Drug Abuse on the Rise in the Community “In 2014, nearly two million Americans either abused or were dependent on prescription opioid pain relievers (“Injury Prevention and Control: Opioid Overdose,” 2016.)” The CDC is now saying that the United States is in an epidemic. The purpose of this paper is to explore the increasing drug use in the United States over the last decade. The primary focus is on the administration of opioid analgesics and the addicting mechanisms of these medications, and what they are used for. It will talk about the deaths related to these medications and the health effects, and the other types of drugs these medications can lead to, such as heroin. This paper will also talk about the costs related to opioid analgesics in the hospitals and in the community, and what we as health care providers can be doing to help stop this epidemic.
Drug Abuse on the Risk in the Community
Opioid analgesics, also known as narcotic analgesics, and are used as pain relievers that act on the central nervous system; these drugs can have very addicting mechanisms involved. “According to the centers for disease control and prevention, prescription drug abuse has reached “epidemic” proportions, deaths from prescription drugs, particularly opioid analgesics, now vie with automobile accidents as the most common cause for accidental death (Herzberg, Guarino, Mateu-Gelabert, Bennett, 2016).” Throughout the last decade there have been more deaths and addiction
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
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).
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.
The over use of opioid has been one of the major public health problem in the United States (Substance Abuse and Mental Health Services Administration, 2018). Opioids include prescription medications that are used to treat pain symptoms which includes codeine, morphine, methadone, hydrocodone, and etc., as well as illegal drugs such as heroin and illicit potent on opioids such as fentanyl analogs (Substance Abuse and Mental Health Services Administration, 2018). The opioid overdose could happen due to many factors such as when a patient deliberately misuses a prescription, or misuse heroin (Substance Abuse and Mental Health Services Administration, 2018). Opioid overdose could happen due to the prescriber miscalculated the opioid dose or when
As we all have researched and found out the devastating numbers to the opioid epidemic “the abuse of prescription and non-prescription opioids is one of the greatest threats facing public health in the United States today. It is estimated that as many as 2.5 million people in the US are suffering from opioid addiction related to prescriptions, and an additional 467,000 are addicted to heroin”(2017).
In the United States, there has been upward swing of opioid abuse over the past decade. Overdose deaths involving opioids – both prescription pain relievers and heroin – almost quadrupled between 1999 and 2014. Well-intentioned efforts to curb prescription opioid abuse have yielded new policies with unfortunate, unforeseen consequences for the 15% of the US population that suffer from chronic pain – nearly 45 million people.
Although addiction and overdose of opioids was not declared an epidemic by the Center for Disease Control and Prevention (CDC) until 2011, the beginning of the epidemic can be traced back as early as the 1980’s when attention in medical care began to turn toward pain management. By the early 2000’s the Joint Commission on Accreditation of Healthcare Organizations named pain “the fifth vital sign,” implying that pain is as important clinically as pulse rate, temperature, respiration rate, and blood pressure (Wilson, 2016). At the same time, there has been an emphasis change from patient wellness to patient satisfaction metrics. Non-steroidal anti-inflammatory drugs such as Advil, Aleve, or aspirin have raised safety their own safety concerns, contributing to increased use of opioids. The lack of patient access to and insurance coverage for chronic pain management specialists or alternative healing therapies also contributes to the opioid epidemic (Hawk,
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.
Individuals who use Opioids are Addicts. The history of this very debatable topic is very educational and
America is struggling with a new epidemic that is taking several lives every day. “Prescription drug overdoses claim at least 40 lives daily” ("Prescription Drug Overdose," n.d.Para 1). The opioid crisis occurring across the nation is devastating. A major problem is that once patients become dependent on these prescription medications, they are reportedly seeking more affordable alternatives such as heroin or fentanyl. In addition, patients may be switching to heroin when their doctor suddenly discontinues the medication they have become dependent on. Chronic pain is a controversial issue because opioid management can be beneficial but also detrimental as seen in recent years. “Between 2002–2016, deaths soared by 533% nationwide, from under
The report is a continuing study of how prescription drugs such as; painkiller, oxycodone, codeine, hydrocodone, fentanyl, morphine, epidemic and heroin can cause opioid addiction. People who are addicted to drugs can and will create long term damage to their body, which can bring medical issues, including lung or cardiovascular disease, stroke, cancer or AID’s. American Society of Addiction Medicine (ASAM) researcher stated, “That opioids chemical causes the brain and nerve cells to produce pleasurable effects and relieve pain.” (Nora D. Volkow, 2014). Now, when that happens the brain will relapsing causing individual pathologically to pursue reward or relief from the controlled substance. (Nora D. Volkow, 2014). There was a study done in
In the United States of America, we, the people value several things, some of which
Prescription opioid pain relievers account for more deaths than both cocaine and heroin combined (Stewart). The Centers for Disease Control and Prevention estimate that the fatal overdoses caused by prescription drugs is around 26,000 a year in the United States (Szabo). Prescription drug abuse is becoming a greater threat each day. It has become an epidemic, especially in the United States. As of 2011, 75% of the world’s opioid prescription drugs were prescribed and consumed in a country that makes up less than five percent of the world’s population (Gupta). Why is that the case? The United States lacks strict regulation and monitoring of these drugs. Therefore, prescription drugs should be better regulated to prevent abuse