Received a report on 10/7/15 stating Ms. McGinnis was not given medication properly and scoring a 0 on MMSE. Son, Michael McGinnis reported he gave her dose of Methadone because she was hurting. Ms. McGinnis admitted to WBMC on 10/6 with chest pain and hypertension. While on medical unit, she was confused, pulling the cardiac monitor off, yelling, screaming, cursing the nurses, disrobing, and refused meds. On 10/7 she transferred to Senior Care she remained until 10/28 3:30.
Pt is 43 years old AA female who decided to return to OMHC after the program that she attended, Universal Counseling, was closed down. Initial admission to OMHC was around 2012. Pt has been diagnosed with PTSD, Bipolar, and Anxiety Disorder in the past. Her depressive episodes started at the age of 13 and after she was sexually assaulted by distant uncle. She later developed aggressive behavior around late teen and was involved in numerous arrests, starting the age of 18.
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
For starters, Hari discusses how society over the years has made misconceptions about addiction, because of this addicts have been wrongfully treated, and blame was placed incorrectly. The author goes on to explain two different stories; both being well known about the prescription drug crisis. One being the fact that even the most powerful drugs such as diamorphine hasn’t caused addiction (Hari). In fact, that didn’t make sense to Hari on how powerful drugs were used in extreme medical cases and through prolonged use none became addicted. This is one of the misconceptions about addiction.
In order to reduce the likelihood of Adderall abuse, it is essential that there should be a stricter policy in order to be prescribed to Adderall, or any other stimulant medication. In addition, it should be addressed the importance of taking the correct dosage and understand the potential side-effects when abusing the medication. Adderall can increase your energy level and even cause euphoria, which makes it easy to not take the correct dosage prescribed (Hall, 2012). Restrictions need to be tougher in order to get a prescription and regulated more carefully. My suggestion to reduce the medication misuse, on a micro level, is that a contract should be signed before the prescription is written.
Methadone Maintenance Treatment The Methadone Maintenance Treatment (Camh) helps patients overcome an addiction of opioid dependence. The treatment uses methadone as a replacement for the opioid. Methadone is a narcotic drug that helps suppress opioid withdrawal symptoms, reduce cravings for opioids, not induce intoxication (e.g., sedation or euphoria) and reduce the euphoric effects of other opioids, such as heroin (Camh). MMT is beneficial to the patient in many reasons.
Brett Speck Professor Ramos Psychology 140 25 October 2015 Prospective Memory Impairment in Long-term Opiate Users: An Annotated Bibliography Terrett, G., Mclennan, S., Henry, J., Biernacki, K., Mercuri, K., Curran, H., & Rendell, P. (2014). Prospective memory impairment in long-term opiate users. Psychopharmacology, 2623-2632. Retrieved from http://dx.doi.org/10.1007/s00213-014-3432-6.
At this time the client presented with a readiness to change and is highly motivated to receive treatment at MRFH. The client was diagnosed with Alcohol Use Disorder: Severe, and Cocaine Use Disorder: Severe. The client stated, "I am pretty much homeless and I left the Salvation Army after I was about to get into the Step Up Program. There were so many drugs at the Salvation Army. I want to learn more about myself and my addiction.
There was improvement in many areas of the country following the crackdown on prescription drug abuse and pill mills. However, another result of the crackdownwas a diminution in the availability of prescription painkillers and the price for the painkillers on the street became more expensive. The ones who became addicted to painkillers during the pill mill epidemic then turned to heroin. The crackdown of pill mills inadvertently fueled the epidemic of heroin. “Between 2007 and 2012, heroin use rose 79 percent nationwide, according to federal data.
He does a commendable job of avoiding prejudicial tropes of the era and does not demonize the drugs themselves, noting that the drug “was neither diabolical nor divine” (63). By outlining the physical, psychological, and social effects of addiction, Stevenson presents a realistic portrayal of this problem without demonizing the person suffering from addiction, and in couching as a metaphor he successfully avoids exploiting addicts as well. The narrative, especially at the time of its publication, was suspenseful, terrifying, and enthralling, and though these elements may not have aged well as the work seems rather tame by today’s standards, the story of addiction has only increased in
Counselor met with Pt. for his scheduled individual session for one hour. Counselor and Pt. discussed his progress in tx, any recovery concerns, current dosage of medication effectiveness and future goals. Also, Counselor provided him coping skills to recover from the damage that substances have caused in his life. For the first 20 minutes, Pt. and counselor went over his treatment plan update, completed take home request form and signed his record of service sheet.
The opioid crisis in the United States has become the headline of every newspaper across the country. According to the Center for Disease Control, seven thousand people are admitted to emergency services for misusing prescription opioids (Understanding the Epidemic, 2015). Additionally, according to the Substance Abuse and Mental Health Services Administration, 435,000 people in the U.S. report being daily heroin users (Opioids, 2015). Methadone maintenance treatment (MMT) programs are long term recovery options used for people meeting criteria for opioid use disorder into treatment and living a recovery lifestyle. MMT programs are long term recovery options.
mends the Controlled Substances Act to increase the number of patients that a qualifying practitioner dispensing narcotic drugs for maintenance or detoxification treatment is initially allowed to treat from 30 to 100 patients per year. Allows a qualifying physician, after one year, to request approval to treat an unlimited number of patients under specified conditions, including that he or she: (1) agrees to fully participate in the Prescription Drug Monitoring Program of the state in which the practitioner is licensed, (2) practices in a qualified practice setting, and (3) has completed at least 24 hours of training regarding treatment and management of opiate-dependent patients for substance use disorders provided by specified organizations.
Past heroin users describe the horrors of heroin addiction withdrawal as being far less painful and difficult than methadone
Imagine a nightmare you can never wake up from. You’re drowning with all your pain and you have to realize, drugs are your new reality. Ma can’t look at you the way she looks at drugs. Drugs take everything from you. It makes you choose between family and what is wrong.