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The Opioid Epidemic - Medical, Nursing and Counseling Behavioral Treatment (Hardcover)
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The Opioid Epidemic - Medical, Nursing and Counseling Behavioral Treatment (Hardcover)
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The Opioid Epidemic is one of the major events that has occurred in
the United States during the past few years. Several factors have
contributed to this epidemic. Accrediting bodies identifying pain
as the 5th Vital Sign certainly addressed patient's pain but also
accelerated the use of prescription narcotic pain medications as
first line therapy rather than utilizing other types of
pharmacologic agents that are not narcotics as well as trying other
non-pharmacologic interventions such as holistic health modalities.
Dependent upon the type of narcotic pain medication prescribed,
patients can develop a dependence upon the medication which then
leads to addiction. Purchasing such medications can be rather
expensive. Many patients then turn to purchasing less expensive
drugs, such as Heroin, off of the street. Compounding the problem
today is that much of the heroin is tainted with other drugs, such
as Benzodiazepines and Fentanyl. Fentanyl is far more potent than
heroin. The end result is that many young people as well as older
people are dying from overdoses. If someone is not available to
administer Naloxone immediately the end result is death. There have
been many strategies implemented by both the federal government and
individual states governments to combat the opioid epidemic. Many
states have implemented Prescription Drug Monitoring Programs
(PDMP) that report the prescriptions for controlled substances that
a patient purchases. Legislation has been passed to promote
addiction treatment centers and medicated assisted treatment
programs. Although there has been a noted decreased in opioid
related deaths, there is still a long way to go to combat this
epidemic. Care rendered to the patient with opioid substance use
disorders needs to be interprofessional and inclusive of Medicine,
Nursing, Counseling and other behavioral modalities. Such
interprofessional care will yield the best treatment outcomes.
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