Abuse of opioid pain relievers (OPRs) continues to increase in the United States. Opioid-related overdose deaths since 1999 have quadrupled, correlated with quadrupled dispensing of prescription opioids (Rudd et al., 2016, CDC, 217). Among these deaths, prescription opioids have been involved approximately half (CDC, 2017). According to the Centers for Disease Control (CDC), the central issue is elevated prescribing rates of physicians and the solution to this problem is safer prescribing practices.
Kolodny and others (2015) conducted a comprehensive review of the literature to provide an overview of the opioid crisis from its historical context to modern day prevention strategies. Using previous publications, the authors compiled study
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Rural populations were typically older and may be subject to more chronic pain, as well as, increased chronic pain treatment. Furthermore, family dynamics and friendship socially affect the distribution of opioids. Research supports that nonmedical use of opioids typically begins with receiving the drug from a friend or family member. Education is needed to prevent the sharing of prescribed opioids among family members and friends.
Opioid exposure and use in the United States is increasing among adolescents. McCabe and associates (2017) specifically examine medical and non-medical opioid use among adolescents. Monitoring the Future study provided the data that was used. Forty cohorts of high school seniors ranging from 2181 to 3791 participants were administered in the form of paper-and-pencil questionnaires in the student’s classroom setting. Results demonstrated among adolescents that claimed to have use both medical and nonmedical consumption of prescribed opioids indicated that medical use of opioids began before nonmedical use. Prescribing patterns of physicians need to be examined to aid in alleviating medical use of opioids from progressing to nonmedical usage.
Determinants of mortality related to opioids among Canada and the United States were studied by King and Associates (2014). The purpose of this study was to examine 17 factors that impact the mortality that is opioid-related. Several electronic databases were used to
Opioid addiction is so prevalent in the healthcare system because of the countless number of hospital patients being treated for chronic pain. While opioid analgesics have beneficial painkilling properties, they also yield detrimental dependence and addiction. There is a legitimate need for the health care system to provide powerful medications because prolonged pain limits activities of daily living, work productivity, quality of life, etc. (Taylor, 2015). Patients need to receive appropriate pain treatment, however, opioids need to be prescribed after careful consideration of the benefits and risks.
Opioid use in the US has increased over the years, and this has led to an increase in substance abuse. Substance abuse is not only associated with use of illicit drugs but also prescription drugs. In 2015, of the 20.5 million reported cases of substance abuse, 2 million had an abuse disorder related to prescription pain relievers and 591,000 associated with heroin.1 The increase in substance abuse disorder has led to an increase in opioid related death. In 2015 drug overdose was the leading cause of accidental death in the US with 52, 404 lethal drug overdoses.2
In America, the use of opioids is at an all time high, it has became such an issue nationwide, that it has became an epidemic. Because of the opioid epidemic, America is tearing apart, children all across the country are dying everyday, these children are dying from overdoses due to poisoning. The opioid problem is not just because of a person's decision to pick up a needle or a pill bottle, but it is because in the 1990’s doctors gave up on trying to treat patients for their overwhelming pain and discomfort, causing opioids to become over prescribed. Due to the carelessness of America, opioids are being distributed more and more everyday, causing the skyrocketing number of deaths.
Last year there were over 64,000 reported opioid-related deaths in the United States – making it the leading cause of accidental death in people under the age of 50 in this country (Katz). Opioids, also referred to as painkillers, have become a growing problem over the past two decades particularly in rural communities all across the country where the death rates are higher per capita compared to the death rate in cities (“America’s Opioid Epidemic is Worsening”). These narcotics, such as codeine, fentanyl, hydrocodone, morphine and oxycodone are extremely addictive and, as a result, this silent killer has quadrupled the overdose death toll since 1999
Opioid drugs are some of the most widespread pain medications that we have in this country; indeed, the fact is that opioid analgesic prescriptions have increased by over 300% from 1999 to 2010 (Mitch 989). Consequently, the number of deaths from overdose increased from 4000 to 16,600 a year in the same time frame (Mitch 989). This fact becomes even more frightening when you think about today; the annual number of fatal drug overdoses in the Unites States now surpasses that of motor vehicle deaths (Alexander 1865). Even worse, overdose deaths caused by opioids specifically exceed those attributed to both cocaine and heroin combined (Alexander 1865).
Various levels of governments in different communities across North America have initiated programs to deal with the opioid epidemic and its effect. Some of these initiatives will be examined in more details below.
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.
The United States currently faces an unprecedented epidemic of opioid addiction. This includes painkillers, heroin, and other drugs made from the same base chemical. In the couple of years, approximately one out of twenty Americans reported misuse or abuse of prescriptions painkillers. Heroin abuse and overdoses are on the rise and are the leading cause of injury deaths, surpassing car accidents and gun shots. The current problem differs from the opioid addiction outbreaks of the past in that it is also predominant in the middle and affluent classes. Ultimately, anyone can be fighting a battle with addiction and it is important for family members and loved ones to know the signs. The cause for this epidemic is that the current spike of opioid abuse can be traced to two decades of increased prescription rates for painkillers by well-meaning physicians.
If you watch the news it should come as no surprise that drug abuse and overdoses have increased dramatically in the United States. According to the National Institute on Drug Abuse, as many as 36 million people abuse opioids throughout the world with 2.1 million in the U.S. who currently suffer from opioid abuse disorders (National Institute on Drug Abuse, 2014). These astonishing numbers are only marginalized when comparing them to opioid related deaths in the United States. With an increase of 137 percent since 2000, deaths from drug overdoses now occur 1.5 times more often than deaths from motor vehicle accidents (Rudd Aleshire, Zibbell & Gladden, 2016). The opioid epidemic in the
America is in the midst of yet another drug-related epidemic only this time it is the worst opioid overdose epidemic the world has seen since the late 1990’s. According to the Center for Disease Control and Prevention (CDC 2016), “since 1999, the number of overdose deaths involving opioids has quadrupled.” Opioids (including prescription opioids and heroin) killed more than 33,000 people in 2015, more than any year on record. (Rudd, Seth, David, School, 2015). With overdoses from heroin, prescription drugs, and opioid pain relievers surpassing car accidents as the leading cause of injury-related death in America, it became clear that swift and comprehensive legislation was needed for treatment, recovery support and prevention education in communities
Have you ever thought about doing drugs? If so you're not the first, but you probably didn't think about how it could affect you and your life. In 2016 63,600 people didn’t think of the consequences and ended up dying from overdosing in the United States. 42,249 deaths involved an opioid. Opioids are drugs made to replicate opium. They both include legal painkillers like morphine, oxycodone, or hydrocodone prescribed by doctors. The problem with opioids has been growing for years and its growing with each year. The misuse of and addiction of opioids is a serious national crisis. It effects public health as well as social and economic welfare.
The source describes the opioid overdose epidemic across the U.S. as a significant issue possibly deriving from economic stress, social isolation, and over-prescribing pain relievers. Action must be taken to help and prevent dependency on opioids in order to stop this rapid rate of overdose throughout America. Proper education is vital for younger and elder generations to know how to prevent opioid dependency.
An epidemic is on the rise and is hitting closer to home than one may expect. From the hospitals to the pharmacies and the medicine cabinets of many Americans, the damage prescription opioids are causing have been detrimental. Prescription opioids being medication that is meant to alleviate extreme pain, has induced more damage into the users life with its controversial side effects, and death in an abundant amount of cases. The issue revolving around prescription opioids does not just stay within the parameters of the dangerous medicine itself, but in addition the expansion of loose laws and corruption within the medical industry. This rise in the prescription opioid epidemic has been created by a contribution of physicians, pharmaceutical industry and a misconception of the medicine in the eye of the public. Even with all these factors in play, there is still hope to bring an end to the prescription opioid drug ring, with the combination of current laws and hopeful laws and restrictions in the future. The epidemic of prescription opioids has gone on for far too long and has caused an obscene amount of critical damage to the lives of many for the issue to be ignored any longer. Usage of prescription opioids must be reduced to ensure the safety of patients and to stop further abuse and death.
Opiates have been commonly used in the United States for several decades. During the late 19th century opium and morphine became regular ingredients in a lot of widespread patent medicines (Spohn & Belenko, 2015, p. 25). Since then, the use and abuse of opiates has been a serious epidemic that has been growing at a fast pace in the United States for many years now. Every day roughly forty-one people die from overdoses which are related to prescription painkilling drugs in the United States (Clark, 2014, p. 1).
Opioid Use Disorder (OUD) is a chronic and potentially life-threatening disease, and the main feature of which is addictive and compulsive opioid use (Drugs & Crime, 2010). Opioid drugs include some of the prescribed pain relievers as well as illicit drugs, such as heroin, codeine, oxycodone, etc. In the United States, about 9.5 million adults use pain relievers for nonmedical purpose, 1.6 million adults meet diagnostic criteria of pain reliever use disorders, and 0.56 million have heroin use disorder (Hedden, 2015), at a huge social and financial cost (Alan G. White et al., 2011). Furthermore, the relapse rate of OUD patients in treatment is high (Davstad et al., 2007).