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Ethics dilemma in physical therapy
Biomedical principles of ethics in physical therapy
Ethics dilemma in physical therapy
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Thesis Statement: Opioid abuse is an ongoing issue among physical therapy patients, in regards to the over prescribing of patients who seek relief in pain management. Possible solutions gear towards the help that physical therapy can provide in finding balance when prescribing narcotic medications. 1. What research question(s) led me to this thesis statement? There were many research questions that led me to this particular statement. I actually began with a career field in Equal Opportunity, until I conducted research to discover that there would not be enough information for me to conduct a two-thousand-word research paper off of. I researched questions pertaining to health, nutrition and breakthrough developments with minimal results to press forward with. 2. What is my purpose in writing this paper? The purpose of writing this paper is to explore and define the balance that is necessary when prescribing physical therapy patients narcotic medications for pain management. To reveal the overuse of opioids by patients in physical therapy when combating and controlling their discomfort needs. …show more content…
What do I already know about my topic? What are my feelings toward this topic? I already know a little bit about this topic as I just selected eight reliable peer-reviewed and scholarly sources that I know I can use for my research paper. I know this is and ongoing epidemic that effects more career fields than just physical therapy and it is becoming more of issue with each passing day, which makes it a relevant issue to discuss. I am straying away from it being too objective or too simple as drug abuse and pain tolerance have been in the headlines for many decades, affecting just about everyone. I feel strongly about this topic as it has affected members in my family and my husbands suffers from bulging discs in his back and has been prescribed pain medications that he feels as though he could easily become dependent
In my proposal to end the opioid crisis I used ethos, logos, and pathos. In the first paragraph, I used pathos by getting the reader to think back on any loved one that they had seen effect by opioids and describing those effected by opioids with words like lonely, beggars, shells. In the second paragraph, I used ethos and gave myself credibility by explaining how I had spent 17 years studying and having peers review my work. Along with ethos and pathos, I used logos in the second and third paragraph; I mentioned my years of peer-reviewed work to support cannabis as a replacement drug. In all, I used all three persuasive devices to introduce a clear problem and an absurd
Prescription and pharmaceutical drug abuse is beginning to expand as a social issue within the United States because of the variety of drugs, their growing availability, and the social acceptance and peer pressure to uses them. Many in the workforce are suffering and failing at getting better due to the desperation driving their addiction.
The documentary states that over 27,000 deaths a year are due to overdose from heroin and other opioids. According to the Center for Disease Control and Prevention in 2015 prescription pain relievers account for 20,101 overdose deaths, and 12,990 overdose deaths are related to heroin (Rudd et al., 2010-2015). The documentary’s investigation gives the history of how the heroin epidemic started, with a great focus on the hospice movement. We are presented with the idea that once someone is addicted to painkillers, the difficulty in obtaining the drug over a long period of time becomes too expensive and too difficult. This often leads people to use heroin. This idea is true as a 2014 survey found that 94% of respondents who were being treated for opioid addiction said they chose to use heroin because prescription opioids were “more expensive and harder to obtain (Cicero et al., 2014).” Four in five heroin users actually started out using prescription painkillers (Johns, 2013). This correlation between heroin and prescription painkiller use supports the idea presented in the documentary that “prescription opiates are heroin prep school.”
An ethical dilemma that is currently happening in the medical field regards pain management. Doctors and other medical professionals are faced with this ethical decision on whether to prescribe strong pain medication to patients who claim to be experiencing pain, or to not in skepticism that the patient is lying to get opioids and other strong medications. “Opioids are drugs that act on the nervous system to relieve pain. Continued use and abuse can lead to physical dependence and withdrawal symptoms,” (Drug Free World Online). Opioids are often prescribed to patients experiencing excruciating pain, but doctors are faced with prescribing these drugs as an ethical issue because only a patient can measure the pain they are in, it is simply impossible
Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and abuse is founded greater in the prescription opiate based painkillers.
Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172
Opioids are used as pain relievers and although it does the job, there are adverse side effects. Opioids are frequently used in the medical field, allowing doctors to overprescribe their patients. The substance can be very addicting to the dosage being prescribed to the patient. Doctors are commonly prescribing opioids for patients who have mild, moderate, and severe pain. As the pain becomes more severe for the patient, the doctor is more likely to increase the dosage. The increasing dosages of the narcotics become highly addicting. Opioids should not be prescribed as pain killers, due to their highly addictive chemical composition, the detrimental effects on opioid dependent patients, the body, and on future adolescents. Frequently doctors have become carless which causes an upsurge of opioids being overprescribed.
Opioid overdose is currently the most common cause of accidental death in Canada and the U.S. The opioid crisis is having a devastating effect on communities across Canada, taking its toll on opioid users as well as their friends and families.
Opiates are a class of drugs that are used for chronic pain. Opioids are substances that are used to relieve pain by binding opiate receptors throughout the body, and in the brain. These areas in the brain control pain and also emotions, producing a feeling of excitement or happiness. As the brain gets used to these feelings, and the body builds a tolerance to the opioids, there is a need for more opioids and then the possibility of addiction.
In medical school/pharmacology school, medical professionals are taught to treat severe pain with opioids. However, opioids should be prescribed with the possibility of future dependency in mind. Physicians often struggle with whether they should prescribe opioids or seek alternative methodologies. This ethical impasse has led may medical professionals to prescribe opioids out of sympathy, without regard for the possibility of addiction (Clarke). As previously stated, a way to address this is use alternative methods so that physicians will become more acquainted to not not treating pain by means of opioid
Every year, 2.6 million people in the United States suffer from opioid abuse and of that 2.6 million, 276,000 are adolescents, and this problem is only escalating. An individual’s physical and emotional health suffer as well as their personal lives as they lose employment, friends, family, and hope. Opioid addiction begins with the addictive aspects of the drug. People easily become hooked on the relieving effects of the opioids and suffer withdrawal symptoms if they stop using the drug completely because their nerve cells become accustomed to the drug and have difficulty functioning without it; yet the addiction to the drug is only one aspect to the complex problem. The stigma about opioid addiction has wide-reaching negative effects as it
The major concepts deduced from the hypothesis fall under three categories: (1) multimodal intervention, (2) attentive care, and (3) patient participation. Multimodal intervention includes the concepts of potent pain medication, pharmacological adjuvants, and non-pharmacological adjuvants. Attentive care relates to the assessment of pain and side effects and intervention along with reassessments. Patient participation includes goal setting and patient education. The resulting outcome of these three categories working together is the balance between analgesia and side effects.
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such. Not to mention the fact that the doctors who prescribe these opioids often tend to misuse them as well. Abusing these prescribed drugs can “destroy dreams and abort great destinies," and end the possibility of the abuser to have a positive impact in the community.
A specific treatment can sometimes significantly reduce or resolve chronic pain, but successful treatment is frequently a process that demands the patient?s active engagement. Addiction treatment clinicians, as they work to induce and support recovery, are in an excellent position to help patients implement components of the pain management process. Common components include: Raising the patient?s awareness of factors that increase and relieve the pain, and accommodating behaviors to reduce pain (e.g., cognitive-behavioral approaches); Improving physical fitness, including flexibility, strength, and conditioning, while respecting any limits imposed by the pain; Reducing stress and the associated muscular/autonomic tension; Selectively using specific therapeutic interventions such as injections, therapeutic exercise, and orthotics; Making structured use of self-administered care interventions, such as the application of ice or heat, TENS, stretching, relaxation, and
Opioids are usually prescribed to individuals as a painkiller medication. Although it is effective in reducing pain, this medication is overprescribed by many doctors. There are many individuals who abuse prescribed opioids. Addicts may tell their doctors that they are experiencing pain, however, this is far from the truth, They have to lie about their health to get the medication and end up abusing it. After the pain is gone from their bodies, they use opioids as a way of feeling pleasure as addicts do with other drugs.