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Rise of opioid use essay
Rise of opioid use essay
Rise of opioid use essay
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10
ENG102
Healthcare Care Management
Individuals who use Opioids are Addicts
Presented By Donovan Greenfield
Presented to Professor Jessica Felizardo March 17, 2016
THESIS STATEMENT
Individuals who use Opioids are Addicts?
Outline
Thesis Statement
History of Opioids & Statistics
What drugs are considered Opioids?
When was Opioids Created?
What Era patients first prescribed Opioids?
Americas usage with Opioids
Estimated number of individuals in the U.S. who are addicted
What Addiction Characteristics to Opioids
Pain Killers and Pain Management
Cancer Patients
Chronic Pain Patients
Treatment plan for Pain
Changes and plans for Addiction
Physical Therapy
Support Groups
Individual Support from
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Recreational use has created the big debatable topic about opioid users are usually addicts. They should not be taken recreational only prescribed. As a person myself who uses opioids for my chronic pain, I do not consider myself to be addicted it makes me constipated very nauseous and itchy. So I beg my physicians if there is another way to deal with the pain because I do not have the constant need for the drug because it makes me feel gross. Even though my pain is unbearable at times I try not to take the opioids. Chronic pain patients become addicted to opioid drugs? Is what most people think or say that are misinformed. Although most chronic pain patients who take opioids on a long ? term basis will become physically dependent on the drug. Very few who will develop a problem are often highly influenced to addiction due to a genetic predisposition. In a survey at least 20,000 patients who were medically prescribed opioids, a small handful could be found who got into trouble with them. So chronic pain patient becoming addicted to opioid medications, is definitely the exception rather than the …show more content…
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
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
Before the mid 1900’s the Harrison Narcotics Tax Act was formed to tax those making, importing or selling any derivative of opium or coca leaves. In the 1920s, doctors became aware of the highly addictive nature of opioids and started to avoid treating patients with them (Center, 2004). In 1924 heroin became illegal. However according to a history published in the Journal of the American Medical Association in 2003, anesthesiologists opened "nerve block clinics" in the 1950s and 1960s to manage pain without having to resort to surgery (Meldrum, 2003). This push for treating pain without surgery was a major factor in the opioid epidemic we see today. In 2008 the overdose death rate was almost four times the rate in 1999, and the sales of prescription pain relievers in 2010 were four times higher than in 1999 (Paulozzi et al, 2011). The substance use disorder treatment admission rate is also greater than in 1999, with it having been six times higher in 2009. Chasing Heroin’s claims surrounding the fear of prescribing pain medications is accurate as you see an increase in public policies surrounding opiate use in the early 1900’s. The climbing rates of overdose deaths and the increased amount of people seeking addiction treatment suggests that the fear of prescription opiates was
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
By the year 2000 opioid medicine containing oxycodone etc., are being abused and misused and more than doubled in 10 years’ time.
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.
According to CDC in the year 2015 opioids played a part in 33,091 deaths. Now you may ask what an opioid is. An Opioid is a compound that binds to opioid receptors in the body to reduce the amount of pain. There are four main categories of opioids, one being natural opioid analgesics including morphine and codeine, and semi synthetic opioid analgesics, including oxycodone, hydrocodone, hydromorphone, and oxymorphone. The second category being methadone, a synthetic opioid, the third category being synthetic opioid analgesics other than methadone includes tramadol and fentanyl. The last category is an illicit opioid that is synthesized from morphine called heroin.
In the United States, opioid addiction rates have majorly increased . Between 2000-2015 more than half a million individuals have died from Opioid overdose, and nearly 5 million people have an opioid dependence which has become a serious problem. The Center for Disease control reports that there are 91 deaths daily due to opioid abuse. Taking opioids for long periods of time and in
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 suffers 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 of the complex problem. The stigma about opioid addiction has wide-reaching negative effects as it discourages people with opioid abuse problems from reaching out.
When these drugs attach to their receptors, they reduce the perception of pain and can produce a sense of well-being (Volkow, 2014). Two crucial factors have contributed to the severity of the current prescription abuse problem. The first factor is a dramatic spike in the number of prescriptions written and dispensed. In 1991, doctors wrote 76 million prescriptions for opioid pain relievers, but by 2013, the number had skyrocketed to 207 million prescriptions.
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.
It doesn’t matter if these patients will become addicted, because these doctors are so sure of it that they overprescribe just so the patients won’t come back asking for more in the near future. Due to the inconsideration and selfishness of these doctors “Prescription drug abuse is the fastest growing form of substance abuse”(Hanson). To make matters worse, a majority of these doctors aren't even warning their patients about the type of drug they are dealing with. According to the National Institute on drug abuse, opioids are a class of drugs that include the illegal drug heroin, causing them to be highly addictive(Thomas et al). Not only is it clear to see that these doctors are at fault here for even prescribing a drug they know can be as addicting as heroin, but also because they aren't doing anything to fix their mistakes, much less admit that they are at fault here. Doctors are to blame for these addiction, not the patients. Doctors are also to blame for not giving these unhealthy addictions the attention they deserve. After all, they are required by the FDA to give risk evaluations when the risks of the drug outweigh the benefits(Blake). Yet on the contrary to popular belief these doctors aren’t giving those evaluations out, if they were more deaths could
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.
The world involving drug addiction is a taboo topic to many. However, drug addiction is a very real topic that occurs worldwide. The widespread use of drugs is not restricted to the United States, with roughly five percent of the world’s population using in the past few months (Mosher & Akins, 2014). Many scientists, doctors, and specialists study addiction and try to find an explanation for why so many become addicted.