Robert Jackson Case Study

In order to start fixing the problem regulations need to be made on how much of a medication a doctor can prescribe to a single person. The system that documents what medication a person received needs to be updated so it shows the correct information right away, not days later. A solution that I have seen implemented in the state of Indiana is as of July 1, 2017 people who have Medicaid insurance are only allowed a seven day supply of opioid medication unless the doctor completes and prior authorization that states the patient legitimately needs more than a seven day supply of medication. By limiting the amount of medication that is allowed to be dispensed per person it would make it easier to control who’s getting what and how much their

Opioids are taking over the United States with its addictive composition, once patients are take opioids there is no escaping. The drug directed from opium which is obtained from a plant (Katz). Opioids are most commonly found in prescription pill from making underground sales more common. Since opioids are derived from a plant this makes the reality of home grown drugs more of an issue. American citizens overdosing on opioids is what is sparking the crisis because opioid “overdoses killed more people last year than guns or car accidents” (Katz). Opioids are extremely addictive and that is why so many citizens overdose on these types of drugs. After patients become hooked on opioids their body constantly is needing more and more opium to escape they pain they think they are enduring. The overdosing of Americans is not a small percentage of the population either, it is estimated that “over two million people in America have problem with opioids” proving this growing issue is an ongoing crisis (Katz). The United States government needs to take action immediately to the opioid crisis because doctors are overprescribing patients because they seemingly overreact to pain, and opioids are one of the most addictive drug types in the world.

The overdose count has been increasing over the years at an alarming rate. Statistics show that overdose is now more fatal than it was anticipated. In a news conference during September, Secretary Tom Price, brings up the topic of opioid abuse and he mentions that not only were there more than 50,000 deaths due to opioids, but it also made it by far the highest numbered gathered between 2002 and 2013(Price). It is a major deal that many people have lost their lives, and many more will continue losing their lives if the government doesn’t find a way to control this outbreak. Now there is starting to be a noticeable difference in overdoses since as stated in the LA Times “Death from opioid

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.

It is also important to point out that the Boston Police Department must do their part in arresting and seizing opioid related substances from off the streets. This department is integral in helping the decrease of opioids entering the city. While reading the Boston globe over the past year I am constantly reading about drug raids that seizures of millions of dollars in illegal drugs and weapons. These raids can take months to weeks to plan out and complete but they are integral in the pursuit to decrease the opioid related

The word “epidemic” itself spreads fear throughout society, however fluctuations in drug use are considered epidemics, which may not instill fear into the general public. Due to the fact that the CDC considers opioid overdose as a national epidemic, it may be confused to what this “epidemic” entails. This is not saying that the misuse and rising overdoses due to opioid painkillers is not a serious problem, it just may render the severity of the problem. In addition, because the CDC does consider the rise of overdoses due to painkillers an epidemic, the access to treatment needs to be more widely available. Through one of the interactions I had during my time at the NA meeting, I was able to understand that many people feel as though they do not or did not have access to help. Dan Mangan (2016), writes, “[a] survey released Tuesday by the Kaiser Family Foundation also found that a large majority of Americans believe that lack of access to care for people suffering from substance abuse is a problem in the United States.” In this, those who work in medicine should take from my supporting observations and numerous studies’ that access to recovery programs need to become more widely available. If the United States is going to consider the use of opioid painkillers as an epidemic, action needs to be taken to assist addicts and educate the nation on the effects of these

Following the guidelines by policymakers and the CDC to limit prescription of opioid medications, there have been numerous instances that highlight the pharmaceutical industry’s role in propagating initiatives that are contrary to these guidelines hence thwarting the fight against opioid abuse (Bement et al., 2014). The opioid pharmaceutical market is worth about $ 10 billion in sales annually which explains why the pharmaceutical industry would be reluctant in joining the fight against opioid abuse. The pharmaceutical industry perceives the fight against opioid use as a setback. As a result, the industry is constantly looking for measures to earn more profits by aggressively expanding the market for more drugs that are related to opioid use such that the answer to opioid addiction is to use more pills. The pharmaceutical industry is aggressively manufacturing alternative drugs to treat the side-effects of opioid use like constipation. Historically, the pharmaceutical industry has been accused of providing misleading information concerning the addictive features of some opioid medications which further frustrates the initiatives to stop opioid abuse since the addiction levels will be high for

The Heroin and Opioid Epidemic Northeast Ohio Community Action Plan is divided into four parts; Prevention and Education, Healthcare Policy, Law Enforcement and Treatment. This action plan was developed by many local hospitals including the Cleveland Clinic and University Hospitals as well with the Cleveland Division of Police, the Drug Enforcement Agency and many other health, law, and state agencies. This plan has immediate and long-term actions that will strengthen the community and bring the high rates of heroin related deaths down. This all starts with prevention and

Opioids are making a resurgence in the black market, evident by the rapidly increasing opioid overdose rates in an increasing fatality count for Maryland every year. The state and local governments have been working to alleviate the issue with increased access to counteractive medications and required rehabilitation. This, however, is draining government funds only to stall, if not worsen, the problem. The best approach to stopping the opioid epidemic of Maryland is to take a similar approach to smoking in treating the situation as a matter of addiction instead of one of drug abuse.

My concerned is the current opioid epidemic in our society. There has been a significant increase in the use of opioid analgesics for pain control. There is a corresponding growth in the rate of abuse, misuse, and overdose of these drugs. As a nurse, I had witnessed and continue to witness patients coming in the emergency room from opioids overdose between the ages of 12 and 25 and this situation continue to increase in number. There is a significant increase in number of teenagers using opioid they buy from the street and others the opioid from family member who were given prescription and other situations

Opioid abuse is a growing epidemic within the United States. Not only are people abusing the prescription forms of opioids (such as oxycodone - OxyContin, hydrocodone - Vicodin, codeine, and morphine) by taking more than they are supposed to, but they are also being bought, sold, and used on the streets illegally; such as heroin. Opioids are highly addicting because of the high they can induce in a person, causing a dependence and yearning for continued use (NIDA, n.d.) In 2007, the United States was responsible for over 99 percent of the global consumption of hydrocodone and 83 percent of the global consumption of oxycodone (United Nations Publications, 2009).

Prescription drug abuse is an increasingly rampant public health issue. The Centers for Disease Control and Prevention (CDC) has affirmed that the United States is in the midst of an epidemic of prescription drug overdose deaths (2010a). Drug overdose, especially related to the non-sanctioned consumption of prescription opioid analgesic (painkiller) drugs, is the second leading cause of deaths from unintentional injuries in the United States, surpassed only by motor vehicle mortalities (Girion, Glover, & Smith, 2011). In 2005, President Bush signed the National All Schedule Prescription Electronic Reporting Act (NASPER), which amends section 390O of the Public Health

DI Ringenbach stated their investigation began as the result of Pharmacist Anthony Roberts, owner of the St. Charles Health Mart Pharmacy, alerting the DEA Dr. Ishida may be “mis-prescribing” controlled substances. According to Ringenbach, Dr. Ishida was writing prescriptions for pain medications and muscle relaxers. DI Ringenbach examined six (6) prescriptions provided by Mr. Roberts. The controlled substances prescribed were for Hydrocodone, Zolpidem, Carisoprodol, Alprazolam, Diazepam, and Temazepam. Di Ringenbach stated he interviewed Dr. Ishida regarding his medical practice, medical exams, and prescribing methods.

In the 20th century, the United States government led a major renewed surge in drug prohibition called the "War on Drugs", this started the US on a spiral that would harm us all. Since the war on drugs began under the administration of President Richard Nixon, the federal drug-fighting budget has increased from $100 million in 1970 to $15.1 billion in 2010, with a total cost estimated near 1 trillion dollars over 40 years (drug policy, 2015). The amount of money that the United States spends on drugs could be used in many better fields of government. A large argument against this is that this money has been used to help end drug use. If that statement is true, then the DEA is doing a poor job at ending drug use since drug use has gone up since the war has started. The financial cost of the drug war is not worth it due to progress not being made here in the United States.