Pain management
There are many analgesic drugs. Among those the oxycodone is the most pain reliever of opioid analgesic drug. Oxycodone is classified as schedule II controlled substance. It is commonly combined in tablets with acetaminophen (Percocet) and with aspirin (Percodan). Oxycodone is available in the form of immediate-release (Oxy IR) and sustained- release (OxyContin). It is a strong pain reliever often used to control moderate to severe pain, postoperative, acute, and chronic pain. Oxycodone is classified pharmacologically as a class of opioid agonists, and opioid synthetic while, therapeutic classification oxycodone is opioid analgesics, and Pregnancy category B. Oxycodone. The opioid analgesic drugs are originated from the
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Less common side effects delayed gastric emptying, hyperalgesia, immunologic and hormonal dysfunction, muscle rigidity, and myoclonus.” Klein, M., Rudich, Z., Gurevich, B., Lifshitz, M., Brill, S., Lottan, M., & Weksler, N. (2005). Controlled-release oxycodone-induced seizures. Clinical Therapeutics, 27(11), 1815-1818.
Legal/Ethical issues in pain management—Oxycodone use
Oxycodone is mostly used in a hospice care facility to provide “End of Life” care for a terminally ill patient. In hospice facilities, the primary care provided for the patient is making his/her final days pain free and provide comfort. Most patients and families who use hospice services expect that the hospice will make every effort to relieve the pain which afflicts their loved one. (Hospice Alliance). Pain relieving in such facilities usually involve use of narcotics such as oxycodone, morphine, and fentanyl. When a patient is experiencing an excruciating pain in the facility, effective pain relief is a primary ethical obligation based upon the principles of beneficence, nonmaleficence and patient autonomy. The foundation of pain management begins with a complete assessment, which incorporates “WILDA” (words, intensity, location, duration, aggravating/alleviating factors) and considers the components of physical,
In addition to Vicodin, the pain killer Oxycontin is also widely abused. It is used to treat severe pain that is expected to last a prolonged amount of time. Oxycontin has many similar side effects of Vicodin along with sweating, itching, loss of appetite, and severe weakness. It works by blocking the brain from receiving pain messages. The reason Oxycontin is so dangerous is because it is highly addictive and is a central nervous system depressant. It is believed that a younger healthier college student is more likely to become addicted to the drug rather than an older adult taking it for pain reasons. This is because taking Oxycontin to get high has a completely different effect on the body (“Oxycontin”).
OxyContin is a controlled drug containing oxycodone, the active ingredient responsible for eliminating the pain associated with: injuries, bursitis, dislocation, fractures, neuralgia, arthritis, lower back pain, and pain associated with cancer. When taken according to the proper dosage, the oxycodone runs on a perfectly timed release in the body’s system in order to manage the pain. This narcotic, when abused, produces heroin like effects and can enable the user to develop a tolerance, forcing an increase in dosage per intake in order to achieve the desired effects. Though OxyContin is
To most people, pain is a nuisance. But to others, pain controls their life. The feeling discomforts us in ways that can sometimes seem almost imaginable. These feelings can lead to many different side effects if not dealt with or diagnosed. These effects can include depression, anxiety, and incredible amounts of stress. The truth about pain is that it is vital to our existence. Without the nervous system responding to pain, we would have no idea if we were touching a hot stove, being stuck by a porcupine's needles, or something else that could leave a lasting effect upon our bodies without us even knowing anything about it. This warning system helps to alert us when there is
Considerable cautions have been obtained throughout the United States to decrease the misuse of prescription opioids and helps to minimize opioid overdoses and related complications. Even though the pain medications have a significant part in the treatment of acute and chronic pain situations, it sometimes happen that the high dose prescription or the prescribed medications, without having enough monitoring, can create bad outcomes. It is always a dilemma for the providers to find who is really in need of pain medications and to identify those who are questionably misusing opioids.
Oxycodone is the main drug I am concentrating on even though there are many opiates or schedule II drugs that are considered Opioids. Oxycodone was first created as part of an effort to find non-addictive alternatives to morphine and heroin, which were commonly used in medicine before World War I. Oxycodone is an opioid analgesic, ?Pain Killer? that is most often prescribed to control moderate to severe pain that must not be used with other medications. It is a slightly synthetic opiate that was created in 1916. The chemicals found in Poppy plants also make as morphine and heroin. Opiate:?A drug (such as morphine, codeine or heroin) containing or derived from opium or the opium poppy, used to alleviate pain, or induce sleep or euphoria. "Some Facts You Should Know About the History of Oxycodone." A Forever Recovery. 2014. Web. 10 Mar. 2016. Opioid:?A synthetic or semi-synthetic substance producing an opium-like effect, often prescribed for the alleviation of moderate to severe pain; a prescription painkiller in the opiate class.
Oxycodone is the main drug I am concentrating on even though there are many opiates or schedule II drugs that are considered Opioids. Oxycodone was first created as part of an effort to find non-addictive alternatives to morphine and heroin, which were commonly used in medicine before World War I. Oxycodone is an opioid analgesic, ?Pain Killer? that is most often prescribed to control moderate to severe pain that must not be used with other medications. It is a slightly synthetic opiate that was created in 1916. The chemicals found in Poppy plants also make as morphine and heroin. Opiate:?A drug (such as morphine, codeine or heroin) containing or derived from opium or the opium poppy, used to alleviate pain, or induce sleep or euphoria. "Some Facts You Should Know About the History of Oxycodone." A Forever Recovery. 2014. Web. 10 Mar. 2016. Opioid:?A synthetic or semi-synthetic substance producing an opium-like effect, often prescribed for the alleviation of moderate to severe pain; a prescription painkiller in the opiate class.
Oxycodone is the main drug I am concentrating on even though there are many opiates or schedule II drugs that are considered Opioids. Oxycodone was first created as part of an effort to find non-addictive alternatives to morphine and heroin, which were commonly used in medicine before World War I. Oxycodone is an opioid analgesic, ?Pain Killer? that is most often prescribed to control moderate to severe pain that must not be used with other medications. It is a slightly synthetic opiate that was created in 1916. The chemicals found in Poppy plants also make as morphine and heroin. Opiate:?A drug (such as morphine, codeine or heroin) containing or derived from opium or the opium poppy, used to alleviate pain, or induce sleep or euphoria. Opioid:?A synthetic or semi-synthetic substance producing an opium-like effect, often prescribed for alleviation of moderate to severe pain; a prescription painkiller in the opiate class.
Fentanyl, a schedule II synthetic opioid analgesic with a 10-20 minute half life, and a
Last semester in clinical, there was a patient with sickle cell anemia and he automatically sparked an interest in me. The patient was quite young and was in so much pain that he could not even bear to be touched by the nurse and reported a pain level of 8. Before my encounter with this patient, I did not know much about sickle cell anemia and decided to do some research on this disease. In my research, I learned that a majority of these patients go through acute pain episodes that occur chronically. After learning this and thinking about the young boy in the hospital, I wanted to discover more about how the pain in these patients are managed and controlled.
Pain medications result in complicated side effects beyond addiction and tolerance which is Opioid-Induced Hyperalgesia (OIH). “There’s an unfortunate irony for people who rely on morphine, oxycodone, and other opioid painkillers: The drug that’s supposed to offer you relief can actually make you more sensitive to pain over time” (“Why Taking Morphine Makes Pain Worse”, 2016). This effect of the drug is known as hyperalgesia but in the presence of opioids; this is known as Opioid-induced hyperalgesia. Opioid is a well know drug originated from the opium poppy plant and it has been around for thousands of years for both recreational and medicinal purposes. The most active purpose for this drug is to relieve pain which is also known as a painkiller. There is a law stating that all contents must be labeled on all medicines containing opioid; “Congresswoman Annie Kuster (NH-02) welcomed today’s announcement by the Food and Drug Administration (FDA) that it would begin requiring warnings for medications that contain opioids” (“FDA Policy to Require Labeling of Prescription Medications Containing Opioids”, 2016). This drug should not be taken without direct orders from a doctor nor should it be misused. Scientists have observed that the more an individual consumes, the less effective the drug becomes. This leads to a viscous cycle of people relying on higher doses. Opioid sets off a chain of signals in the spinal cord that heightens pain rather than reducing it, even after the
“Prescribed opioids, Heroin, and Fentanyl have killed more than 42,000 people in 2016, according the Centers for Disease Control and Prevention, 40 percent of the 42,000 deaths were brought on from prescribed opioids.” (“Golgowski”) The epidemic of opioids affects multiple communities everywhere, and the company Purdue Pharma, has seen the effects of the drug they produce. Although there are pros and cons to this drug, the bad outweighs the good. While describing the effect of Oxycodone of the good and the bad, and how it is used.
The first 48 hours of pain analysis and treating the pain of the patient to the hospice (or end-of-life patient in any other stetting) are crucial. However, the patient may be unable to speak and articulate his pain, or may be able to inadequately express the symptoms. One of the major concerns for those who are at the end of life is
Oxycontin is the brand name for an opioid analgesic containing the active ingredient oxycodone hydrochloride. Correspondingly, oxycodone is an opiate or a class of drugs derived from the opium poppy. Oxycodone-containing products come in an assortment of forms. The forms often include tablets, capsules, and liquid forms. However, oxycontin is mainly in the formation of white round tablets that have an “OC” on one side and the number 10 or another integer on the flipside. The “OC” stands for Oxycontin/Oxycodone and the digits on the back represent the amount of oxycodone (in milligrams) that the drug carries. Oxycodone was initially prescribed to medicate the chronic pain that patients with terminally ill cancer faced. In such cases, oxycontin works by changing the way the brain and nervous system respond to pain. In spite of it’s benefits, when abused, Oxycontin becomes dangerous. A toxic overdose and/or death can occur by taking the tablet broken, chewed, or crushed. With this drug, addiction and death are two
The authors of the article each come with their own perepectives on pain management in the cognitively impaired older adult.
Painkillers like OxyContin shouldn’t have a negative connotation when taken as prescribed because they treat the pain. Many say that