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Treatment While Minimizing Diversion

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In any field of study, there is controversy. With controversy, there are dueling positions that revolve around two questions. The questions: “Why is this happening?” and “What can we do to fix it?” become the center of focus. Currently an area of much concern and debate is the role opiates play in the management of pain. Opioid prescriptions are pain relievers used for non-chronic pain. Opioids are usually presented as pain relievers after severe trauma or surgery. Opioid diversion can be classified as any kind of misuse outside of the medical prescription setting. Personally, I am interested in researching the cause and effect of this type of drug abuse because of its overwhelming overuse and the long-term impact of misuse. I have seen…show more content…
In his editorial: “Treatment While Minimizing Diversion: An Overdue Topic For Research" Wayne Hall details priorities concerning minimization of opioid abuse. In the article, Hall suggests that higher monitoring and education of the patients while carefully not downplaying the risks (as has been done before) would perhaps curve the diversion that has become prevalent. According to Hall, strategies have been created in an effort to consider how deterrence from opioid may be achieved. Strategies such as greater education, restrictions on physicians, and development of opioid antagonists have all been considered (1686). Hall states the ideas that “better monitoring of duplicate prescriptions to detect lax prescribing and minimize doctor-shopping by patients; the use of urine screening to detect poly-drug use among patients prescribed opioids; and enrolling opioid-dependent patients in oral agonist maintenance treatment” may be key factors in reducing use (1686). Of these, patient education presents itself as a common trend in mitigation strategies that may need to be evaluated further. “Doctor-shopping” has become a household term as it has become an increasingly prevalent technique for “patients” to obtain large quantities of prescription opioids. Whether this is for perceived chronic pain, or simply for understood recreational use, patient education and attempted…show more content…
From the research gathered, I have developed a theory that the causes, as well as the possible remission approaches to opioid diversion, are simply not “black and white.” The idea of physician faulting does not come without partial responsibility falling to the user when recognizing the physician’s main objective of aiding the patient – and not to be their drug addiction specialist. However, alternatively, one cannot blindly hand full fault to the patient as they are (generally speaking) simply seeking pain relief, and not taking recognition of possible addictive implications. Considering the validity of all research involved, it is alluded that these seem to be co-occurring factors and that both must be evaluated when forming opinions on causes and effects. The onset of opioid misuse is not that of singular blame, just as it cannot be simply solved by an individual idea. The installment of PDMPs will not entirely mitigate the problem because of the immediate attention needed regarding general education on every concerning face of opioid use. With careful thought, the theories can be combined and utilized to assure the hopeful discontinuation of opioid diversion. Concerning opioid diversion, causative factors of patient and physician responsibility are co-occurring and must be treated
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