Methadone Stabilization: A Case Study

The purpose of this briefing memo is to provide recommendations to Council of City ABC on certain aspects it may or may not include in its zoning provisions with regard to methadone clinics and dispensaries. In the following sections I will provide my input on the provisions laid out by council.

D-The patient arrived on time for her appointment. Reported stable on her new current dose. Deny craving and withdrawals. According to the patient, her weekend was good and again, happy to have her take home bottles. Then the patient reported, she continues to keep all appointments with her mental health provider and its going very well. This writer then discussed with the patient about the next step to her recovery. The patient reported, she wants to continue with her methadone until she's ready to start tapering off on the methadone. The patient has some fears to tapering off on her methadone because she does not want to experience any craving and have a relapse.

Throughout the case of how Ashley had ingested the methadone, there had been many inferences being constructed. Through all the inferences, none of them are fully explaining everything that had happen that night on the cruise ship. All of the inferences are focusing on how the fiancé might have been involved in the ingested methadone, but hardly any are focusing on anything else. Due to Ashley consuming alcohol that night, the abortion causing her to be exhausted with emotion, is is very clear that she had mistaken the methadone for NyQuil and thus causing this case to be an accidental suicide.

It seems each year that the automobile accidents increase, and there are a high number of death and injuries that follow. Records show that nearly 1.3 million people die in road crashes and 20-50 million are injured. More than half of all traffic death occur among young adults 15-44 years of age( ). Accidents can happen at any time and can be caused by many reasons such as rain, speeding, drug, or alcohol. An automobile accident is what brought the 16-year-old boy to the emergency to be care for by the medical staff there. The patient was seen by the ER staff for several hours, and he was admitted later in the inpatient unit for observation. The next morning when staff tried waking the patient he was died.

There were no Cochrane meta-analyses or systematic reviews for comparing methadone and Suboxone maintenance treatment head-to-head. There were 8 trials that had specific populations or were under-powered that I had difficulty choosing between. Before I tried deciding between these articles, I chose to search Medline for any more leads. After searching Medline, I found a rapid response report by the Canadian Agency for Drugs and Technologies in Health that compared Suboxone and methadone head-to-head. After looking into this review more, many of the trials I was considering choosing from Cochrane were included in the study, such as one by McKeganey, Russell, Cockayne (2013) which compared methadone and Suboxone in context of opioid

For this assignment I choice to do Methadone. I found my information through the following; Websites, New articles, Health Unit, Drug References and magazines. Methadone is a high alert drug it is use to teat many different disorder such as Symptoms from Stopping Treatment with Opioid Drugs, Narcotic Addiction, Severe Pain, Chronic

Pharmacy has been consulted regarding: How do the outcomes compare between buprenorphine-containing treatment options and methadone in opioid-dependent patients in terms of efficacy?

America has a major problem with opioid addicts, and many facilities are helping the addicts by providing safer options to taking the drugs their bodies crave. Methadone clinics are places where people addicted to opioids can receive medicine-based therapy. Opioid use, drugs such as heroin, morphine, and prescribed painkillers, has increased in the US with all age groups and incomes. People become addicted to these drugs when they are prescribed, recreationally used with other addicts, or they are born addicted. Many health institutions are addressing this issue with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted

Naloxone, also known as Narcan, is a prescription medication that is used for opioid overdoses. This medication reverses the lethal effects of opioid drugs however, only reverses it for two to three minutes because opioid effects are so strong, therefore, Narcan usually has to be used multiple times while trying to resuscitate the patient who has overdosed. Although Narcan will reverse the effects of the overdose, the patient must be taken to the hospital immediately to do further medical treatment depending on the severity of the overdose.

There are many people in the world today that are drug addicts and cannot quit by themselves which is where the methadone clinics come into the picture. Methadone reduces the withdrawal symptoms therefore making it easier to quit drugs. Even though methadone is supposedly proven to be safe, it seems to have biases and stigmas associated with it because it is an opioid medication and many people can become addicted to it as well as have serious side effects. For individuals who aren 't willing to quit using drugs, they offer needle exchange programs that reduce the risks of infections and diseases. Needle exchange programs are important in a society like today because a

Methadone misuse leads to flash visual evoked potentials in newborns. In the article by McGlone, Hamilton, McCulloch, Boulton, Bradnam, Weaver, & Mactier (2013), they conduct a study about mothers who abuse drugs and are prescribe methadone and end up misusing the methadone. The infants of the women end up being born with abnormal flash VEPs. The researchers concluded that the abnormality is due in part to the prescribed methadone and not the other drugs that these women were abusing. A control group was implemented to compare the flash VEP with healthy, drug free infants. It is also concluded that methadone binds to ocular as well as to brain tissues, which explains why it has an adverse effect on the infants visual and neurologic development.

included in The Harrison Act, that was supposed to protect physicians, “in the course of

A-Based on this writer assessment, the patient appears to be alert and oriented. There was no

Post World War II New York City was faced with a major heroin epidemic with over 151,000 names listed in the Narcotics Register (Herman). As a medical response, methadone was developed to treat heroin addiction (Herman). Today methadone maintenance treatment has grown to become a popular therapy for drug addiction as well as pain management. Methadone has helped many people to create new lives for themselves, yet there is still debate over the success of this program. Methadone assisted treatment should be seen as an effective program in combating opioid addiction due to its health and social benefits for both users and the community.

D-The patient arrived on time for his session. Reports stable on his dose. Deny the need for a dose increase when offered as he reported not having any sort of cravings/withdrawals. The patient reported that his mother was admitted to Saint Francis Hospital since Sunday to address her medical issues as his mother has bronchitis and there's concern about his mother's kidney. This writer validated the patient feelings as he addressed the concerns of his mother well-being. Then the conversation shifted about the patient recovery process. According to the patient, he hasn't used for the past two days because his employer stopped using. This writer strongly advised the patient to work towards his committment to his recovery process because the patient needs to avoid the people, place, and things, referring to his employer which is a major to his recovery. The patient agreed and says he will work on it. This writer advised the patient, if he produces another positive, he will then need to consider engaging in a self-help group at the clinic or within his community. The patient agreed to the terms. This writer then asked the patient as to why he considered to seek treatment and his response was, " I need to get it right.....you right, I need to take this serious, you right."