While participating in the “Deteriorating Patient” simulation, learning to complete a Situation, Background, Assessment, and Recommendation (SBAR) report while caring for a deteriorating patient was the most challenging task to complete. After receiving report and beginning the initial interaction with the patient, my confidence level was on a steady rise. Everything seemed to flow well and initiating conversation while building a rapport with the patient was also very easy to complete. Once the patient started to deteriorate, I found myself becoming unorganized and my thoughts were racing. Though I was managing the situation very well, I called for a charge nurse because I realized I needed help. After calling for the Charge Nurse and asking for assistance, my racing thoughts slowed down some. I used this moment to notify the provider of the patient’s status and request a visit to the patient’s room. Completing the SBAR with a provider in a moment where the situation was hectic is not something I do very well. My
Losing a battle to illness is devastating and utterly heartbreaking. With addiction, it is quite often that people fail and fall into their old habits. Others simply don’t want to be sober. In How to Help Someone with an Opioid Addiction, published by the Chicago Sun Times, the author lists ways for friends and family members to assist in the process of sobriety. But, what if it doesn’t work? This question is addressed in the third section of the article. For that reason, the author writes with a rhetoric of pathos to encourage the reader to persevere and also purchase Naloxone, a drug which can alter the effects of opioids in case of emergency.
For over a decade, acute and chronic back pain has been treated with opioid analgesics also known as opiates or narcotics (such as Percocet or Oxycontin), and nonopioid analgesic, including NSAID’s (such as Naproxen and Ibuprofen). On average, 182,727,272 opioid analgesic prescriptions are dispensed annually (Dal Pan, 2016). Unfortunately, each of which is accompanied by potentially serious adverse effects. Opioids serious side effects including respiratory depression, drowsiness, nausea, constipation, addiction, and ultimately death. Although constipation does not sound like a serious side effect, it does pose the potential for serious consequences. Because of the depressed peristalsis of the gastrointestinal tract or ileus the patient can develop constipation or
Underlying Causes: The increase in the sale of opioids is considered to be the root of the opioid crisis, as the drugs have been proven to be highly addictive. An addiction to prescriptive opioids, however, can lead to an addiction to synthetic, illegal opioids, such as heroine or fentanyl, which are less expensive and easier to acquire. In fact, in their journal article, “Associations of nonmedical pain reliever use and initiation of heroin use in the United States” Pradip Muhuri and associates discovered that “the recent (12 months preceding interview) heroin incidence rate was 19 times higher among those who reported prior nonmedical prescription pain reliever (NMPR) use than among those who did not (0.39 vs. 0.02 percent)” (Muhuri et. al). In other words, abusing prescription opioids significantly raises the chances of abusing illicit drugs, such as heroin. Thus, the increased prescription of addictive opiates has also helped cause the increase in addiction to illegal
The notoriety of Robert Louis Stevenson’s The Strange Case of Dr. Jekyll and Mr. Hyde has made the narrative about the duality of man humanity known even to those who have never open the book nor seen the famous film adaptation. However, though it may not be immediately apparent, The Strange Case of Dr. Jekyll and Mr. Hyde is, at its core, a story of addiction. Britain’s Pharmacy Act of 1868 had sought to identify and eliminate the use of narcotics, and though the effects were largely beneficial at first, by the 1880’s, when Stevenson’s novella was first published, deaths related to opium were on the rise. It is no coincidence that the title character is a chemist, like those affected by the Pharmacy Act, nor is it a coincidence that he is the victim of an addiction. Stevenson employs the narrative to explore the physical, psychological, and social effects of addiction, as well as the social response. The story, then, serves as an attempt to humanize and understand addiction.
These pills, such as xanax and oxycodone allow people for short periods of time to withdraw from the harsh reality faced today. “Between 1997 and 2002, sales of oxycodone and methadone nearly quadrupled” (Okie). Around 15 years later and the prescription pill problem is continuing to skyrocket. Since prescription pills are dispersed out to anyone by doctors, many people do not realize that it is as much of an illicit drug as cocaine and heroin is. “Misinformation about the addictive properties of prescription opioids and the perception that prescription drugs are less harmful than illicit drugs are other possible contributors to the problem” (NIDA). When people take these synthetic heroin pills, they do not feel as though it is a drug addiction as much as it is a way for them to deal with pain, over-stimulation, and as a tranquilizer. Today, we are currently facing an epidemic with drug addiction and continuously trying to solve the problem with a war on drugs. “The U.S. spends about $51 billion a year enforcing the war on drugs, and arrests nearly 1.5 million people for drug violations, according to Drug Policy Alliance, a drug policy reform group” (Ferner). Since the United States spends so much money on this epidemic, the numbers should start to go down, but it is instead doing the opposite. It is easy to figure out the numbers through doctors, “Increases in prescription drug misuse over the last
Evaluating a chronic pain condition from a biological perspective is limiting, and often fails to fully explain the patient’s symptoms. In contrast to the biomedical model, which explains pain purely in terms of pathophysiology, the biopsychosocial model views pain, suffering and disability, as the result of dynamic interactions among biological, psychological, behavioral, social, cultural and environmental factors. Consequently, assessment requires not only the examination of the biological dimension, but of the psychological and social dimensions as well. A patient’s experience of pain and response to any treatment for pain are affected not only by biologically determined nociceptive (nervous system transmission) processes, but also by psychological factors such as mood (for example, depression, anxiety) and appraisals (thoughts and beliefs about the pain), as well as by psychosocial factors such as the responses of others (for example, family, friends,
An ethical issue related to medical care is pain management and the inappropriate judgment of patients being labeled as “Drug Seeking”. There are statistics that prove there is a rise in abuse in opiates within communities. However, at what point does the nurse or provider get to decide what is an adequate pain threshold and how much they should endure? When does the ethical duty to relieve pain and suffering subside to personal biases? Patients deserve to be treated with dignity and respect as they entrust medical providers to relief their pain and suffering.
A Bordentown family physician’s license was temporarily suspended for prescribing up to 720 opioid pain pills a month without any physical exams or documentation of a legitimate need for the drugs, according to the Division of Consumer Affairs.
Sam Quinones’ Dreamland is a commentary about the opioid problem in America. Quinones draws attention to how in the twentieth century opioids were seen as addictive: “[D]octers treating the terminally ill faced attitudes that seemed medieval when it came to opiates” (184). In the 1970s, Purdue Pharma stated that opioids such as morphine were not addictive substances. After this study was released, many doctors began to view opioids as a viable option for pain relief. Throughout the rest of the book, Quinones explains the shift from doctors never prescribing opiates to prescription opiates being used to treat any sort of pain: chronic back pain, arthritis, severe headaches, etc. Pain became the “fifth vital sign” and with everyone wanting to
Oxycodone can be prescribed to help with moderate to severe pain. It is an opioid and belongs to the class of narcotic analgesics. It works as a depressant, slowing down the pain signals travelling from our body to our brain, and altering the way your brain responds to pain. This makes your body feel and respond to pain in a different manner as well. Doctors most commonly prescribe Oxycodone to help relieve the patient from moderate to severe pain.
How you, as a social worker, might interpret the needs of Paula Cortez, the client, through the two cultural lenses you selected.
Opioids come in many forms, both licit and illicit drugs. Licit drugs would be considered pharmaceuticals, since they are prescribed by doctors and usually come in pill forms. Some examples of licit opioids are: OxyContin®, Vicodin®, codeine, morphine, methadone, and fentanyl. The illicit drugs would be heroin and can come in many different forms. Both forms must be consumed with caution due to their addictive nature.
Opioids are substances that act on opioid receptors to produce morphine-like effects. Medically they are primarily used for pain relief, including anesthesia. Opioids are also frequently used non-medically for their euphoric effects or to prevent withdrawal symptoms. Examples of opioids are morphine, heroin, oxycodone, and methadone. Opioid overdose is an acute and serious condition due to excessive opioids use. Dependence on prescription opioids can stem from treatment of chronic pain and in recent years is the cause of the increased number of opioid overdoses. Opioids are very addictive substances, having serious life threatening consequences in case of intentional or accidental overdose. The euphoria attracts recreational use, and frequent,
Coordinated efforts between the Vermont Department of Health's Division of Alcohol and Drug Abuse Programs (ADAP) have resulted in the creation of the Care Alliance for Opioid Addiction (or Hub & Spoke model).