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. In Nolan and Amico’s article, “How Bad is the Opioid Epidemic?” they argue the opioid epidemic has become the worst drug crisis in American history. Heroin and other opioids overdose kill more than 47,055 people a year. Deaths caused from drug overdose has outnumber as much as 40 percent compared to the death caused from car crashes in 2014 (Nolan and Amico 3). Furthermore, in 1999 there were only 15000 people died from drug overdose. This number has tripled in 15 years. Also, in his article, “America’s Addiction to Opioids: Heroin and Prescription Drug Abuse” Volkow also presents the fact that “with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted to heroin. The consequences of this abuse have been devastating and are on the rise. For example, the number of unintentional overdose deaths from prescription pain relievers has
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).
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
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.
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.
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.
Depending on the source, some would term the heroin and opioid problem in the United States a crisis, while others would use the word epidemic. Regardless of which expression is more accurate, the situation regarding heroin and opioid use, abuse and dependence has ignited national, if not global concern. History shows us that pervasive dilemmas have a tendency to cultivate a variety of intervention and the heroin and opioid crisis is no different.
In the current health trends, complimentary alternative medicine has been used to control musculoskeletal pain such as back and neck pain, joint pain and arthritis. The Department of Veteran Affairs has been exploring different alternatives for the veterans with controlling noncancerous chronic pain versus the frequent use of opioids drugs. Complimentary alternative medicine practices have become more apparent and useful within the healthcare system. First, this paper will discuss the significance of complimentary alternative medicines among the veterans with chronic pain. Secondly, there will be a discussion of the three themes identified in the literature review. Thirdly, there will be a discussion with the synthesis on two
Thesis Statement: Opioid abuse is an ongoing issue with regards to pain management in physical therapy for patients, finding balance when prescribing narcotic medications is a role of both the patient and physician. APA Format Beattie, Paul F., Silfies, Sheri P., & Jordon, Max. (2016). The evolving role of physical therapists in the long-term management of chronic low back pain: longitudinal care using assisted self-management strategies. Brazilian Journal of Physical Therapy, 20(6), 580-591. Epub June 30, 2016.https://dx.doi.org/10.1590/bjpt-rbf.2014.0180
An estimated 22 million Americans are dependent on or abusing drugs or alcohol, at huge costs to society. Deaths from overdoses due to heroin and other opioids, including the prescription painkillers. U.S. Attorney General Eric Holder has called a “public health crisis.” (par #1) But some scientist and clinics are calling it a genetic problem or an addiction.
The United States is not immune to the worldwide drug addiction epidemic. Drugs pour in from Mexico daily, then distributed to throughout the country. The economic crisis in America is creating an excuse for drug use (e.g., depression, hopelessness). This chemical fix not only creates problems for the addict, but the family and community as well. Every addict has an enabler, a person who makes the addiction possible through various venues of support (e.g., financial, denial). Addicts are only concerned with their next fix and will resort to any means to obtain it (e.g., theft, prostitution, pan-handling). Some have even resorted to extremely desperate measures; for example, murder for inheritance or life insurance proceeds.
Opioids and benzodiazepines are the most commonly misused drugs. USA and Canada have had a major increase in the supply of opioids, which only makes matters worse.
Endogenous opioids such as dynorphin and enkephalin were found to be expressed at higher levels in the cerebrospinal fluid of FMS patients (Clauw, 2014). At the same time MORs have decreased availability in patients with FMS (Harris et al., 2007), likely explaining why opioid treatment has limited effectiveness in treating this disorder and may actually worsen the symptoms over time (Painter & Crofford, 2013). This may actually work to heighten pain as continuously elevated levels of dynorphin is associated with opioid-induced pain (Vanderah et al., 2001). High dynorphin levels combined with low MOR availability could lead to a state of hyperalgesia (Vanderah et al., 2000). Estrogens' effect on this
When people are battling opioid addiction, they can often become unmotivated and tired. This can affect work, parenting, and social life. People who are battling opioid addiction can simply just loose interest. They have no motivation to do the work. They may go to work and sit around all day or even take long amounts of time to complete simple tasks or can't focus on just one task. This can also affect personal hygiene and if you are a parent, it can affect your children's hygiene as well. You may not have the energy to take a shower or brush your teeth or you may not even care. If you don't care to take care of yourself, you are probably not going to take care of another human being.