Addiction Treatment - Essay Example

"Addiction Treatment" is a perfect example of a paper on addiction. The diagnostic test I would order is the Opioid detoxification and rehabilitation diagnostic testing. The reason is that Mr. W denies having any medical history or hospitalization for medical conditions despite being admitted in August 2016, after being found unconscious by his mother due to an overdose from heroin. He was later discharged contrary to the medical advice, which required him to stay for a period longer than two days from the day of admission.

He also refuted claims of any historical trauma, hypertension, head injury, and asthma.Besides, he also repudiated being connected to surgical history, latex allergies, and any food history. He further asserts that he has been in an endless battle with mild depression and even severe anxiety from his childhood ages. This has also led to him being unemployed, and he is just living with friends in various estates because of his poor relationship with the family since he is a drug addict. He even lacks support from the family members also though they are aware of his addiction.

(Kleber, 2007).2.The diagnostic test I would provide for this patient is Medical history. Differentials refer to the diagnosis carried to a patient based on the current symptoms, medical history, or result from a physical examination. Mr. W has been using approximately 15 heroin bags intravenously for the previous two weeks. From the case study, the patient is also reported to possess a history regarding the low violation. To some extent, he has always been under the watch of a probation officer, maybe once a week.

He even says that he had used marijuana starting from when he was 15 years old and admits that it was his best friend who introduced him to heroin use when he was only five years old, most preferably the periods he experienced stressful moments while still an undergraduate. He even stated that he could not recall when he was at peace with anxiety without using some kinds of drugs. The medic prescribed benzodiazepine medication for Seroquel and anxiety as well as an antipsychotic to curb the depression he was experiencing.

Still, he ceased taking the medications for the previous two years ago. He states that he is continuously feeling unwell since the last time he took the previous bag of heroin. Mr. W, who is the medic, asserts that he is affected by nausea and also suffered from diarrhea early in the morning. However, he denies having any abdominal pain. He is uncomfortable sitting on the chair and very restless because he has pain in his back, although he denies a joint disease history. He says he has lost appetite for the past years and has also suffered constipation for the past weeks (Summerton, 2008).3.Suboxone refers to a new prescription medication name applied in treating people who are strongly addicted to illegal opioids.

It is made up of buprenorphine and naloxone. Buprenorphine usually blocks or barricades opiate receptors and even lowers an individual’s urge for the drug. Naloxone reverses the effect of opioids. It is mainly conducted in three phases, namely; the maintenance phase, induction phase, and stabilization phase. During the Induction phase, medication is administered. It is mainly done when the patient has abstained from using the drug for almost one day and is still in the early stage of opioid withdrawal.

The second phase is the stabilization phase. During this phase, it is evident that the patient has discontinued or has excellent reduced use of the drug and does not cravings for the drug anymore. It is during this phase that the dose may be adjusted for the patient. Once the patient has stabilized, the clinician may prescribe alternative day dosing instead of everyday dosage. This is only done when withdrawal symptoms have begun to emerge. The third and last phase of the treatment sequence is the maintenance phase.

During this phase, it is believed that the patient is doing well in consideration of the dosage as prescribed by the clinician. It is also advisable to engage the patient in further treatment to prevent a relapse in the recovery of the patient (Enos, 2015).4.Before administering Suboxone treatment to the patient, the medical practitioner must be aware of critical concerns in initiating the treatment. It is started by first carrying out an accurate assessment of the withdrawal symptoms level of the patient.

Some of the concerns also include; how the medication works, its efficiency, and safety measures while being used to an opioid patient withdrawal and even in treatment maintenance and selection of the patient, education and the monitoring of the patient throughout the treatment period (Centers", 2020).5.I would advise the patient to continue using the medication as was prescribed without stoppage. He admits or accepts that he has battled with mild depression and severe anxiety from his adolescent age, and he stopped taking medication as specified.

I would recommend buprenorphine to address his psychiatric care since it blocks other narcotics by blocking opiate receptors in the patient's body and reduces withdrawal effects at the same time. It also has a ceiling effect, hence its lower overdose potential, causing less respiratory depression than methadone. Buprenorphine is also easy to administer and has low toxicity, even at a high dose (Ling et al., 2012).