Opioids In Health Care Essay

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).

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.

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.

From teenagers to adults, many are suffering with an opioid addiction. The opioid crisis that has struck, has taken a significantly large amount of lives. There were about “...50,000 [ opioid ] overdose deaths...in 2015-roughly equivalent to the number of Americans lost in the Vietnam War”(Price). All these friends and family members are dying because of something that can be controlled and even avoided. Although there are some who believe that the programs that are enacted to help with this sort of addiction are very effective, the truth is they are not as effective as people let on to believe. There should be a more enforced and regulated limit for those with a stronger prescription drug in order to lower the overdose count, over prescription from doctors, and pill shopping.

The capstone project investigates and explores nurses’ role in helping to address the opioid epidemic through evidence-based patient and family education. A PICOT statement and PICOT question was formulated based on a topic-related evidence review and using the guidelines provided by Asiam and Emmanuel (2010) and the center for Evidence-Based Medicine (CEBM) (2017).

To begin with, studies show that, “In 12 states there are more opioid prescriptions than people” (Brooks). Abuse and addiction of substances like opioids are becoming more of an issue with each generation. People are allowing for these substances to control them. When will people be satisfied with their life enough to not get dragged by this demon. But who are we to blame?

The Opioid Epidemic in Canada and the USA and its Effects on the Health of the Affected Communities

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.

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.

"If we could sniff or swallow something that would, for five or six hours each day, abolish our solitude as individuals, atone us with our fellows in a glowing exaltation of affection and make life in all its aspects seem not only worth living, but divinely beautiful and significant, and if this heavenly, world-transfiguring drug were of such a kind that we could wake up next morning with a clear head and an undamaged constitution - then, it seems to me, all our problems (and not merely the one small problem of discovering a novel pleasure) would be wholly solved and earth would become paradise."

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.

The United States is currently in the grips of an opioid addiction epidemic, in fact, in 2014 drug overdoses became the number one cause of accidental death in the United States, beating out both car accidents and gun violence (Opioid Epidemic, 2016). Of those drug overdoses, 60% involved an opioid. An opioid is defined as natural or synthetic chemicals that bind to receptors in your brain or body (Kirby, 2016). Opioids are typically prescribed to address severe or long term pain. Although they do a lot of good, when misused they can have deleterious effects on the health of an individual and are highly addictive.

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).

Nearly three decades ago, the push for providers to treat pain both acute and chronic came about after a research study by Dr. Russell Portenoy, a pain-management specialist was published (Moghe, 2016). His study concluded that treating non-cancer pain with opioids was a “safe and humane” way to treat pain (Moghe, 2016). The United States Centers for Disease Control (CDC) first reported that deaths related to prescription opioid abuse were on the rise in 1999 (Noonan, 2017). In 2001, the Joint Commission, a health care accrediting agency, first generated the idea that pain should be measured in all patients, and hospitals could be penalized if they did not reach this objective (Moghe, 2016). It is now thought that the pharmaceutical companies downplayed the potential for addiction and misuse of opioids during this time as well (National Institute on Drug