Assignment 2: Medical Case Study

In the last two decades, opioid addiction started affecting more and more Americans. But who is at fault for this epidemic? The pharmaceutical companies. They make and distribute their drugs to doctors and pharmacies and are making billions off the American worker’s dollar. All while, lying to doctors about these miracle drugs effectiveness and advocating against protective measures for the drugs.

How would Ed’s blood help protect him from a foreign invader such as the one now in his system?

The Maryland drug court system has failed plenty of people since it was first introduced 1993, because of the goals and requirements are unrealistic and the offenders with an actual serious drug problem in the program are not getting the proper treatments they need to successfully stay clean once they graduate. In this essay elaborate on the practices that should be changed and if rehabilitation, detoxification and opioid treatments need to be available were to be implemented it would improve the program and keep people like my loved one on the right track and not headed to prison.

Case Scenario 1: It has become necessary to ration a vaccine for a contagious disease. There is only enough vaccine available to cover 75% of the U.S. population. It is necessary to determine an appropriate method for doing this. Analyze this case by applying each of the theories of Utilitarianism, Rights-based, Justice-based and Virtue-based ethics as discussed in Module 2. (20 points)

When adults go to pharmacies to buy these drugs they have to present I.D. and get tested to see how much of a certain drug they need and to see how much they already have in their system. Secondly, I would like to see a law put in place stating that opioids and other strong addictive drugs can only be used in hospitals and not be dispensed in local pharmacies. The only time someone would be given this drug outside hospitals if they have a major injury, for example, a broken bone or something else of the sort. If someone is using this drug outside the hospital they have to go to a pharmacy to get a dose of it. Thirdly, there should be a mandatory drug education course in the high schools in this are to teach young adults and teenagers the consequences of drug abuse. If kids and teenagers at a young age are taught about drugs, it will prevent drug addiction later on in life. In addition to that, there should be an age limit on who can take the drug just like alcohol. The age should be 18 and above since teens are considered adults after that age. Everyone that takes this drug should be forced to go to rehab to see if they are addicted, if yes they should attend rehab until they get

Painkillers are prescribed so fluently within doctors offices, hospitals, and other similar facilities. Part of the issue comes from our physicians and those patients who complain about their “pain.” Rarely do physicians say no to a begging patients, but also they rarely take the time to run the necessary test to find the root of the problem. As a beginning solution, educational classes on dealing with and treating chronic pain and how to properly dispose of unused pharmaceuticals like opioids are gaining popularity(Meldrum). With the proper knowledge, people can begin to understand how opioids become so addicting. Along with knowledge about the epidemic comes help for those affected. Treatment centers for those who need it should be implemented at a proper cost and with availability for everyone. Through the Affordable Care Act, treatment coverage has been broadened. This contributes to actual care for addicts rather than punitive measures. Along with treatment options, emotional support to an addict goes a long way. Addicts can return to a life full of bad choices when they feel as if no one cares to see them get better(Newcomer). With proper treatment and precautions, the epidemic can be solved.

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

According to the Centers of Disease Control and Prevention 44 people die each day in the United States of America due to an overdose of a prescription painkiller (“Joining the Fight”, n.d.). A staggering 2.1 million people in the United States suffer from substance abuse disorders and the number of people using opioids for nonmedical uses is continuing to rise (Volkow, 2014). Who is to blame for these outrageous numbers? I believe that the patient and the pharmaceutical companies are to blame for this on-growing problem. Some of the largest contributing factors to these growing statistics is that the pharmaceutical companies have very aggressive marketing of the medicines, which in turn leads to a rising number of prescriptions written for

• Pre-Registration - When the Patient either comes into the office or calls over the phone for the inital appoitment. If they are new Patients you will need all their insurance information prior to appoitment to confirm they infact take that insurance, co-pays, and active insurance. You then will need to know what the patient is being seen for.

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.

There are groups of people in the criminal justice system who considers drug addiction a personal issue, not a criminal one. This could not be further from the truth; drug abuse is illegal and should be treated as such. It is a catalyst for many crimes seen today from mugging to murder. If the numbers of those who abuse drugs are reduced, the amount of crimes associated with the addiction are also reduced. Not only will crime levels be reduced, most of those who undergo treatment tend to be better prepared to do more with their lives and not re-offend.

1. Prepare a brief situational analysis of LMF for Dr. Townsend, identifying at least 3 internal issues and 3 external issue/competitive issues that are affecting LMF.

The American criminal justice system is far from perfect and recently there has been an outcry from many in the nation demanding that the system receive an overhaul to increase efficiency, remove prejudicial practices, and adopt a more rehabilitative stance. One area in which I believe the criminal justice system has failed is in the treatment of those addicted to illegal substances. I propose that offenses related to the recreational use of illegal drugs be handled by the public health system and not the criminal justice system.

Subject line: Describe what went right and what went wrong with this venture. Add in how you would fix the identified problems, if this was your company.

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.