In 1870, nonphysician Samuel Williams, had proposed the idea of using morphine and anesthetics to end a patient’s life, and to even lessen their pain when dying. As ether (a burning substance used in medicine) had been developed, physicians had begun to use anesthetic to relieve a patient's death, and in 1846, the first person to use ether anesthetics in an operation would be John Warren (Emanuel 793). During the Civil War, many physicians have been using hypodermic morphine to lessen the pain of soldiers, which had tremendously helped the physicians in gaining more experience with using the hypodermic morphine.
According to Lewy, “Since they were the most reliable drugs in their medicine cabinet, opium and morphine were used extensively by Civil War surgeons as pain relievers and for treating diarrhea.” Lewy is trying to prove how common morphine and opium were during the Civil war and how extensive the use was in treating common illnesses. Apparently “by the end of the war the Union Army had issued 2,093 syringes to about 11,000 surgeons, though probably fewer actually used the instrument. After the war many Yankee physicians recalled that syringes had been unavailable to them in the field, but contradicting evidence suggests that physicians often used syringes, especially towards the end of the war.”2 Syringes were available to surgeons during the Civil War, and allowed room for plenty of administration of drugs, which led to an increased chance for addiction. Opium and morphine were the drug of choice during this time, and some of the
The physician adjusts the dosage of buprenorphine if withdrawal symptoms or cravings are bothersome or if there are medication-related side effects. Patients visit their physician frequently until progress is on firm ground, usually once weekly. Stabilization lasts about two to four weeks.
The shock of amputation sparked fear into thousands of civil war soldiers. Before the gilded age, patients resented surgery due to the pain associated with it. The main anesthesthetics that were used were hashish, Mandrake, alcohol, and opium. Surgery before the gilded age consisted of speed to lessen pain but it created hostile and often cruel conditions for the patient.
Narcotic analgesics, especially morphine are underused for pain control with in the medical field. This underuse is because medical professionals, including doctors, fear patient addiction, side effects and possible lose of their licenses. These fears deny adequate healing and a better quality of life to those who would benefit from a more effective use of these drugs, as done in hospice care.
Opioid addiction is a condition that is preventable as well as one which individuals display several noticeable risk factors before the actual addiction prognosis to the point of causing death. There is a strong correlation between the early misuse of prescription opioids, which are prescribed for non-cancer pain management, and the development of a dependence on such opioids. Early detection of risk factors such as the misuse of opioids that are prescribed will help indicate that a patient is developing an addiction.1 Physicians, nurses, pharmacists, and other healthcare providers must closely monitor patients and the rate at which opioids are consumed as well as refilled.
As we see the further progression of the opioid epidemic within the United States, pharmacists become the frontlines to recognizing and providing care for these patients. It is however difficult to provide care for a patient when even the professionals within the medical community have an associated stigma attached to the use of these drugs. Patients who have a need for these painkillers recognize this stigma, and by doing so decide to avoid consulting their doctors and do not seek the care which they need. They do this to avoid the discriminatory treatment they receive both within and on the outside of the healthcare system, and to avoid the legal repercussions associated with the misuse and abuse of these products1. It is therefore the pharmacists' job to avoid the stigmatization of these people and respect those who use these treatments for legitimate medical purposes.
Milwaukee is currently facing an epidemic. This epidemic is the usage of opioids. Every year, the death toll grows from opioids usage. Opioid overdoses are America's leading killer. People are becoming more and more addicted to them and it is causing the user to overdose on the drugs. There are many types of opioids with different usages. This causes short and long term effects which can later lead the body to experience withdrawal from the drugs.
If you have been working in EMS for longer than a week you will probably already know the epidemic that America is facing. The epidemic that I am referring to has no discrimination and anyone can fall victim to it. If it hasn't already destroyed your family in some way then you are one of the lucky few.
Opioid is the fastest addiction in Iowa. “These are not aspirin,” says Dale Woolery. You can’t mix these painkillers with any other pill or painkillers in fact. Opioid painkillers are 50 to 100 times stronger than any other painkiller, from prescription painkillers to illegal painkillers, which are a knockoff of Heroin. Opioid is in the class of most addicting and lethal pills.
In comparison to modern medicine, the techniques used during the Civil War are vastly different than medical measures that are implemented in a medical setting today. Surgeons during the Civil War used sulfuric ether and chloroform as anesthesia. Sulfuric ether was discovered in Europe in the 1830s, and was first used as a anesthetic by William Morton in 1846 (Reimer). Anesthesia was only used in 95% of Civil War surgeries (Reimer). Sulfuric ether and chloroform were administrated by placing the chloroform or sulfuric ether on a sponge at the top of a cone and putting the open end over the nose and mouth (Reimer). This method wasted a lot of the liquid as it evaporated (Reimer). Due to the loss of solution, surgeons used just enough to make
In 2014, more people died from drug overdoses then in any other year on record. A substantial amount of deaths were due to drug overdose on opioids, according to the CDC. (2015:64). In 1901, surgeon Racoviceanu-Pitesti published his first report on opioids for intrathecal anesthesia. In 1979, a report on the use of morphine as a treatment for pain was made, by Behar and his colleagues. Epidural and spinal opioids are today part of a routine regimen for intra- and postoperative anesthesia, according to Fisher (2003:683). Historically opioids have been used as painkillers, however the potential for misuse is huge; when these are used repeatedly, it increases the risk of developing an addiction. The use of illegal opiate drugs such as heroin
People use drugs, legal and illegal, because their lives are intolerably painful or dull” said Wendell Berry. The same could be said with a toxic organic compound named Morphine. Morphine is white, crystalline and odorless which contain 17 carbon, 19 hydrogen atoms, 1 nitrogen atom and 3 oxygen. (C17H19NO3) Under organic compounds, it’s classified in the “True Alkaloid” group as the nitrogen is organized in a heterocycle and originated from amino acid. Morphine are produced through an extraction from plants like “Papaver Somniferous” then processed or produced synthetically for medication and recreational purposes.
For thousands of years, opiates have been used in the treatment of pain. Opium is believed to have been discovered 6000 BC, and since then, it has had a huge impact on both medicine and the recreations of those seeking euphoria. More recent than the ancient discovery of natural opium are the derivatives of opium, such as the alkaloids morphine, codeine, and thebaine. From these alkaloids, semi-synthetic opiates can by synthesized, such as hydrocodone, and oxycodone. Synthetic opioids are also quite prevalent, which include fentanyl and tramadol. Opium can also be processed into heroin, a morphine derivative. As advancements were made in science and engineering to allow for a wider distribution and usage of opiates, the problems of dependence and overdose also increased drastically. According to Hart and Ksir (2013, p. 302), the invention of the hypodermic needle for intravenous administration of morphine and other drugs allowed for a much faster and more potent dose of the drug. With this increased potency came an increase in the possibility of a recreational intravenous user to overdose. Hart also mentions that some of the wars surrounding the era of the synthesis of morphine may have contributed to the rise of morphine, seeing as a medic soldier’s motto was always “first provide relief” (2013). This relief-driven attitude and extensive use of opioid analgesics in medicine during the time, in addition to the large amount of patent medicines and remedies on the market may
The social problem I chose to do something about is opiate abuse/addiction. Opiates are naturally occurring narcotics, such as opium and opium derivatives, including morphine, codeine, and heroin. Prescription painkillers are opioid analgesics. Opiates are highly addictive and dangerous when misused. This social problem matters to me because I am a recovering opiate addict. I have been clean for four months and my new found passion is educating people about the dangers of opiates. People assume because doctors prescribe opioid analgesics, they must be safe. Opiate abuse matters to society because when opiates are misused, lives are taken. People die from overdose, abusers’ worlds fall apart because of their addiction, and loved ones of the abusers are left grieving and feeling helpless.
Morphine is a highly addictive opiate psychoactive painkiller. It is often used before or after surgery to alleviate severe pain. Morphine acts by attaching to specific proteins called opioid receptors, which are found in the brain, spinal cord, and gastrointestinal tract. The drug was originally derived from the poppy seed plant before it was chemically enhanced and manufactured. Starting off, the drug was used to cure alcoholism and certain types of addictions. This didn’t last very long considering morphine was found to be much more addictive than alcohol. In the early 1900s, morphine was identified as a controlled substance under the Harrison Act. The Harrison Act was put in place to control morphine by making it only legal for those