Opioid Addiction: Article Analysis

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 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.

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).

There have been several news coverages on TV and social network about drug overdose of different cases recently and they have risen people’s concern about the problems of drug abuse national-wide. The drug abuse and opioid epidemic is not a new problem to the American society, actually it has been a serious problem for many years. So what is the situation of drug epidemic now, and how can we find effective ways to deal with this problem? A few writers who ponder this question are Nora D. Volkow, Dan Nolan and Chris Amico.

Analysis: Opioids are a class of drug that are medically used as very effective painkillers, like fentanyl and morphine, however, they are highly addictive and produce a feeling of euphoria (“Opioids”). This combination leads do a lot of abuse and dependency, where people take more than prescribed in order to feel better. People start off taking the opioid painkillers in order to not feel pain as prescribed by their doctors. Then, they end up getting addicted to them. There are also illicit opioids, such as heroin, that are also highly addictive and also lead to dependency and death (“Opioids”). These illicit versions are taken for recreational reasons, and are also often mixed with other drugs. The combination of taking an unregulated drug in conjunction with other drugs leads to a lot of overdoses.

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.

Many people have developed an addiction due to an injury and which were prescribed painkillers to manage and treat the pain. Prolonged use leads to dependence and once a person is addicted, increasing amounts of drugs are required to prevent feeling of withdrawal. Addiction to painkillers often leads to harder drugs such as heroin due to the black market drug being cheaper. Prescription drugs remain a far deadlier problem and more people abuse prescription medication than cocaine, methamphetamine heroin, MDMA and PCP combined. Drug abuse is ending too many lives too soon and destroying families and communities.

After reviewing this article, I have determined that the dimensions of health involved with this issue are physical, environmental, and intellectual. For starters, this issue affects a person's physical health because it causes the body to deteriorate until eventually the person dies. Those who become addicted fail to take proper care of their body with healthy products but rather ingest harmful ones. Another dimension involved is environmental because depending where a person lives will depend how accessible these painkillers are. In an area where a doctor over prescribes painkillers, or people illegally sell painkillers, there should be a higher addiction rate because painkillers are easier to obtain. The final dimension involved

"More than 30,000 people are dying every year from Opioid drug addiction." (Katel833). That means they are leaving behind 30,000 families grieving and at least another 30,000 people they may have introduced to the addiction of the drugs each year. Opioids drug are a very serious matter that goes around daily without being noticed. Although some precautions have not been a total fail, recent epidemic shows the problems with the Opioid drug addiction is bigger than what we can handle and cannot simply curb the epidemic.

However, opioid addiction is a health problem and its users are unaware of the misconceptions of its safety. “According to the American College of Physicians (ACP), Opioid addiction, and other substance use disorders, should be addressed as a treatable chronic condition -- like diabetes or heart disease -- and not a moral failing or criminal activity”. To be specific, opioid addicts are victims as they are hooked to these prescription drugs as they believe that these chemicals are safer alternatives to other drugs and that it can cure their pain. To illustrate, these misconceptions about the harmlessness of opioids are main factors in the increase of opioid abusers. Because these painkillers are prescribed by doctors, many people believe that they are always safe to use.

Although opiates can relieve pain and improve quality of life temporarily, the opioid epidemic is becoming a widespread problem all over the United States. Opioids are drugs acting on the nervous system to relieve, but continued use can lead to physical dependence and withdrawal systems leading to opioid abuse. This includes codeine, morphine, oxycodone, fentanyl used daily by healthcare professionals. We need to realize that this is a more difficult problem to address if no one understands how it affects individuals. Why is this important?

Nurses today are likely to encounter patients who are intravenous drug users at some point in their career. The United States is in the midst of a rampant heroin/opioid epidemic which currently claims 91 lives a day to overdose (CDC, 2016). As nurses we have a unique opportunity to provide compassionate and impactful health care to the most marginalized groups of our society. Harm Reduction is a public health approach to intravenous drug use/opioid addiction which strives to reduce the harm of risky behaviors associated with illicit drug use. Nurses who implement harm reduction into practice have a powerful opportunity to educate patients on preventing the transmission of disease, vein care, and available resources within the community.

Opiates, otherwise known as prescription painkillers, have become an enormous problem in the United States. Addiction, overdoses, and death are only a few of the problems caused by opiates. Painkillers can be prescribed to help lessen chronic pain, pain from surgery, pain from serious accidents, or pain from terminal diseases. Opiates are highly addicting and have become highly abused in the United States in the past few years. Prescription painkillers need to be banned in the United States because of the dangers they bring to the patients to whom they are being prescribed. The FDA needs to become more involved in the awareness of how dangerous these drugs are and place a ban on them.

As if addiction and overdose are not bad enough, many other dangers stem from the abuse of opioids.