Because numerous clinics decline to offer sleeping medication to the individual withdrawing from opiates, many addicts discharge themselves early from the treatment process (Carver). In regard to treatment, Carver notes:
Detoxification technology is being transformed in an increasing number of countries by the introduction of rapid opiate detoxification (OD) techniques. Instead of discontinuing opiates abruptly or over a few days and allowing withdrawal symptoms to develop (a technique which adds the stress of anticipation to the actual pains of withdrawal), an alternative technique is to precipitate acute withdrawal over a space of three to four hours by administering opiate antagonists. These drive all opiates off the opiate receptors but also start the process of normalising the receptors so that the worst symptoms of withdrawal are over in two to three days rather than the two to three weeks which is typical in conventional programmes for most patients (Brewer 1997). Naltrexone…...
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References
Anna Nicole killed by accidental overdose, says examiner. (2007). Press and Journal, the Aberdeen (UK). Northcliffe Electronic Publishing. 2007.
A www.questia.com/PM.qst?a=o&d=108000214
Brewer, C. (2004). 5 Psychological and pharmacological components of treatment. In drug treatment: What works?, Bean, P. & Nemitz, T. (Eds.) (pp. 84-109). New York: Routledge.
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs or symptoms within…...
Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
drives under the influence of alcohol, it is a criminal offense abbreviated as driving under the influence (DUI). However alcohol is but one of the many substances that can interfere with one's driving capability. DUI charges can also be pressed against individuals who are driving under the influence of other kinds of drugs, including illegal drugs and even prescription medication. Taking drugs and driving at the same time, whether the drugs are just prescription muscle relaxers or medicinal marijuana is illegal and a DUI offense. The argument that one took drugs because of doctor's orders is not a defense to DUI charges. Various drugs have different effects on drivers. The drugs that impair concentration, judgment, alertness and/or motor skills are regarded as dangerous and in several cases even more dangerous than alcohol. Driving while having a blood alcohol concentration (BAC) of more than 0.08% or higher is illegal in…...
Government Regulations and Hospice
Government Regulations Affecting Health Care in Hospice
Hospice
Regulations Affecting Health Care in Hospice
Impact of rules on Hospice services
Annotated Bibliography
This paper focuses on how government regulations impact hospice. The paper starts off with an introduction to the hospice system that was revived by a nurse, Cecily Saunders, who then went on to become a physician, establishing one of the first modern hospices. The concept of total pain is explained in some detail. The body of the paper then includes the studies that have been conducted on patients and caregivers in hospice systems as well as on people who died after they were diagnosed with terminal illness resulting in death in six months following the prognosis. The overall conclusion that can be drawn here is that while in Japan there is a marked need for improving the Day hospice system, the American hospice industry is acting as a mature competing…...
Carlson, M.D., Morrison, R.S., Holford, T.R., & Bradley, E.H. (2007). Hospice Care: What Services Do Patients and Their Families Receive? Health Services Research, 42(4), 1672-1690.
Centers for Medicare & Medicaid Services. (2008). Medicare and Medicaid Programs: Hospice Conditions of Participation; Final Rule. Federal Register, 73(109), 32088-32220.
Christakis, N.A., & Escarce, J. j. (1996). Survival of Medicare patients after enrollment In hospice programs . The New England Journal of Medicine, 172-179.
One of the most frequent injuries is represented by the traumatic brain ones.. amongst other symptoms, one can mention anxiety, severe depression. Headaches and the difficulty to reason clearly. PTSD, post traumatic stress disorder is also manifested through depression, insomnia, flashback.
It is important to underline that these psychological disorders are usually associated with drug abuse. Taking this into consideration, it can be underlined that we are dealing with a social phenomenon. Most soldiers do not have the psychological training needed in order to do what they need to do once in combat. War has never been and could never be a pretty things, so the atrocities that these young men witness or are forced to do, shake them up psychologically. The use of drugs is to be understood in close connection to this factor.
Depression is not a factor that can be ignored. And there is no time for soldiers to…...
Ashley, Assistant Director, Criminal Investigative Division of the FI relates that in 1991: "...the U.S. Attorney's office in Los Angeles charged 13 defendants in a $1 billion false medical billing scheme that was headed by two Russian emigre brothers. On September 20, 1994, the alleged ringleader was sentenced to 21 years in prison for fraud, conspiracy, racketeering, and money laundering. He was also ordered to forfeit $50 million in assets, pay more than $41 million in restitution to government agencies and insurance companies victimized by the scheme." (2003) Ashley relates that the first Eurasian organized crime investigation of a significant nature involved a major underworld figure in the United States and specifically, Vyacheslav Ivankov who is a powerful Eurasian organized crime boss. Ashley states that Ivankov "...led an international criminal organization that operated in numerous cities in Europe, Canada, and the United States, chiefly New York, London, Toronto, Vienna,…...
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Bibliography
Albini, Joseph L. And R.E. Rogers. "Proposed Solutions to the Organized Crime Problem in Russia." Demokratizatsiya Winter 1998: p. 103.
Crime Without Punishment." (1999) the Economist August 28, 1999 the Makings of a Molotov Cocktail. The Economist 344, no. 8025.
Eurasian, Italian and Balkan Organized Crime (2003) Testimony of Grant D. Ashley, Assistant Director, Criminal Investigative Division, FBI Before the Subcommittee on European Affairs, Committee on Foreign Relations, United States Senate. 30 Oct. 2003. Federal Bureau of Investigations. Online available at http://www.fbi.gov/congress/congress03/ashley103003.htm
Drug addiction is not merely a failure of will or weakness in character, however having this 'brain disease' does not absolve the addict of responsibility for his or her behavior, but it does explain why an addict feels compelled to continue using drugs (Leshner 2001). Environmental cues that surround an individual's initial drug use and development of the addiction, actually become "conditioned" to the drug use and thus are critical to the problem of addiction (Leshner 2001).
Therefore, when those cues are present at a later time, "they elicit anticipation of a drug experience and thus generate tremendous drug craving" (Leshner 2001). This type of cue-induces craving is one of the most frequent causes of drug use relapses, independently of whether drugs are available and even after years of abstinence (Leshner 2001).
In March 2006, it was reported that researchers from Liverpool, England discovered a gene that directly affects the risk…...
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Works Cited
Changeux, Jean-Pierre. (1998 March 22). Drug use and abuse. Daedalus. Retrieved November 06, 2006 from HighBeam Research Library.
Eaves, Lindon J. (2005 July 01). Familial influences on alcohol use in adolescent female twins: testing for genetic and environmental interactions. Journal of Studies on Alcohol. Retrieved November 06, 2006 from HighBeam Research Library.
Goldman, Erik. (2005 July 01). Genetic tests could improve future drug abuse treatment. Family Practice News. Retrieved November 06, 2006 from HighBeam Research Library.
Heroin Addiction Cuts Across All Social Boundaries, Caron Foundation Study Reports.
American Academy Pediatrics publication a critique a media portrayal substance, links made AAP statement material. The password EBook: apusstudent I uploaded rest material.
American Academy of Pediatrics' Policy Statement concerning media portrayal of substance abuse touches upon several important issues that arise along with the media products' influence on America's young population at large. The article's targeted list of open-access channels associated with messages of noxious substance use include advertisements, television shows, motion pictures, social websites and music. Attention is directed specifically towards the findings of broadly conducted research in the matter of harm inflicted on children and adolescents as a result of the entertainment industry's depictions of legal and illegal substances, such as alcohol, tobacco, marijuana and heroin. Based on these findings, Pediatrics proposes a set of familial, institutional and legislative measures designed to minimize or abolish the destructive influence that media effects on a child's and teenager's development…...
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References
American Academy of Pediatrics. (2010, October). Policy Statement -- Children, Adolescents, Substance Abuse and the Media. Pediatrics, Vol. 126, No. 4, pp. 791-799.
Levinthal, C.F. (2012). Drugs, Behavior, and Modern Society, Seventh Edition. New York: Allyn & Bacon.
Macdonald, A. (Producer), & Boyle, D. (Director). (1996). Trainspotting [Motion picture]. United Kingdom: Channel Four Films.
Roberts, D.F. et al. (1999). Substance Use in Popular Movies and Music. Office of National Drug Control Policy, Center for Substance Abuse Prevention (U.S.). Retrieved from www.ncjrs.gov
Consciousness
The term consciousness has been defined as "mental awareness of sensations, perceptions, memories, and feelings" (Brown, et al. 2003, p. 166). Most human beings live in three states of consciousness: waking, sleeping, and dreaming. Two other states of consciousness, meditation and drug-altered consciousness, can be induced. This essay will explore these five states further and will conclude with a discussion on their psychological relevance.
Waking
Most of our lives are spent in waking consciousness, that is, a state of clear and organized alertness (Brown, et al., 2003). When we are awake, our perception of time, places, and events are real and often accurate. An electroencephalograph (EEG), a device that monitors the electrical activity of the brain, reveals that a person in the waking state has low-amplitude brain wave patterns that are fast and irregular.
Sleeping
Contrary to popular beliefs, sleep does involve some awareness (Lindsay et al., 2004). The problem is, the nature…...
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References
Brannon, L. & Feist, J. (2007). Health psychology: an introduction to behaviour and health.
Belton, CA: Wadsworth.
Brown, P., Coon, D., Malik, R., & McKenzie, S. (2003). Psychology: a journey. Scarborough,
build a logical argument by clarifying facts and speaking to a particular audience; and the conclusions must be strong and communicated well so that the intended audience can logically say, "I understand and agree with that."
Marc Siegel, a professor of Medicine at New York University and also a doctor with a practice, wrote an argument based on the doctor's role in treating pain and suffering by helping the patient end their life -- euthanasia. He was persuasive to me in his argument for several reasons: 1) He is a medical doctor who has taken the Hippocratic Oath and believes in helping patient's whenever possible; 2) He is logical and factual when he talks about some illnesses and conditions in which there is no cure; 3) He supports his arguments with the sound moral and ethical facts that show the audience just how much certain people suffer, and have a…...
NLM (2012). Substance abuse treatment of women. Chapter 4. National Library of Medicine: National Institutes of Health. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/books/NK83257
- Screening and assessment. http://www.ncbi.nlm.nih.gov/books.NK83253
rauser, D (2010), Sublingual buprenorphine relieves symptoms of neonatal opioid abstinence syndrome, Medscape: Medscape LLC. Retrieved on December 9, 2012
from http://www.medscape.com/viewarticle/730366
Fisher, P.A. et al. (2011). The combined effects of prenatal drug exposure and early adversity on neurobehavioral dis-inhibition in childhood and adolescence,
Developmental Psychopathology. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335443
Retrieved on December 9, 2012 from http://www.emedicine.medscape.com/article/978763-clinical
Johnson, K et al. (2003). Treatment of neonatal abstinence syndrome, Archive of Disease
in Childhood. Retrieved on December 9, 2012 from http://www.bmj.com/content/88/1/F.2.2.ful
Johnson, K and Leff, M (1999). Children of substance abusers. Pediatrics. American Academy of Pediatrics. Retrieved on December 9, 2012 from http://www.pediatrics.aappublications.org/content/103/Supplement_2/1085.long
Kraft, W.K. et al. (2010). Future trends in the treatment of the neonatal abstinence syndrome. Jefferson Medical College University…...
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BIBLIOGRAPHY
NLM (2012). Substance abuse treatment of women. Chapter 4. National Library of Medicine: National Institutes of Health. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/books/NBK83257
Brauser, D (2010), Sublingual buprenorphine relieves symptoms of neonatal opioid abstinence syndrome, Medscape: Medscape LLC. Retrieved on December 9, 2012
Substance Abuse
Introduction to the Characteristics and Extent of Alcohol, Tobacco or Other Drug Use.
Addiction means physical dependence on a drug, with withdrawal symptoms when its use ceases, and in this sense, alcohol, tobacco, marijuana, cocaine, heroin, hashish, opiates and amphetamines are all addictive drugs. In addition, these drugs also cause psychological dependency since they enhance a person's sense of pleasure, sociability, sexuality and emotional satisfaction, and also mask pain, low self-esteem and anxiety (Wilson and Kolander, 2011, p. 6). Student surveys are "likely to underreport the overall level of substance use and abuse by young people," and since black and Hispanic students have higher dropout and absenteeism rates, this affects survey results as well (Mosher and Akins, 2007, p. 136). Hard drug users and addicts are also more likely to be homeless, which means that their true numbers are always unknown.
All studies and surveys confirm that marijuana is the illegal…...
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REFERENCES
Goldberg, R. (2010). Drugs across the Spectrum, 6th Edition. Wadsworth Cengage Learning.
Maisto, S.A. et al. (eds). (2010). Drug Use and Abuse, 6th Edition. Wadsworth Cengage Learning.
Mosher, C.M. And S. Akins. (2007). Drugs and Drug Policy: The Control of Consciousness Alteration. Sage Publications.
Wilson, R. And C.A. Kolander. (2011). Drug Abuse Prevention: A School and Community Partnership. Jones and Bartlett Publishers.
Mexico faces an array of drug-related problems ranging from production and transshipment of illicit drugs to corruption, violence, and increased internal drug abuse. Powerful and well-organized Mexican organizations control drug production and trafficking in and through Mexico, as well as the laundering of drug proceeds. These organizations also have made a concerted effort to corrupt and intimidate Mexican law enforcement and public officials. In addition, the geographic proximity of Mexico to the United States and the voluminous cross-border traffic between the countries provide ample opportunities for drug smugglers to deliver their illicit products to U.S. markets. The purpose of this study was to develop informed and timely answers to the following research questions: (a) How serious is the trade in illicit drugs between Mexico and the United States today and what have been recent trends? (b) How does drug trafficking fund terrorist organizations in general and trade between Mexico…...
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References
Delaware fact sheet. (2014). Friends of Narconon, International. Retrieved from narconon.org/drug_distribution_in_the_united_states/delaware_drug_facts/delaware_facthttp://www.friendsof
sheet/.
Drug threats in Wilmington. (2014). Drug Enforcement Edu.org. Retrieved from http://www.
Oxycodone: A brief history of a potentially addictive drug
Most of us think of opium and opiates in fairly dramatic terms. e think of Dorothy in the izard of Oz, lulled into a stupor after falling asleep in a field of poppies or, worse, the image of a junkie hopelessly captivated by heroin. However, the face of drug addiction is changing. Many people are addicted to supposedly healthy, doctor-prescribed painkillers by their physicians. Drugs like oxycodone have the same chemical composition as opiates like heroin, even though they were scientifically created in laboratories. This paper will provide a brief history of the drug oxycodone and its use and abuses. Although oxycodone has many legitimate applications in pain management, it is not a harmless drug and has the potential to become extremely addictive. This addictive property was not initially noted but after cases of abuse began to surface, concerns began to arise.…...
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Works Cited
"Oxycodone." CESAR (Center for Substance Abuse Research). Web. 29 Dec 2014.
Pope. Tara. "The problem with pain pills." The New York Times. 26 Jun 2013. Web.
economic impact of drug use in the United States might initially seem easy to measure. A legal trial is an expensive proceeding: police officers, prosecutors or public defenders, judges, stenographers, and bailiffs are employees of the state, and even if jurors are barely remunerated, defense attorneys are lavishly remunerated. To prosecute someone for dealing marijuana is an expensive undertaking, and to do so under a "three strikes" law, where the crime is suddenly elevated to a horrific felony with extreme penalties, is even more expensive. The greater expense comes with convictions: America has the largest imprisoned population in the world, with more people behind bars in this country than comprise the entire populations of other sovereign nations. Imprisonment is not a cheap proposition. We can then consider the further economic impact, legally and morally speaking, of drug use in the current extensive misuse of civil forfeiture laws. Ostensibly designed…...
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