This is a chronic pain patient and has been on Norco for an extended period of time.12/15/15 progress report described that that patient was on Butrans patch in the past and switched to Norco due to side effects of Butrans. The medications bring his pain to 6/10-scale level from 9/10-scale level. However, there remains little specific information regarding monitoring for diversion, dosage adjustments, functional improvement, attempts to wean and taper, endpoints of treatment and continued efficacy and compliance. Furthermore, there were no UDS or CURES reports available for review. A prior review from 05/08/15 denied Norco due to lack of documentation of continued efficacy, proper use of the medication, compliance; and absence of side effects and aberrant behaviors.
Intro: Opiate use has remained relatively stable over the past decade. Opiate dependence has been associated with multiple problems and some people report high rates of dissatisfaction in multiple spheres of their lives including finances, family relations and living situations. Neurological changes associated with prolonged opiate use such as decreased
However, from 2013 to 2014 there was a 20 percent increase in drug overdoses. (4) Individuals with opioid prescriptions need to be educated, counseled and given appropriate help when
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.
In the past, opioids have been used to treat moderate to severe pain such as cancer or post surgery, and on a short term basis. Now they are prescribed to anyone who is experiencing chronic pain and on a long term basis. Opioids being taken for chronic pain allows everyone to have the ability to carry out their daily life easily and without pain. In light of opioids helping people manage their pain, the problem lies with what they are being prescribed for now, how long, and how much. Opioids are now being prescribed for back pain, migraines, and other small instances.
Some patients prefer not to take pain medication because they fear addiction or may have a history of substance abuse. Educating the patients on their right to be free of pain and having their pain managed aggressively is a priority in the recovery phase. The goals that I hope to achieve during this clinical practicum
Opioids are a prescription medication involving various forms of drugs, it can benefit patients as little as a few minutes, however, it can be extremely dangerous to patients without self-control. Morphine, heroin, oxycodone, and fentanyl are used for many different medical uses until companies started to combine these four ingredients into one small simple pill. The pill reduces chronic pain from a body in a matter of minutes taking a minimum dosage. The company that produces Opioids have discovered that for the most part opioids are healthier and safer than any other medications. Like other medications, opioids can also have its side effects too such as; sedation restlessness, respiratory depression, nausea, vomiting, constipation and much more.
I think that doctors should give patients more information when prescribing opioids to patients. Many people that just had a painful surgery take opioids to stop their pain and then shortly get addicted after from taking the pills, I believe people would not get as tempted, and feel like it is ok to take opioids, if they knew they were highly addictive. Allen, a recovering addict, had to research her symptom to find out why she was having this temptation to take these pain killing pills when she was not even in pain. Allen’s doctor never told her about the danger of these “painkillers” but once Allen found out, she was concerned about herself, and knew she was addicted and in
Prescription drugs (opiates only) have caused over 165,000 deaths within the last 15 years and is currently on the rise. Over 2 million Americans in 2014 were addicted to Opiate prescription narcotics. The most troubling fact is listed directly on the Center for Disease Control and Prevention (CDC) website: “As many as 1 in 4
Dependence on prescription opioids can stem from treatment of chronic pain and in recent years is the cause of the increased number of opioid overdoses. Opioids are very addictive substances, having serious life threatening consequences in case of intentional or accidental overdose. The euphoria attracts recreational use, and frequent,
Opioid pain medications are some of the most commonly abused prescription drugs. Between 1991 and 2010, opioid prescriptions rose from about 75.5 million to 209.5 million. Americans account for 4.6% of the world’s population but consume approximately 80% of the world’s opioid supply. According to the Centers for Disease Control and Prevention (CDC), more than 12 million people used prescription painkillers for nonmedical reasons in 2010. Opioid abuse has led to increases in emergency-department visits, hospitalizations, and admissions to substance-abuse treatment centers at a time when our healthcare system is already strained.
Opioid include morphine and heroin among others. Proper use of these drugs for their approved diagnostics usually delivers significant welfares to the ailing patients. However, due to their pleasurable impacts, these drugs are liable to the risk of mishandling, abuse, and eventual addiction. Currently, the United States is in the middle of a pandemic involving opioid overindulgence. The provision of the prescription opioid analgesics is at a high rate in the nation.
Due to variability in brain recovery, many addicts may require prolonged treatment or supportive medications in order to discontinue their addictive lifestyles. Since the body becomes physically addicted to the drug, the body too must be cleaned of its effects before treatment can progress. Any detox can be extremely painful with severe physical symptoms that may be traumatic if attempted without medical treatment. Withdrawal from opiates can be very trying on the body and generally requires medical assistance to ease the patient through the process as much as possible. Disruption of endorphin production is thought to be associated with a need to increase opiate use in order to avoid the onset of painful withdrawal symptoms.
According to Michael Klein, “The most prescription drugs that are commonly misused are opioids, tranquillizers, sedatives, and hypnotics.” Unintentional overdose deaths involving opioid pain relievers have quadrupled since 1999 and have outnumbered those involving heroin and cocaine since 2002. (Klein). The reason some people abuse opioids is just to “get high”.
People who abuse any of these drugs have a higher probability to the exposure of HIV, viral hepatitis and other infectious agents through contact with infected blood or body fluids 7 that results from sharing contaminated syringes or engaging in unprotected sexual contact with an infected person. Apart from that, drug abuse makes the liver works harder in order to break down the poison that ingested or absorbed into the bloodstreams and filter toxins so that the body can absorb the healthy nutrients that remain. This possibly can cause significant damage to the liver as well as liver
