Background 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). Along with the opioid epidemic came the rise of babies born with neonatal abstinence syndrome (NAS), which is a condition where a woman who is addicted to drugs (which can include even prescription opioids) gives birth to a baby who is dependent on a substance and the baby experiences (drug) withdrawal almost immediately after the umbilical cord is cut, making NAS a significant public health problem, especially in Tennessee, Kentucky, Mississippi, and Alabama (BlueCross Blue Shield of Tennessee, 2016a; BlueCross Blue Shield of Tennessee, 2016b; DOH, n.d.; Patrick, Davis, Lehman, & Cooper, 2015). Each of those
Opioid use in the US has increased over the years, and this has led to an increase in substance abuse. Substance abuse is not only associated with use of illicit drugs but also prescription drugs. In 2015, of the 20.5 million reported cases of substance abuse, 2 million had an abuse disorder related to prescription pain relievers and 591,000 associated with heroin.1 The increase in substance abuse disorder has led to an increase in opioid related death. In 2015 drug overdose was the leading cause of accidental death in the US with 52, 404 lethal drug overdoses.2
Opioid addiction is so prevalent in the healthcare system because of the countless number of hospital patients being treated for chronic pain. While opioid analgesics have beneficial painkilling properties, they also yield detrimental dependence and addiction. There is a legitimate need for the health care system to provide powerful medications because prolonged pain limits activities of daily living, work productivity, quality of life, etc. (Taylor, 2015). Patients need to receive appropriate pain treatment, however, opioids need to be prescribed after careful consideration of the benefits and risks.
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.
In the last two decades, opioid addiction started affecting more and more Americans. But who is at fault for this epidemic? The pharmaceutical companies. They make and distribute their drugs to doctors and pharmacies and are making billions off the American worker’s dollar. All while, lying to doctors about these miracle drugs effectiveness and advocating against protective measures for the drugs.
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.
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.
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.
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.
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.
Volunteering and participating in service projects are two of the most rewarding activities in my opinion. Some people may find it was a hassle or only do it because they have to meet the minimum requirement for school or work. Helping others, for me, has always been somewhat second nature to me. Over many years of volunteering I believe I have developed qualities that will stick with me for life and benefit me in my career. As early as freshman year, in high school, I found myself looking for ways to give back. I started by looking for opportunities within school, where I came across the A+ tutoring program, and so my journey of giving back began. While tutoring, my patience for others really evolved, partly by choice and partly because
Dana Farinick, a 22 year old young woman, had her entire life ahead of her. However, she suffered from drug addiction and went to several rehabilitation centers, therapists, and more. Despite all the programs she was enrolled in, Dana still suffered from relapses, and eventually met her death due to an overdose. Her parents found her dead on the kitchen floor of their home (Farinick). This is the result of drug abuse, the untimely death of individuals young and old. The opioid crisis is a disastrous pandemic that caused 250,000 deaths between 2000 and 2014 (“Opioid Crisis”). The opioid crisis is the abuse of prescription, legal, and illegal drugs, causing death among youth and adults. There are many underlying issues in regards to the opioid crisis, one of which is marijuana use. By reducing marijuana abuse the opioid crisis can be lowered, this can be achieved through schools no longer using D.A.R.E., recovery schools being made, and increasing the legal age for recreational marijuana consumption.
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).
Neonatal Abstinence Syndrome (NAS) is the dependency that an infant develops towards any type of narcotic when they are subjected to the substance during development. These may include alcohol, oxycodone, heroin, codeine, and many more addictive substances. With very few effective treatments for Neonatal Abstinence Syndrome, this condition is heinous to those who are suffering from it as well as those close to them. This dependency is due to the overuse of any type of addictive substance by the mother while the child is still in the womb. Because of this, children born with Neonatal Abstinence Syndrome develop many negative conditions, some even life threatening.
Neonatal abstinence syndrome (NAS) is a group of problems that occur in a newborn who was exposed to addictive opiate drugs while in the mother’s womb. This happens when a pregnant woman takes drugs such as heroin, codeine, inhalants, marijuana, methamphetamine, nicotine, prescription or even over-the-counter drugs. Many substances pass easily through the placenta, some substances that a pregnant woman takes also, to some degree, reach the baby (Neonatal abstinence syndrome, 2014). Just like adults, babies go through withdrawals from drugs. Symptoms of drug withdrawal in a newborn can develop immediately or couple of days after birth.