Prescription Abuse In Nursing

One in three Americans are prescribed opioids from their doctor. Once someone is prescribed a medication and take it daily, as told to do so by the doctor, it is extremely easy to become dependent on the pills. Dependency on a drug means that the body physically craves it and may experience withdrawals when the prescription is stopped. Addiction characterizes as a mental need for the drug. The behavior changes and abusing the medication will begin.

The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

The aim of this assignment is to analyse the use of safe and effective prescribing which occurred in the student health visitors (HV)’s area of practice under the supervision of the practice teacher. The case study will be developed on the seven principles of the prescribing pyramid (NPC, 1999) and Driscoll model of reflection will be used to reflect on the prescribing scenario. In accordance with the Nursing and Midwifery ‘s professional code of conduct (NMC, 2015) confidentiality shall be maintained. Hence mother will be known as Debra and baby knows as Ella.

Nurses, especially nurses working on an Addiction Medicine unit, are well-positioned to provide patient and family education on opioid addiction (Manworren, 2015; Painter, 2017). Effective patient and family education can theoretically improve the capacity for patients at risk for opioid dependence and/or patients experience opioid dependence to cope with the problem, reduce risks, and prevent relapse (Costello et al., 2016; McNeil et al., 2015). Nurses working on an inpatient unit provide patient education as part of regular daily care and during the course of discharge planning and management (Costello et al., 2016). Patient and family education related to the patient’s diagnosis and/or reason for admission is standard practice on most units. However, nurses, including nurses working on an addiction treatment unit, may lack sufficient knowledge in opioid addiction prevention and management to provide suitable patient-centered education to patients and their families (Costello et al., 2016). Moreover, there is currently no established model or protocol for nursing-directed patient and family opioid addiction education (Costello et al., 2016; Manworren,

Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, & Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that "approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice" (as cited in Talbert, 2009, p.17). Studies show that nurses have a 50% higher rate of substance abuse compared to the rest of the public (Epstein et al., 2010). Among the many factors that contribute to the nurse’s issue of substance abuse,

According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.

Millions of people throughout the world are taking drugs on a daily basis. If you were to ask someone why they take prescription drugs, most people would be taking them for the right reason. However, it’s estimated that twenty percent of people in the United States alone have used prescription drugs for non-medical reasons.1 Prescription drug abuse is a serious and growing problem that often goes unnoticed. Abusing these drugs can often lead to addiction and even death. You can develop an addiction to certain drugs that may include: narcotic painkillers, sedatives, tranquilizers, and stimulants.1 Prescription drugs are the most common abused category of drugs, right next to marijuana, cocaine, heroin, and

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.

During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and

With assistance from local educators such as Dr. Fagan and government policies could help bring awareness to opioid addiction to reduce and limit opportunities for misuse. Communicating this problem among healthcare physicians, providers, health departments can provide the public with information to help those with recovery and prevent further exposure. With effective communication, healthcare providers can spread knowledge, stories, break the stigma surrounding opioid use, and bring more discussion. “Children who learn about the dangers of drugs at home are up to 50 percent less likely to use drugs.”Therefore, we must start a conversation to break the stigma that affects individuals and families throughout our communities. Within the environment, some individuals may feel stigmatized by substance abuse which can be a barrier for those to seek help and contributes to poor mental and physical health ultimately increasing rates of relapse, delay recovery and increase involvement in risky

In first talking about substance use, abuse and addiction as it relates to the Nursing profession it is necessary to understand the aspect of addiction. Drug use is a broad idea that refers to the use of any chemical substance rather legal or illegal. This topic includes prescription drugs, street drugs, herbal supplements, and the like. The term Drug abuse is defined as “the use of a substance or substances in such a way that it leads to measurable personal, interpersonal, or social consequences” (Faupel, C., E., Horowitz, A., M., & Weaver, G., S., 2010, p.20). Drug addiction is then regarded as “a compulsive use of chemicals (drugs or alcohol) and the inability to stop using them despite all the problems caused by their use” (National

The topic for a DNP scholarly project is to create and implement an educational module for substance use disorders and addiction behaviors. The goal of this project would be to promote knowledge, decrease misunderstandings and misconceptions related to addiction and increase understanding of treatment options for nurse practitioners, other health care providers and the community where opioid addiction rampant. This topic is specifically interesting because there is increased incidence of health care disparities in rural communities especially in the Appalachian area. Professional practice as a DNP that would utilize this type of education would increase credibility to the nursing field and promote access to care in rural communities. With the

Opioid medications are frequently prescribed for severe pain. Opioids includes the pain medications like oxycodone, hydrocodone, morphine, and fentanyl as well as the illegal drug heroin (American Society of Addiction Medication, 2016). Many people rely on these drugs to relieve their pain from surgery, active cancer, chronic pain and end of life care (WebMD, 2017). Studies from the 2012 National Health Interview show that over 11% of adults report having chronic pain (Dowell, Haegerich & Chou, 2016). The opioid epidemic is a significant issue for nursing on the main respect that there is currently a problem with over- prescribing of narcotics and the millions of people addicted to opioid medications

Medicine seemed to lead the way for many drug addicted nurses. There were three different types of addiction methods mentioned in this paper. The most common type of drugs were opiates, cocaine, and marijuana. These drugs listed were used for different disease or illness. Opiates where preferred over alcohol because the users was not perceived to be as obnoxious and as violent as people who drank way to much alcohol. Marijuana was made for many different problems like tetanus, asthma, and female labor pains. Some physicians believed that morphine was a cure for habituis. Then after that people started getting addicted to morphine so that’s when heroin was introduced to help morphine habituis. A word used to mean addiction was habituis. Most

As a healthcare professional, we are responsible for the delivery of high quality patient care. Substance abuse among nurses is an issue that threatens professional standards and can lead to poor patient outcomes (Rohma,2012). According to Healthy People 2020, an estimated 22 million Americans struggled with drug or alcohol abuse in the year 2005 (U.S. Department of Health and Human Services [HHS],2013). Given that the nurses have easy access to controlled substances, this population is likely to be higher than the general public.