In order to properly treat Neonatal Abstinence Syndrome, if first must be established the severity to determine what type of treatment would be most effective. The most common scoring system for NAS is known as the Finnegan Neonatal Abstinence Severity Score; “positive symptoms are given a weighted score and summed every four hours; decisions regarding treatment onset and rate are made based on a cumulative threshold score” (Logan et al., 2014, p.3). Depending on the neonate’s Finnegan score, the baby may qualify for both or either types of treatment: nonpharmacological or pharmacological. Nonpharmacological treatment is always the first option, including gentle handling, swaddling, frequent feeding, music therapy, active maternal participation with the infant, and more. Alternatively, pharmacological treatment involves medical intervention, such as the use of morphine to wean neonates from the in-utero exposure to drugs …show more content…
One organization, FMRS Health Systems stationed in Beckley, West Virginia, specifically provides options for addicted women who are pregnant. FMRS allows women to take Subutex to decrease the impact on the baby or slowly cease opiate intake. In addition, the West Virginia Department of Health and Human Resources administers Home Visiting Programs to increase mother-child bondage, and advocate healthy and positive living (Holdren, 2017, p.2). Programs and organizations such as these are essential in improving the quality of life for both the mother and child. Hospitals throughout the state also provide unique treatment for patients suffering from withdrawal. In Harrison County, United Hospital Center accepts volunteers through the Cuddler’s Program to comfort babies struggling with withdrawal (Kendall, 2015, p.1). Dozens of additional programs exist around West Virginia in attempt to provide care and peacefulness during troublesome
The title slide and variables could have been explained in a way to let the reader know that neonatal outcome was being measured after exposure to treatment medication methadone and buprenorphine and not just "opioids."Mariah's presentation followed the grading rubric she did not over-crowd her slides, which made it an easy read. Overall, Mariah's presentation was informative.
Methadone maintenance therapy is the primary go to source for addicts looking to quit the street drug, heroin. Methadone on it's own has its own number of controversies within society. However add on the fact that a number of patients that attend the meth clinic that is pregnant, well this can add additional controversy and raise ethical implications as well. Ultimately the child is better off when not being subjected to harmful substances such as drugs an alcohol. However when given the choice of heroin or methadone, we will examine what the benefits of methadone maintenance therapy can provide the mother, and the fetus. Methadone clinics provide a safe form of the drug with clean needles which helps cut the spread of HIV/AIDS among the population. While the client is at the clinic it is a good time to reach out and provide the future mother with resources that may help her once her child is born. Clinicians can also take advantage of this meeting time to reach out to the mother and inform her on the benefits of attending a treatment facility to help achieve sobriety.
In the 80s Boston, as well as other cities, experienced a drug epidemic. The drug was called crack and it affect the city of Boston badly. A nurse named Fulani Haynes at Boston Medical Center was working during the crack epidemic. She explains how to care for babies who were born addicted to drugs that passed from a mother’s bloodstream through the placenta and into a tiny body. “The babies couldn’t tolerate being held or rocked, she recalled. They wailed at the sound of soft lullabies. Only complete darkness, silence, tight swaddling, and medication could soothe them.” This drug has nothing to do with heroin but it shows the people of Boston that if the heroin addiction continues to spread, more and more children will be born addicts and
Problematic substance use in pregnancy is prevalent among the Canadian population. The statistics are well documented in the literature. According to a Health Quality Ontario report from 2012, about one in 100 pregnant women giving birth in Ontario hospitals shows substance use. The rate of substance abuse among pregnant women has increased since 2009 by about ten percent. Dow et al. (2012) identify that the management of substance use is particularly problematic in Northern Ontario. Many First Nations communities are in a state of emergency regarding abuse of prescription narcotics (Dow et al., 2012, p. 489).
While both Methadone and Suboxone Treatment have both proven to be very successful in helping the admitted opiate addicts achieve recovery, having the option of Methadone treatment available to the addicted pregnant Mothers, gives them the choice to bring a healthy baby into this world. It is a choice that is only safe with Methadone treatment and not with Suboxne. This is a choice addicted woman did not have before Methadone, and will not have again, should they remove Methadone from the market. And although the community thinks having the clinics brings crime into the neighborhood, they need to consider that every day when the 600
It should be noted we don't offer an in-house detox program. However, we can offer a referral to a reputable detox facility in the local community. Following detox and the overcoming of opioid withdrawal symptoms, the focus shifts to counseling (family included) and goal setting. The first phase of treatment focuses on therapy. Once the proximate cause of the addiction is isolated, we shift towards phase II of treatment. Here, we work with our patents to provide them with coping skills they will need to avoid using opioids in the future.
The data showed that between 2009 and 2010, 16.2 percent of women between the ages of 15-17 years old, 7.4 percent of women between the ages of 18-25 years old, and 1.9 percent of women between the ages of 26-44 years old had used illicit drugs while pregnant. The data also showed substance abuse during pregnancy among different ethnic and racial groups. African Americans had the highest percentage in 2010 at 10.7 percent. The next highest was the White population at 9.1 percent. Hispanics or Latino’s percentage was 8.1 percent and the Asian population had the lowest percentage at 3.5 percent (“Results from”, 2011).
About half of the jail reported that pregnant women who were addicted to opioids went through withdrawal
Nonmedical Prescription-Opioid abuse in the United States and Michigan has continued to rise, and with it, the devastating results that accompany it. Research has shown that increased opioid abuse leads to an increase in overdose and death, increases in crime and increased incidences of costly blood borne diseases like HIV, AIDS and Hepatitis. It also leads to increased societal costs, such as an increasing number of children in foster care and increased healthcare, workplace and criminal justice costs that can decimate communities and local budgets. Many communities were caught with their heads in the sand, as they were overwhelmed by the influx of prescription opioids into their communities. When policies were finally implemented to curb the amount of prescription opioids in their communities, rates of heroin use (also an opioid) began to skyrocket and people began realizing they had an opioid epidemic on their hands. How to combat this heroin epidemic has been the topic of many debates. This article will attempt to examine the relationship of nonmedical prescription-opioid abuse and its effects on heroin use.
“Every 25 minutes, 1 baby is born suffering from opiate withdrawal. Newborns with neonatal abstinence syndrome (NAS) are more likely than other babies to also have low birth weight and respiratory complications” (Dramatic Increases in Maternal Opioid Use and Neonatal Abstinence Syndrome, 2015, Paragraph 2). To insure a better life for these babies, people are trying to create an Act called the Plan of Safe Care Improvement or otherwise known as the Infant Plan of Safe Care Improvement. This Act is meant to protect future babies from not only being born drug dependent because of their mothers, but also ensuring them a drug-free environment after birth. It will also “get help for the mothers and any other guardians involved in drug addiction”
Opioid abuse is extremely prevalent in today’s society. Many public health professionals are calling it the worst drug crisis in the nation’s history. (DeGarmo, 2017) Opioid abuse and addiction is an issue that goes beyond adults, it is plaguing juveniles as well. Juveniles are feeling the negative effects of this issue in many different ways. Some are watching their friends or family go through addiction, some have lost loved ones, and some juveniles are addicted themselves. I volunteered at the EB HOPE drop-in center which is located in East Bridgewater. The mission of the drop-in center is to provide resources to those affected by opioid addiction. They have an abundance of resources including retreats, rehabilitation centers, support groups, as well as faith based healings. They also have various support groups for family and friends of those addicted to opioids.
The opioid epidemic is not an issue that can be solved in a timely manner. Solving this world issue has to be accompanied by cooperation from addicts and their supporters. This epidemic hits home with a surrounding town ranked 5th in the nation for opioid abuse. With that said, the hope is within the coming years, the epidemic can be resolved and people’s lives can be
After reading about the abstinence experience assignment, giving up the daytime show “The Young and the Restless” came to mind. However, my immediate answer to myself was “no way.” I attempted to think of something else that would be more difficult. I find it odd that dieting did not come to mind during my pre-contemplation stage. I kept trying to come up with something other than giving up my favorite show. I attempted to minimize the impact that missing the show would have on me by telling myself that the Young and the Restless show really is not be a big deal ; I needed to find something else that would give me a true feel for what a person who is attempting to abstain from drug use would experience. However, I decided
Many women, including teens, abuse drugs while they are pregnant. This rate is especially high to those who are homeless, underprivileged, or live in a broken home. In order for drug abusers to even have a chance at beating their addiction they have to have support whether it’s family, friends, or boyfriend/spouse. They must also let the abuser now all the consequences to themselves and the unborn child. There are many consequences when using drugs during pregnancy such as miscarriage, health risks to baby, and health risks to the mother. And learning disabilities and brain damage to the fetus.
The use of heroin, cocaine, and other illicit drugs has become a public health concern especially during pregnancy. Maternal substance abuse has become an issue during the crack epidemic in the 1980’s; however, there is an alarm rate of infants born addicted to heroin. More than 3.7% women have indicated the uses some form of illicit drugs during their pregnancy, as well as 1.9 % reports binge drinking (Bhuvaneswar el at., 2008; Grant el at., 2009). With this in mind, more than 375,000 infants are born to maternal substance abusers each year costing over $100,000 in medical expenses covered by the state (Reitman, 2002).