The Importance Of A Transformational Leadership Theory

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 United States of America has had a war against drugs since the 37th president, Richard Nixon, declared more crimination on drug abuse in June 1971. From mid-1990s to today, a crisis challenges the health department and government on opioid regulation, as millions of Americans die due overdoses of painkillers. Opioids are substances used as painkillers, and they range from prescription medications to the illegal drug, heroin. Abusing these substances can cause a dependency or addiction, which can lead to overdoses, physical damages, emotional trauma, and death. To ease the crisis, physicians are asked to depend on alternatives to pain management. Law enforcement cracks down on profiting drug-dealers and heroin abusers. People are warned against misusing opioids. The controversy begins for those who suffer from chronic pain, because they depend on opioids. There’s so a correlation to the 1980s cocaine epidemic, and people are upset over racial discrimination. Nonetheless, the best way to avoid this crisis is to recover the people at risk, reduce inappropriate opioid description, and have a proper response.

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 important for our culture in western society to educate doctors on how to modify and limit their prescribing behavior so that less people become dependent on opioid medication. Doctors must start limiting and monitoring the number of opioid prescriptions they administer to patients. Limiting the number of prescriptions will lower the chances for potential abuse within patients, as well as lower the ease of access and circulation of opioid medication on the streets.

Through my observations of the Narcotics Anonymous meeting I believe that my analysis could be beneficial to the realm of medicine. Centers for Disease Control and Prevention (2014) released a study that displayed, “health care providers wrote 259 million prescriptions for painkillers in 2012, enough for every American adult to have a bottle of pills.” Considering the mass amount of prescriptions being written nationwide, it is not surprising that one of the members in the NA meeting I attended was able to easily obtain painkillers from her doctor. The specific interaction I encountered during the Narcotics Anonymous meeting where the woman described that her addiction was being supported by the constant prescriptions written by her doctor

Painkillers are prescribed so fluently within doctors offices, hospitals, and other similar facilities. Part of the issue comes from our physicians and those patients who complain about their “pain.” Rarely do physicians say no to a begging patients, but also they rarely take the time to run the necessary test to find the root of the problem. As a beginning solution, educational classes on dealing with and treating chronic pain and how to properly dispose of unused pharmaceuticals like opioids are gaining popularity(Meldrum). With the proper knowledge, people can begin to understand how opioids become so addicting. Along with knowledge about the epidemic comes help for those affected. Treatment centers for those who need it should be implemented at a proper cost and with availability for everyone. Through the Affordable Care Act, treatment coverage has been broadened. This contributes to actual care for addicts rather than punitive measures. Along with treatment options, emotional support to an addict goes a long way. Addicts can return to a life full of bad choices when they feel as if no one cares to see them get better(Newcomer). With proper treatment and precautions, the epidemic can be solved.

Opioid abuse, misuse and overdose is a problem in The United States. You can’t turn on the TV or read a newspaper without some mention of the epidemic. This issue has caused the practice of prescribing or taking narcotic pain medication to be looked at under a microscope. Patients are fearful to use some necessary pain medication, because they may become addicted. Other patients who genuinely do have pain and need medication are having a tougher time obtaining the help they need. The problem of abuse and addiction is tough to solve since for some people the medications are the only way they can function and live a semi-normal life. A patient with pain may be hesitant to visit the doctor and

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).

Getting involved with opioids now days seem fairly easy, our young ones are becoming addicted to these medications because our doctors don’t care. Doctors are just signing off prescriptions left and right. But in reality physicians have responsibilities, such as obtaining physical examination, a medical history, develop a written treatment plan for their patients, and comply with controlled substances laws and regulations. In a lot of cases doctors don’t want to deal with their patients so they will just prescribed medications to get people in and out of the office, to keep up with their hectic schedule, and don’t want to find the root of the cause, or maybe they just don’t have the time. Other ways to get opioids include within relatives, visits out of the country, pharmacy and hospital theft, and “stealing from grandma’s cabinet” (Inciardi, Surratt, Kurtz, and Cicero 2007). Despite the overload of opioids in our country almost 80% of the world 's population today has no access to morphine. And an estimated 33 million people, need specialized medical care but have no access to even basic care and symptom control. This terrible lack of pain relief can be attributed to our governments need to control and regulation.

Studies show that in the last 15 years the rate of opioid overdose deaths has paralleled the rate at which opioid prescriptions are given. Each year the number of deaths attributed to opioid overdose has increased, reaching 47,055 in 2014 according to the Centers for Disease Control and Prevention (CDC). Still other statistics state that 4 out of 5 heroin users started on prescribed narcotics. When they could no longer obtain the drug legally, they turned to illegal means. Doctors at the American Medical Association, Hallam M. Gugelmann and Jeanmarie Perrone, state that “Individual use of prescription opioids increased 402% from 1997 to 2007. This increase in opioid prescribing parallels substantial increases in opioid addiction, fatal overdoses, and diversion of these drugs for recreational or nonmedical use.” The skyrocketing of overdose and death, as well as the millions of dollars expended for treatment has lead to a public outcry for change. Accomplishing this change seems daunting. How will America go about fixing such a pervasive problem? Logically, the only solution lies in changing the habits of the medical practitioners who are prescribing these medications and who started this

For my research, I would like to make an impact on the number of opioids prescribed at in the Emergency Department at Houston Medical Center. The United States has an opioid crisis and uses more opioids than all other countries in the world combined (Cassidy, Dasmahapatra, Black, Wieman, & Butler, 2014) . This usage of opioids leads to abuse, dependence and hyperanalgesia. The over prescribing of opioids became dramatically increased following pharmaceutical companies downplaying side effects related to their medications. With the addition of pain as a 5th vital signs and pain becoming a question on the HCAHPS, there has been a rapidly progressing sector of narcotic prescriptions.

According to a federal official, the ongoing scourge of prescription-drug addiction is beginning to reach epidemic proportions, ballooning about 75 percent in the United States within the past five years (“Prescription-drug Abuse Escalates”). Prescription drugs have become extremely overused due to the pain killing aspects, along with a sort of “high” when they are being abused. This high has been something people chase and will do anything to get. A report from the Substance Abuse and Mental Health Services Administration indicated that there were more American adults using prescription painkillers than cigarettes, smokeless tobacco, or cigars combined (Ingraham). The over proliferation of prescription drugs has become a major problem with adults.

According to research, the fastest growing drug-related problems in the United States is the abuse and distribution of prescription narcotics says Morbidity and Mortality Week Report (Gale, 2008, p. 1191-1192). This epidemic shows up in the stem from the emergency department. It is said that Narcotic abusers pay more attention to have unwarranted emergency department visits that cause effects on our nation's increasing health care cost and dependency. The question here is how can this problem be fixed? Providers need to unite and follow a linear progression of set criteria that directly focus on standardized screening, guidelines, and limits. To maintain this trend, manufacturers, pharmacies, clinicians, and patients should continue their efforts to improve pain management while exercising care so that the diversion of opioid medications for nonmedical use is minimized. If the abuse of opioid analgesics should increase, the sources of diversion should be addressed directly without interfering with medical availability of opioid analgesics, legitimate medical practices, or patient care.

Out of all the different leadership theories I learned about this semester I really feel that I best relate to transformational leadership and authentic leadership theories. During the development of my personal theory I found that these theories tended to list many similar traits, and values that aligned with my own. Additionally, both authentic and transformative theories place a significant amount of emphasis on the relationship between the leader and her/his followers. The success and influence of a leader comes not from herself but from her ability to create and invoke strong relationships with their followers. Given my character strengths of sociability, integrity, assertiveness, and my drive to connect to others on a deeper level, I value both the authentic and the transformative leadership theories.

Working in the pharmacy next to a pain clinic, I witnessed a lot of drama. The pain clinic was eventually closed down for questionable practices. What I learned from working with the clinic is that doctors sometimes do not understand the severity of someone’s addiction. That’s why it’s important for doctors to see pharmacist more trustworthy because we are truly the drug experts. It’s no wonder these days that everyone seems to be in pain. That’s not say people do not feel pain but pain medication abuse is more prevalent now than ever before due to the increase in heroin users! Doctors and pharmacists must have quick and efficient ways of communicating. Even when communication isn’t an issue, doctors do not listen to pharmacist’s recommendation. When I become a pharmacists, I want to know why I am dispensing controlled medications especially if they are in large quantities. I want to be a part of the decision making process the doctor has with the