Abstract This evidence based paper focuses on the rate of opioid related overdose and deaths, interventions types and its effectiveness, specifically naloxone. This paper details trends in abuse and mortality, interventions taken to reduce rates of overdose related deaths, Naloxone as an intervention, and it’s availability. The review of literature in this paper leads to the following research question: Does Narcan availability to family members of opioid abusers decrease opioid-related deaths? This question is answered using current research on opiate overdose and naloxone use. According to research by Dart et al, there has been an increase in the number of opioid-related deaths since 2010 and their research mapped …show more content…
More recently, numerous programs across the United States have distributed naloxone, paired with education on how to identify, prevent, and treat overdoses, to the lay public (e.g., friends and family members of people who use opioids). In addition to naloxone distribution programs for friends and family members of people who use opioids, programs training first responders like police, firefighters, and emergency medical technicians who traditionally have not been trained to use naloxone, have also demonstrated positive results [19,20]. Despite evidence of safety and efficacy, naloxone distribution programs, like other harm reduction interventions, face logistical and ideological challenges [21,22]. First, individuals who witness an overdose may not call for medical attention or administer naloxone because of legal concerns …show more content…
A majority believed that providing naloxone to first responders would save lives (60%); however, only 35.9% believed that providing naloxone to friends and family members would save lives. A similar percentage held negative beliefs about naloxone: 31.4% thought that distributing it will encourage people to use more opioid analgesics and 39.0% believed that preventing overdoses is ineffective because people will just continue to use and overdose again. Almost half of participants believed that naloxone administration should be restricted to medical professionals only. Our finding that factual information alone can significantly increase support for naloxone distribution policies suggests that educating the public about naloxone’s safety and efficacy will play an important role in garnering public
Part of this team are pharmacy interns who distribute naloxone (Narcan) rescue kits to the patient every saturday morning. The naloxone rescue kits were donated by the Steve Rummler Hope Foundation. The Steve Rummler Hope Foundation partnered with HCMC with a mission to heighten awareness of the dilemma of chronic pain and the disease of addiction and to improve the associated care process.4 The pharmacy intern spends about fifteen minutes educating the patients on signs and symptoms of opioid overdose, how to respond and how to use the naloxone rescue kits. This program has been successful with distribution of a total of 150 kits as of October of 2016. In addition, patients often provide success stories of occasions when they saved the lives of a loved one or a friend using the naloxone rescue
The use of opioids and other drugs continues to gradually increase in the United State. According to Centers for Disease Control and Prevention (CDC), the number of overdose deaths involving opioids has quadrupled since 1999” (CDC website). Individuals are abusing prescription opioids such as oxycodone, hydrocodone, and methadone. Prescriptions opioids that are supposed to be used as pain relievers, cough suppressants and for withdrawal symptoms are being use by individuals in order to feel relaxed or for the overwhelming effect of euphoria. These types of drugs are to be taken orally, but people are snorting, smoking, and injecting them in order to get a better high. I have personal encounters with opioid drugs and opioid abuser on a regular
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).
Various levels of governments in different communities across North America have initiated programs to deal with the opioid epidemic and its effect. Some of these initiatives will be examined in more details below.
There is no question that the alarming rate of deaths related to opioid overdose needs to be addressed in this county, but the way to solve the problem seems to remain a trial and error approach at this point. A patient is injured, undergoes surgery, experiences normal wear and tear on a hip, knee or back and has to live with that pain for the rest of their life or take a narcotic pain medication in order to improve their quality of life and at least be able to move. The above patients are what narcotic pain medications were created for, a population of people that use narcotic pain medications for fun is what is creating a problem. Narcotics are addictive to both populations, however taking the narcotic for euphoric reasons is not the intention of the prescription that the physician is writing. The healthcare system needs to find a way to continue to provide patients that experience chronic pain with the narcotics that work for them while attempting to ensure the Drug Enforcement Agency (DEA) doesn’t have to worry about a flood of pain pills hitting the streets by granting access to the population with a substance abuse problem.
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.
I question are we saving lives with Naloxone or just prolonging it enough until they get a stronger version of heroin or one laced with fentanyl or carfentanyl. Thus, far the effectiveness that Naloxone have on the amount of opioid related overdoses has shown ineffective. The amount of lives saved from Naloxone has increased, however the number of overdoses and deaths have increased in the state of Maryland, since Naloxone has increased on the streets. My audience is for those who set the guidelines for the administration for Naloxone in the State of Maryland. Currently, in Maryland a person does not have to be trained to administer Naloxone. Anyone can go to their local pharmacy to get Naloxone at no cost. There should be more stringent guidelines on how Naloxone is distributed to the community. There should be an increase of education and not a decrease. This is important because educating the community has proven to be an effective intervention for drug use. Administering Naloxone without treatment is keeping people temporarily alive and addicted with the increase of overdoses and deaths in the long-term. Naloxone is reactive and without treatment have been proven ineffective. Naloxone is a short-term solution to
Opioids are killing Americans throughout the world and also decreasing their lifespans overall. According to a medical report from JAMA Opioids take about 3 months off of our lives. In 2015 life expectancy in the US decreased since the year 1993. Deaths from drug overdose continue to get higher and according to The Center for Disease control there were 64,000 deaths from a drug overdose in 2016. The amount of deaths related to Opioid’s has multiplied by four since 1999. One of the main causes for opioid overdose deaths has been from heroin and fentanyl. According to the CDC Fentanyl is the number one cause of opioid overdose. (CNN)
If you watch the news it should come as no surprise that drug abuse and overdoses have increased dramatically in the United States. According to the National Institute on Drug Abuse, as many as 36 million people abuse opioids throughout the world with 2.1 million in the U.S. who currently suffer from opioid abuse disorders (National Institute on Drug Abuse, 2014). These astonishing numbers are only marginalized when comparing them to opioid related deaths in the United States. With an increase of 137 percent since 2000, deaths from drug overdoses now occur 1.5 times more often than deaths from motor vehicle accidents (Rudd Aleshire, Zibbell & Gladden, 2016). The opioid epidemic in the
Once more, the lives of Canadians are being claimed by addiction and overdose of a new drug in the streets. For those of you who don’t know what fentanyl is, it’s a powerful opioid, 100 times stronger than morphine, that is often prescribed to help patients manage moderate to severe pain. As a highly addictive substance, many are now dependent on it, and it is one of the most frequent causes of drug overdose. Readily available for purchase online are quantities of pure fentanyl from China, but when improperly diluted in clandestine labs, it can lead to an immediate overdose. Recently, an antidote for opioid overdose called naloxone has become available without prescription, so that anyone can use it. Fentanyl has become a severe problem in the past few years, and while we yet to find a way to eliminate dependence on this drug, we must keep those who use it safe.
Mike Alstott knows first-hand how opioids, when used correctly, can play an important role in managing pain and helping people to function, but he is also keenly aware of the growing crisis of opioid misuse and overdose. More American adults are dying from misusing prescription narcotics than ever before. An estimated 35 people die every day in the U.S. from accidental prescription painkiller overdoses resulting from things like not taking a medication as directed or not understanding how multiple
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.
In fact, there was thought to be more of a need for them. Before the last two decades, opioids were used for cancer related or acute pain. However, in the 1990s chronic non cancer patients got attention because people nationally felt there was a shortage in patients receiving opioids, thus making them deprived of adequate pain management. Because of this, clinicians were encouraged to treat chronic non-cancer pain and patients in hospice care more often than they were used to. It was also encouraged to use high doses of opioids for long periods of time (Cheatle). The idea that providers seemed overly cautious about these medications caused a large increase in opioid prescriptions from health care providers. Threat of tort and litigation for some doctors that were deemed for not prescribing enough to alleviate pain of patients was also a concern for doctors This quickly turned a shortage of prescription opioids into a national prescription opioid abuse epidemic in under twenty years. From 1999 to 2010, the amount of prescription opioids sold to hospitals, pharmacies, and doctors offices quadrupled, and three times the number of people overdosed on painkillers in this time (Garcia). While some patients have benefitted from the increased sales and loose guidelines of prescription opioid analgesics, the increasing in opioid misuse, abuse, and overdose is truly daunting. As a nation, we need to back track, and
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).