Short Term Inpatient Essay

The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per

In 1955, over 559,000 individuals resided in inpatient psychiatric hospitals. By 1995, however, the number had drastically diminished to 69,000, (National Health Policy Forum, 2000). This drastic reduction was largely due to the discovery of antipsychotic medications in the 1950s, and the deinstitutionalization movement of the 1960s, wherein several thousands of mentally ill individuals were released from psychiatric institutions to return to their communities for treatment. Mental health centers (MHCs) were conceptualized during deinstitutionalization to provide treatment to these newly-released mentally ill persons in their communities. Although efforts were well-intended, the MHCs failed to serve the

Nonmedical Prescription-Opioid abuse in the United States and Michigan has continued to rise, and with it, the devastating results that accompany it. Research has shown that increased opioid abuse leads to an increase in overdose and death, increases in crime and increased incidences of costly blood borne diseases like HIV, AIDS and Hepatitis. It also leads to increased societal costs, such as an increasing number of children in foster care and increased healthcare, workplace and criminal justice costs that can decimate communities and local budgets. Many communities were caught with their heads in the sand, as they were overwhelmed by the influx of prescription opioids into their communities. When policies were finally implemented to curb the amount of prescription opioids in their communities, rates of heroin use (also an opioid) began to skyrocket and people began realizing they had an opioid epidemic on their hands. How to combat this heroin epidemic has been the topic of many debates. This article will attempt to examine the relationship of nonmedical prescription-opioid abuse and its effects on heroin use.

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).

Treatments of substance abusers depend on the urgency, the severity and the nature of addiction, and availability of services within the Detox unit. Some substance abuse users may come into treatment

Drug abuse and addiction remain large and persistent problems. Nationally, addiction and abuse of all substances costs the economy an estimated $600 billion dollars annually. Indeed, over the past decade, illicit drug use appears to be steady or rising (2011 National Survey on Drug Use and Health; DHHS). From this we see that prescription and non-prescription opioid use is particularly problematic. For example, prescription pain reliever misuse has remained consistently high for most of the last decade and makes up the largest portion of misuse of prescription drugs (Figure 1). In addition people who report using heroin within the last year has increased by over 50% since 2001 (Figure 2).

Ohio is experiencing a drug epidemic alongside mass incarceration. The drug use does not stop once someone is incarcerated. The majority of the incarcerated are struggling with drug addiction. The incarcerated are becoming more creative with how they get drugs into prisons. A means to reduce this issue is the development of prison-based drug treatment.

In 2015 the National Survey on Drug Use and Health (NSDUH) conducted a survey interview to estimate the frequency of prescription opioid use, misuse, and use disorders and motivations for misuse among U.S. adults. There were 51,200 eligible adults who completed the survey interview. The NSDUH found that the most commonly reported motivation for misuse was to relieve physical pain (63.4%). Misuse and use disorders were most commonly reported in adults who were uninsured, were unemployed, had low income, or had

The figure is startling: A 96.6 percent increase in drug-related deaths in a five-year period (Hanson, 2010). According to Brown University Pharmacology Update (2009), since the period of increases in opioid misuse in the 1990s, data over the last three-to-four years indicate a high, steady prevalence of opioid prescription misuse in the United States. According to the 2007 National Survey on Drug Use and Health, about 5.2 million people ages 12 and older were current nonmedical users of prescription pain relievers in 2006, comprising 2.1% of the population. This rate has remained statistically unchanged since 2002. Survey data from 2002 to 2005 found that 4.8% of persons ages 12 and older (11.4 million people) used a prescription pain reliever nonmedically in the 12 months prior to the survey. This data also indicated that an annual average of 57.7% of people who used prescription pain medication nonmedically in the past year used hydrocodone products, and 21.7% used oxycodone products. Recent male users were more likely to use hydrocodone products nonmedically compared to recent female users (61.4% compared to 54.9%). Young

The United States is currently under an opioid epidemic where the abuse of opioids has increased significantly within the last 20 years. It is important to understand that relapse for opioid users is common. This problem has been around for a while; studies have shown that “higher recidivism proportions were found for shorter tenure clients” (Joe, Lloyd, Simpson, & Singh, 1982). Specifically, from 2002-2007 “nonmedical use of prescription pain relievers grew from 11.0 million to 12.5 million people in the United States” (Meyer, Patel, Rattana, Quock, & Mody, 2014). This trend shows that opioid abuse is a growing issue and it requires direct action. Research has disclosed that in 2011, 2.2 million Americans were in jail/prison, and “[o]f those

The aim of the study was to explore family members’ experiences with the use of a diary when a sick relative did not survive the stay in the ICU. The overall study findings revealed that the diary was experienced as a medium for interpersonal communication, where it was perceived as a social medium maintaining communication and the relationship with the patient. But the diary was also a common interest affecting writers and readers in different ways, thus sharing information, emotions and thoughts enabled relationships, which grew. Not only relationships developed but also participants as humans due to the course of events and finally the death of the patient. The experience was compared to taken on a journey but in an existential way by the participants. To understand the unfamiliar in a way different from the way in which it has been understood so far, also include a way to understand him/herself in a new way (Gadamer, 1989).

16. If a patient was discharged from the hospital with a diagnosis of probable myocardial infarction without a history of MI in the past the correct ICD-9 code would be 410.91. This is because if a diagnosis at time of discharge is uncertain it is still coded as if it existed or was established.

Acute treatment aims to reverse, or at least stop, the progression of a headache that has started. Preventive treatment, which is given even in the absence of a headache, aims to reduce the frequency and severity of the migraine attack, make acute attacks more responsive to abortive therapy, and perhaps also improve the patient's quality of life. An overview of migraine treatment is shown in the image

The steps to recovery are not the easy way out But the outcome provides the individual with coping mechanisms and support for the addiction.

Since 2000, the drug use rate in America has risen to the highest it’s ever been. In a survey done in 2009, 8.7 percent of people age 12 and up said that they used illegal substances within a month of taking the survey, a 9 percent increase since 2008 (Abuse, National Institute on Drug, 2010). This statistic alone is very concerning due to