The aim of the paper “Abuse of prescription of narcotics in primary care” is to analyze misuse of narcotics in primary care is an area of genuine concern. Misuse of narcotics in primary care arise from the inadequate emphasis during the education and training of primary care givers on opioids…
Chronic non cancer pain in primary care and use of opioids (Nicholson & Pasik, 2007). In the USA estimates suggest that 50 million people suffer from chronic non cancer pain, with 41% dissatisfied with the outcomes of their pain treatment. The frequent site at which these patients seek health care is from primary care. In the primary care environment prevalence of chronic non cancer pain ranges from 5% to 33% (Nicholson & Pasik, 2007).3) Extent of opioid misuse in primary care and causes (Von Korff et al, 2011). True estimates of the extent to which prescription opioids are misused among primary care patients are not available, but the limited evidence from surveys conducted suggest that the prevalence of prescription opioid misuse in primary care could range from 4% to 26% (Von Korff et al, 2011)4) Primary care givers need to have adequate knowledge on preventing opioid misuse Salloum, 2010). Though the true prevalence of prescription opioid misuse remains elusive the indications of high abuse of prescription opioids raises the relevance of prevention practices at the point of misuse (Ruiz & Strain, 2010).B. Establish a working definition of prescription opioid abuse and identification of the characteristics of prescription opioid abuse 1) According to Friedman et al p, 454, NUPM in a wide perspective may be taken to mean “the use of a scheduled prescription medication without the prescribing clinician’s knowledge” (Friedman et al, 2009).2) Characteristics of abuse of prescription narcotics (Liebschutz et al, 2010)...
ry care patients diagnosed with chronic pain and prescribed opioids shows that the characteristics for PDUD in such patients include cigarette smoking, high severity of pain, personal and family history of substance abuse, post-traumatic stress disorder, and experience of a jail sentence (Liebschutz et al, 2010). 3) Caregiver knowledge and attitudes in the prescribing of narcotics for non cancer chronic pain (Srivatsava, 2007). Evidence coming from surveys conducted on care givers points to knowledge deficits in care givers and attitudinal issues acting as barriers to efficient management of pain. Quite often fear of addiction and misuse of prescribed narcotics is the basis of unsatisfactory management of pain (Srivatsava, 2007). 4) Patient perspective on prescribing of narcotics for non cancer chronic pain (Srivatsava, 2007). From the perspective of patients it is the care providers in the form of medical and nursing professionals that are knowledgeable on issues pertaining to employing narcotics in the treatment of pain, and they expect that these professionals provide them with the appropriate information on narcotics in the treatment of non cancer chronic pain, to make it a useful part in their treatment (Srivatsava, 2007). II Theoretical Considerations (Not done as no guidelines received and not mandatory for the annotated outline) III Review of Literature A literature review matrix has been generated for effectively developing the literature review. 15 peer reviewed primary research articles relevant to the topic of the dissertation were selected. The inclusion criterion was that these articles were published on or later than 2006. The rationale behind such an inclusion criteria was to make the literature deliver the currently relevant body of knowledge on the ...
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Abuse of prescription of narcotics in primary care and its prevention" Theme – 1: Lack of education of primary care providers about pain management. Unique Identifier: Upshur 1 Authors: Upshur, C. C., Luckman, R. S., Savageau, J. A. Title: Primary Care Providers Concerns about Management of Chronic Pain in Community Clinic Populations.
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).
The research question will be addressed through research at a single hospital where individual staff members will be interviewed for their perceptions on the problem. Additionally, patients will be observed for evidence of intoxication, and the proportion of injuries that were influenced by alcohol consumption will be determined from department records.
However, in major instances, women who are identified to be in a vulnerable position, such as pregnant housewives, divorcees and similar groups who tend to be highly depended on men or other social clusters have been identified as the victims of domestic violence.
Prenatal and neonatal development has been shown to be affected negatively due to drug abuse. It is no secret that drug abuse during pregnancy causes a host of physical and mental disabilities in children that persist with them throughout their lives. This paper aims to look into Axis II type problems caused by drug abuse by pregnant mothers in order to see how drug abuse affects the child’s long term development.
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.
Below is a vivid description of the said sub-themes. Background of the Study As far as Education come to mind, it has become very necessary for every British child to receive formal education up to higher level. Luckily, there are legislative instruments and provisions such as the Education Act of 2002 that spells out clearly on why and how Britain nationals are to receive formal education.
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.
50 Pages(12500 words)Dissertation
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