abstinent post methadone maintenance therapy (Veilleux et al., 2010). Opioid addiction is not just harmful for the individual, but also causes a large financial burden on the nation. In 1996, the United States dispersed roughly $21.9 billion dollars across the nation due to heroin addiction expenditures (Mark et al., 2001). Treatments which are able to address comorbid issues that affect retention rate, longer-abstinence post-treatment completion, and decreased economic impact would be very beneficial on a national and global
When nurses with untreated, active dependency are providing care, the practice of the nurse is impaired and can negatively affect patient safety (Kunyk & Austin, 2012). If the drugs are acquired from the hospital or workplace, patients may suffer by being under-medicated. Nurses are required to address threats that occur in the del...
All drugs, legal or illegal, are considered to be harmful to the fetus and should be taken with caution and under the doctor’s direct orders only. Drugs can be anything as simple as a cigarette to a major substance like heroin and cocaine. Most mothers who do drugs during their pregnancy don’t think about the detrimental effects they could be causing to their baby. Any amount of these forbidden substances can leave an everlasting effect on the precious defenseless baby. Most women know that when you are pregnant your hormones vary greatly, but when a woman is pregnant it also ...
Substance abuse is an issue that plays a major social problem in society, the effect of drugs on families and communities is destructive. This paper will discuss evidence showing how substance abuse is a specific social problem that is widespread, and is affecting every level of our judicial system. Many people turn to drugs for many different reasons, they will try just about anything to relieve the pain. In our society today many people go through devastating experiences in their life. Furthermore people turn to drugs to mask the horrible memories and find relief. Drugs can temporarily relieve the symptoms of angry, loneliness or boredom, but it may be a temporary fix to an individual problems. They may
The use of drugs is a controversial topic in society today. In general, addicts show a direct link between taking drugs and suffering from their effects. People abuse drugs for a wide variety of reasons. In most cases, the use of drugs will serve a type of purpose or will give some kind of reward. These reasons for use will differ with different kinds of drugs. Various reasons for using the substance can be pain relief, depression, anxiety and weariness, acceptance into a peer group, religion, and much more. Although reasons for using may vary for each individual, it is known by all that consequences of the abuse do exist. It is only further down the line when the effects of using can be seen.