STEM Research Paper On Opioid Epidemic Diseases

The capstone project investigates and explores nurses’ role in helping to address the opioid epidemic through evidence-based patient and family education. A PICOT statement and PICOT question was formulated based on a topic-related evidence review and using the guidelines provided by Asiam and Emmanuel (2010) and the center for Evidence-Based Medicine (CEBM) (2017).

In the article, “Don’t blame addicts for America’s opioid crisis. Here are the real culprits” by Chris McGreal, America’s widespread opioid problem is discussed. Primarily, McGreal points the finger at multiple sources such as the FDA, pharmaceutical companies, and the government for aggravating the opioid problem. According to the author, “America’s opioid crisis was caused by rapacious pharma companies, politicians who colluded with them and regulators who approved one opioid pill after another” (McGreal). However, McGreal believes that there are multiple causes for the deadly opioid epidemic that exists today. Next, McGreal states that money is one of the main reasons for the epidemic of opioids. The author asserts that patients are given

In looking into the opioid epidemic, Joe Rannazzisi, the head of the Office of Diversion Control in the DEA, started to notice a trend of distributors shipping large amounts of opioids to midsize to small pharmacies around the country. Based on the alarming consequences of pushing opioids in these communities, Rannazzisi decided to step in and freeze the distribution to these pharmacies. In addition, he decided to investigate them. The DEA has a broad authority to stop opioids being pumped into communities based on an imminent threat to the community. This all changed when lobbyists for the big pharmacies got legislation through Congress that essentially stopped the DEA from freezing the distribution of opioids to these communities. This legislation

The opioid problem is big. The fact that multiple parties (FDA, Pharmacies, Doctors) are involved make the problem even more complex and difficult to fix. One of the best ways to begin helping the opioid crisis is within the FDA. The different types of opioids need to be re-tested to evaluate their necessity within our healthcare system. Too many readily available opioids are not beneficial. Next are doctors need to be taught to stand up again big pharmaceutical companies. These companies have their priority in profit, not patient care. Hopefully by implementing these factors, the opioid crisis can become a problem of the past.

Thesis Statement: Opioid abuse is an ongoing issue with regards to pain management in physical therapy for patients, finding balance when prescribing narcotic medications is a role of both the patient and physician. APA Format Beattie, Paul F., Silfies, Sheri P., & Jordon, Max. (2016). The evolving role of physical therapists in the long-term management of chronic low back pain: longitudinal care using assisted self-management strategies. Brazilian Journal of Physical Therapy, 20(6), 580-591. Epub June 30, 2016.https://dx.doi.org/10.1590/bjpt-rbf.2014.0180

This article discusses a crisis endangering millions of lives. The opioid crisis is a rising issue and what does the health ministry do about it? They sign a health deal for 1.4 billion dollars to address the opioid crisis. “Federal Health Minister Jane Philpott says the funding agreement with B.C. includes $785 million for better home care and more than $650 million for mental-health initiatives.” In my opinion this is a constructive move towards better overall health. As the health minister said “We are taking an approach that will protect lives and protect the health of communities.” When the government invests in health the return on investment pays off. Having a healthier population free of opioids means higher productivity and a higher quality of life for all. This is a federal issue because it tackles a nation-wide problem that

Weeks before my 12th birthday, I went to an emergency center thinking that I had an ear infection. Sitting in a hospital bed, I recall panicking, as I realized I could not move my legs. 2 years and a vast multitude of tests later, doctors were able to determine that I have an autonomic nervous system condition called Dysautonomia. Now, at 19 years of age, my doctor has just signed the paperwork so that I can become a medical marijuana card holder. After years of dealing with the dilemma that is prescription opioids, I have found myself opting for medical marijuana instead, and for good reason. Without a doubt, medical marijuana is a better alternative to prescription opioids in terms of overdoses, negative side effects, and psychoactive properties.

Tennessee is one of the states hit hardest by the nation’s opioid epidemic which began about 20 years ago and had a stark increase since 2009, now reaching unprecedented levels across the county with a 200% increase in the rate of deaths involving opioids (Rudd, Aleshire, Zibbell, & Gladden, 2016; Fletcher, 2016). In Tennessee specifically, it is estimated that about 1 in 6 abuse opioids; the CDC estimates that for every one person who dies from an opioid overdose in Tennessee there are 851 others in the state who are in various stages of their abuse, misuse, and treatment; and the most recent statistics show that opioid overdoses alone make up about 7.7% of deaths in Tennessee, making them responsible for more deaths than car accidents in the state (Botticelli, 2016; Rudd, Aleshire, Zibbell, & Gladden, 2016; Fletcher, 2016; ONDCP, 2016; Thompson, 2016).

Health care providers have a great responsibility treating individuals with various medical conditions to ensure positive patient outcomes related to physical and psychological functioning. The most common condition patients seek treatment for is chronic pain and the most common location for treatment is the emergency department (ED). In addition, nurse practitioners are the most likely providers of care and often responsible for millions of Americans yearly in the ED (Balestra, 2016). Approximately 51% of ED visits in 2010 were for pain related complaints and 31% of the visits resulted in opioid prescriptions (Bohnert et al., 2016). This requires the nurse practitioner to be knowledgeable of resources to assist in making clinical decisions

As the United States struggles to deal with what’s been called the worst drug crisis in American history, its veterans have also been caught up in the opioid epidemic. About 60 percent of those returning from deployments in the Middle East, and 50 percent of older veterans suffer from chronic pain, according to Veterans Affairs officials. That’s compared to about 30 percent of Americans nationwide.

Opioids are pain relievers that bind to opioid receptors on nerve cells throughout the body. They produce feelings of euphoria, tranquility and sedation. However, opioids are “considered the most harmful of all illicit drugs” (Amato et al., 2005, p.321).

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.

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.

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.

In America, the use of opioids is at an all time high, it has became such an issue nationwide, that it has became an epidemic. Because of the opioid epidemic, America is tearing apart, children all across the country are dying everyday, these children are dying from overdoses due to poisoning. The opioid problem is not just because of a person's decision to pick up a needle or a pill bottle, but it is because in the 1990’s doctors gave up on trying to treat patients for their overwhelming pain and discomfort, causing opioids to become over prescribed. Due to the carelessness of America, opioids are being distributed more and more everyday, causing the skyrocketing number of deaths.