Journal Issue, Pages: Journal of General Internal Medicine Vol. 21 No. 6 Pages 652-655. Year published Years data collected: Published in 2006. Purpose: To determine in community health care environments the level of satisfaction with regard to training received on current practices in the management of pain among the care providers. Methodology, Variables Design, Sample, Instruments: Qualitative study. Variables Design: Issues involving reaching optimal control of pain in patients and approaches that would assist in improving prescribing of opioids in managing chronic pain. Sample: 67 attending physicians, 19 nurse practitioners, 3 physician assistants, and 22 family practice residents, making a total of 111 participants from 178 selected. Instruments: Survey questionnaire relating to satisfaction with training and care delivery with regards to chronic pain, issues concerning chronic pain management, possibility of prescribing opioids, and estimation of the probability of psycho-social co-morbidities Findings: From a wide perspective there was low satisfaction among primary care providers in satisfaction of the treatment of chronic pain. For most of the attending physicians the training received in chronic pain treatment during their medical education and residency training was insufficient. For most of the care providers the major barriers to optimal pain treatment were patient self-management, patient, psychological factors, and patient compliance. There was a low rate of willingness to prescribe opioids, with the factor of the patients selling the opioids being the main barrier. Moe frequent visits raised the likelihood of willingness to prescribe opioids. Comments, Implications, Limitations: Primary care providers hold the view that the patients are the biggest barrier to optimal chronic care in primary care settings. Implications: The findings of the study suggest that education and training of primary care providers in chronic pain treatment should have a greater focus on patient oriented approaches in the management of chronic pain, and how to deal with substance abuse and addiction. Strengths: Survey questionnaire grounded in earlier studies, with assistance from a group consisting of primary care providers, researchers, and a pain specialist. Limitation: Small sample size limits the generalization of the findings of the study. Theme – 1: Lack of education of primary care providers about pain management. Unique Identifier: Sullivan 2 Authors: Sullivan, M. D., Edlund, M. J., Zhang, L., Unutzer, J. & Wells, K. B. Title: Association Between Mental Health Disorders, Problem Drug Use, and Regular Prescription Opioid Use. Journal Issue, Pages: Archives of Internal Medicine Vol. 166 Pages 2087-2093. Year published Years data collected: Published in 2006. 1998 and 2001. Purpose: To investigate whether mental disorders enhance the risk of opioid use or whether opioid enhances the risk for mental disorders from a large cross section of the population. Methodology, Variables Design, Sample, Instruments: Cross-sectional Qualitative study. Variables: Dependent Variables – Regular prescription opioid use. Independent Variables – Mental health and problem drug use. Sample: 6439 individuals matching the inclusion criteria from the 1998 and 2001 waves of the population-base survey Health-care for Communities (HCC). Instruments: Data from the 1998 and 2001 waves of the population-base survey Health-care for Communities (HCC). Findings: Patients on regular prescription opioids had the higher risk probability by two to three times to seek mental health assistance. Continued use of opioids by patients from 1998-2001 was associated with a higher risk for common mental ...
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Abuse of Prescription of Narcotics in Primary Care and Its Prevention Introduction In the United States, about 50 million individuals have been estimated to suffer from chronic pain which attributes to almost $70 billion of over-all expenses. Through the years, cancer patients have gradually been reduced of their pain affliction by the introduction of many medications addressing such needs; however, non-malignant chronic pain has not been equally fortunate (Schneider, 1998).
In the medical world, pain has consistently been categorized into two encompassing variations: firstly, the pain patients experience as a result of malignant cancers; and secondly, chronic pain associated with non-malignant cancers, and other illnesses (Mangione & Crowley-Matoka, 2008).
Based on this research the predominant attitude of curing a disease when it strikes instead of preventing it has been addressed by the Affordable Care Act (ACA). A paradigm shift needs to happen if positive health outcomes are to be achieved. The ACA covers a wide spectrum of medical services to educate people on the prevention of disease and the maintenance of good health.
The problem is even more pronounced in the United Kingdom (UK). One of the reasons for such increasing expenditure is over-prescribing. Dukes, Mildred and Swartz argued that in many countries, over-prescribing has been used as a security blanket either against litigation, or as a stance in practicing defensive medicine.
The researcher claims that as a consequence of misuse there is a hesitancy in its optimum use in primary care, and when used the is inadequacy in the screening methods, choice of suitable patients, and poor monitoring subsequently, all of which only enhance the risk for potential misuse of opioids from prescriptions of opioids.
To this, the role of information technology (IT) is worth mentioning that is greatly depended upon. Although IT may not be the only technological advancement responsible for the improvement in lives and activities, yet it has a significant role to play since changes in lives would not have been possible without the availability of new information (Castells, 1999, p.2).
In this regard, increase in the population of people whose age is 65 and beyond is ascribed mainly to these developments (Nerenberg 2008). As such, the reality of growing old, a part of the cycle of life, has become an actuality in the recent time (Megret 2010).
?…………………………….. ACKNOWLEDGEMENT I would like to express my special thanks of gratitude to my lecturer___________ who gave me the golden opportunity to undertake this project on the topic alcohol misuse in armed forces in the UK, the US, and Canada, which also helped me in doing a lot of Research and made me to acquire a lot of knowledge on quite many new issues about the topic.
Managers and supervisors at companies across America are today left with the reality that their facilities are constant under threat of an act of violence, yet all too few have a proper plan to prevent or minimize the effect of such occurrences. Perhaps because they feel that workplace violence would never happen under their watch, or perhaps because of a simple lack of knowledge that such violence can and does happen at facilities just like theirs, the need for a well thought and organized plan must be communicated (Taylor, 2010, p.
The brand names of the pills containing such combination are Roxicet and Tylox. Such pills are available under different combinations like 25 mg oxycodone hydrochloride and 325 mg acetaminophen; 5 mg oxycodone hydrochloride and 325 mg acetaminophen; 7.5 mg oxycodone hydrochloride and 500 mg acetaminophen; 10 mg oxycodone hydrochloride and 650 mg acetaminophen.
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