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It is however important to note that the effectiveness of such a prevention plan is largely dependent on how well it is implemented. In my view, the successful implementation of the plan could see the country freed from the menace of prescription drug abuse. Apart from OxyContin, which is essentially a narcotic painkiller, the other prescription drugs which are commonly abused according to the National Institute on Drug Abuse are stimulants and sedatives (U.S. National Library of Medicine - National Institutes of Health, 2013).
The abuse of prescription drugs is a problem that must be addressed urgently. In addition to adversely affecting the health of users, prescription drugs could also lead to a significant increase in inappropriate behavior. As I have already pointed out in the text above, OxyContin is significantly more expensive than other drugs. Individuals who would want to continue abusing the drug may therefore have to…
Girard, J.G. (2011). Criminalistics: Forensic Science, Crime and Terrorism (2nd ed.). Sudbury, MA: Jones and Bartlett Publishers.
Hales, D. (2010). An Invitation to Health: Choosing to Change. Belmont, CA: Cengage Learning.
Hanson, G., Venturelli, P. & Fleckenstein, a. (2011). Drugs and Society (11th ed.). Burlington, MA: Jones & Bartlett Publishers.
Hyde, M.O. & Setaro, J.F. (2003). Drugs 101: An Overview for Teens. Minneapolis, MN: Twenty-First Century Books.
The FDA also, amongst others, has recommended that clinical trials used to support advertising claims be approved by the FDA and to institute stiff fines against those found gaily of deceptive tactics. (Turning Medicine Into Snake Oil...) There is little doubt from the research that pharmaceutical companies have to be made more accountable for their products and advertising promises.
Borden Anne. Vioxx Stroke isk could last for Years. 2007. etrieved June 1, 2007 at http://www.lawyersandsettlements.com/articles/00888/vioxx-stroke-risk.html
Deceptive Prescription Drug Marketing Tactics 'Common and Dangerous'. 2006.
etrieved June 1,2007, at http://www.uspirg.org/newsroom/health-care/health-care-news/deceptive-prescription-drug-marketing-tactics-common-and-dangerous
Introduction to the Health Care Industry: Health Expenditures and Services in the U.S. etrieved June 1, 2007, at http://www.plunkettresearch.com/HealthCare/HealthCareTrends/tabid/294/Default.aspx
O'Connor K. x for prescription drugs. etrieved June 1, 2007, at http://www.oconnorhealthanalyst.com/pgs/rx.html
Oxycontin Manufacturer Agrees to Plead Guilty and Pay Fine of $600,000,000.
etrieved June 1, 2007, at http://tyler.injuryboard.com/defective-products/oxycontin-manufacturer-agrees-to-plead-guilty-and-pay-fine-of-600000000.php?googleid=8636
Prescription Meds Changing Health Care. etrieved June 1, 2007, from Spending http://www.medicalnewstoday.com/medicalnews.php?newsid=60788…
Borden Anne. Vioxx Stroke Risk could last for Years. 2007. Retrieved June 1, 2007 at http://www.lawyersandsettlements.com/articles/00888/vioxx-stroke-risk.html
Deceptive Prescription Drug Marketing Tactics 'Common and Dangerous'. 2006.
Retrieved June 1,2007, at http://www.uspirg.org/newsroom/health-care/health-care-news/deceptive-prescription-drug-marketing-tactics-common-and-dangerous
Introduction to the Health Care Industry: Health Expenditures and Services in the U.S. Retrieved June 1, 2007, at http://www.plunkettresearch.com/HealthCare/HealthCareTrends/tabid/294/Default.aspx
This is vital because medical personnel could administer something that causes life threatening symptoms if taken with an anticoagulant.
The final educational area that needs to be covered are the changes that must take place in the daily life of the patient. The patient must be careful not to cut himself or herself, In addition the patient must be careful not to take part in activities that might cause injury as injury can cause the patient to hemorrhage.
Three common GI problems include heartburn, ulcers and irritable bowel syndrome. Each of these conditions can cause stomach upset. Heartburn can be treated with over the counter medications, including Zantac. Ulcers require a specific antibiotic and a stomach acid reducer and IBS is often treated with stomach acid reducers. In addition all three conditions respond favorably to changes in diet.
The medications for heartburn can be purchased over the counter,…
Precautions While Using This Medicine http://www.healthopedia.com/drugs/detailed/anticoagulants/precautions.html#
What is OxyContin? http://www.drugfree.org/Portal/Drug_Guide/OxyContin
United States has waged a "War on Drugs." Within this endeavor the nation has passed and implanted some extremely tough laws regarding drugs, on a local, state and national level. The laws are meant to act as a deterrent for those who abuse drugs by way of sales, manufacturing and use. The laws send people to prisons for a long time as well as create probation and parole status for many who violate the laws.
The belief is that stricter laws will reduce the number of drug offenses and drug use in the United States. Those who draft and pass the legislation for tougher drug laws believe that the fear of jail and other punishments will deter people from drug use, manufacturing and sales. While this has been going on for the last few decades the nation has continued to wrestle with drug issues. It is unclear whether the tough…
Martin Kasindorf, Elders: Study Drug Legalization., Newsday, 12-08-1993, pp 17.
Holland's Drug Policies: The Lesson for Canada
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…
"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.
29 Dec 2014.
Purdue Pharma's Role in the Opioid Crisis
The court case of US v. Purdue Pharma is a case that focuses on the Anti-Kickback Statute, which holds it a felony for an entity to accept kickbacks for providing services or items that are reimbursable by a federal program (Baird, 2021). Part of the problem with this case and others like it is that not everyone agrees on what constitutes a kickback. For example, Illiparambil (2020) writes in the Brookly Law Review that pharmaceutical “donations” should not be viewed as kickbacks—even though prosecutors could and have made the case that they act as such. However, kickback laws have been in existence for decades, the first going all the way back to 1931 (Raspanti, Roberts & Bosick, 2017). Today, the Anti-Kickback Statute has led to prosecutions and settlements with pharmaceutical companies like Purdue Pharma for over half a billion dollars (Kraschel &…
Baird, J. (2021). Recent federal case—Medicare AntiKickback Statute. Retrieved from https://medtrade.com/news/billing-reimbursement/Recent-Federal-Cases-Medicare-Anti-Kickback-Statute/
Gore, A. (2020). Exposing the Middlemen in Rising Drug Costs: Modifying Safe Harbor Protections for Pharmacy Benefit Manager Rebates Under Federal Anti-Kickback Statutes. Or. L. Rev., 98, 297.
Illiparambil, T. (2019). Pharmaceutical Philanthropy Or Resisting Regulations?: Why Pharmaceutical Donations Do Not Violate the Anti-Kickback Statute. Brook. L. Rev., 85, 571.
Kraschel, K., & Curfman, G. (2019). Patient Assistance Programs and Anti-Kickback Laws. Jama, 322(5), 405-406.
Raspanti, M. S., Roberts, D. E., & Bosick, P. G. A. (2017). A Practitioner’s Primer on the History and Use of the Federal Anti-Kickback Statute. Retrieved from https://www.falseclaimsact.com/wp-content/uploads/2018/02/MSR-DER-A-Practitioners-Primer-on-History-and-Use-of-Federal-Anti-kickback-Statute.pdf
Rios, K. S. (2019). Combatting the Opioid Epidemic in Texas by Holding Big Pharma Manufacturers Liable. . Mary's LJ, 50, 1353.
Also no pill will change everything. One must be willing to change their lifestyle as well.
hy do some people still need an antihyperlipidemic agent even though they have reduced their dietary intake of cholesterol and saturated fats?
hy is it better to sue selective beta2 agonists, rather than non-selective beta-adrenergic agonists, for a patient who has both asthma and heart disease?
hy is the combination of a glucocorticoid and a beta2 adrenergic agonist used sometimes in treating asthma? hat is the difference in their mechanisms of action?
http://lungusa.org/asthmato answer: (a) what is a peak flow meter and how is it used in asthma clients? (b) Is low or high humidity in the home better for asthma clients? - hat aspects of weather are triggers for asthma?
Based upon your knowledge of the mechanism of action of the following drug classes, explain the rationale for using the following to…
Direct to Consumer Advertising
HISTRY F DRUG ADVERTISING
THE DTC ADVERTISING PHENMENN
DECEPTIVE ADVERTISING - A WLF IN SHEEP'S CLTHING
CAUSE F DEATH
UTILIZATIN, PRICING, AND DEMGRAPHICS
LEGISLATIN, PLITICS AND PATENTS
LEGISLATIVE INITIATIVES REGARDING DTC
RECALLED and/or DEADLY DRUGS
In order to provide the most efficient method of evaluation, the study will utilize existing stores of qualitative and quantitative data from reliable sources, such as U.S. Government statistical references, University studies, and the studies and publications of non-profit and consumer oriented organizations. Every attempt will be made to avoid sources of information sponsored by or directly influenced by the pharmaceutical industry.
Existing data regarding the history, levels, content and growth of direct-to-consumer advertising will be examined. In addition, the industry's composition prior to and after the proliferation of direct-to-consumer advertising will be examined, with regard to market share, type of substances sold, benefits of substances sold, and…
On January 9, 2002, Dr. Darlene Jody, Vice President of Medical Marketing for Bristol-Myers Squibb, issued a manufacturer's "Important Drug Warning Including Black Box Information." The Important Drug Warning advises healthcare practitioners that "cases of life-threatening hepatic failure have been reported in patients treated with SERZONE." The manufacturer's Warning indicates that numerous persons have or will suffer liver failure, death or transplantation. The manufacturer's Warning also indicates that the current estimate of the rate of liver failure associated with Serzone use is "about 3-4 times the estimated background rate of liver failure." A new Warning is being added to the Serzone prescribing information, advising that "patients should be advised to be alert for signs and symptoms of liver dysfunction (jaundice, anorexia, gastrointestinal complaints, malaise, etc.) and to report them to their doctor immediately if they occur." According to Warnings, Serzone should be promptly discontinued if signs or symptoms suggest liver failure.
Vioxx belongs to a class of drugs known as COX-2 inhibitors. When the drugs were introduced a few years ago, COX-2 inhibitors were thought to be safer and more effective than other drugs such as Aspirin and Ibuprofen. However, several studies have questioned the cardiovascular safety of Vioxx. Studies indicate that people taking Vioxx have four times the risk of a heart attack.
In May 2002, the U.S. Food and Drug Administration (FDA) published a Talk Paper about new label warnings for the popular arthritis and pain drug know as Vioxx (rofecoxib). The new label warnings are based on the results of the Vioxx Gastrointestinal Outcomes Research (VIGOR). According to the FDA, recent studies demonstrate that Vioxx is associated with a higher rate of serious cardiovascular thromboembolic adverse events (such as heart attacks, angina pectoris, and peripheral vascular events). Based on the recent study, the FDA agreed with the Arthritis Advisory Committee recommendations February 8, 2001 that the label for Vioxx include gastrointestinal and cardiovascular warning information. Serious side effects attributed to Vioxx are heart attacks, seizures, strokes, or liver/kidney problems. http://www.recalleddrugs.com
Prescription Drug Abuse
The overall point of conversation when speaking of prescription drugs in the public and political sphere has usually focused on cost and/or ease of access among all Americans. The overall points of conversation relating to drug has often centered on drugs like heroin, cocaine, crack and marijuana. However, as time and trends have shifted, the primary focus of both overall topics has centered on the use and abuse of prescription drugs, usually certain classes of drugs such as sedatives, opiates and anti-anxiety drugs. Common drugs focused on include Xanax, any narcotic-based painkiller such as Oxycontin and sedatives or muscle relaxers such as Valium and Soma. While prescription drugs are very important to have at the ready, the likelihood and propensity towards abuse of the drugs and other legal behavior is significant and this is even true among people who obtain the drugs legally at the onset.
Doyon, S., Klein-Schwartz, W., Anderson, B.A., & Welsh, C. (2013). A Novel Approach
to Informing the Public about the Risks of Overdose and Nonmedical Use of Prescription Medications. American Journal on Addictions, 22(2), 108-112.
Garcia, A.M. (2013). State Laws Regulating Prescribing of Controlled Substances:
Opioid abuse is a problem in the US, particularly among the youth population. This is a health risk behavior that has arisen in the US for quite some time, largely due to the influence of the pharmaceutical industry’s push of drugs like Oxycontin onto the market (Coplan et al., 2016). The US Department of Health and Human Services (2020) reports that 0.7 percent of young people aged 12 years and up have reported an opioid use disorder, such as heroin or prescription pain reliever, in the past 12 months. One of the objectives of Healthy People 2030 is to “reduce the proportion of people who had opioid use disorder in the past year” (Healthy People 2030, 2021). This paper discusses the program that can be initiated to address this issue. It identifies the target group, the key stakeholders, the plan of action, and the barriers to be overcome.
Bandura, A. (2018). Toward a psychology of human agency: Pathways and reflections. Perspectives on Psychological Science, 13(2), 130-136.
Coplan, P. M., Chilcoat, H. D., Butler, S. F., Sellers, E. M., Kadakia, A., Harikrishnan, V., ... & Dart, R. C. (2016). The effect of an abuse?deterrent opioid formulation (OxyContin) on opioid abuse?related outcomes in the postmarketing setting. Clinical Pharmacology & Therapeutics, 100(3), 275-286.
Doster, L. (2013). Millennial teens design and redesign themselves in online social networks. Journal of Consumer Behaviour, 12(4), 267-279.
Governor.PA. (2017). Governor Wolf Voices Support for House Bill that Makes Opioid Education Mandatory in Schools. Retrieved from https://www.governor.pa.gov/newsroom/governor-wolf-voices-support-for-house-bill-that-makes-opioid-education-mandatory-in-schools/
Healthy People 2030. (2021). Opioid use. Retrieved from https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/reduce-proportion-people-who-had-opioid-use-disorder-past-year-su-18
Keleher, H. (2002). Public and population health strategic responses. Health Canada.
McCoy, S. S., Dimler, L. M., Samuels, D. V., & Natsuaki, M. N. (2019). Adolescent susceptibility to deviant peer pressure: Does gender matter?. Adolescent research review, 4(1), 59-71.
Roberts, M., Callahan, L., & O’Leary, C. (2017). Social media: A path to health literacy. Information Services & Use, 37(2), 177-187.
One very important aspect related to smoking marijuana concerns the number of deaths reported on an annual basis linked to using other legal and illegal substances. For example, according to the U.S. ureau of Mortality Statistics, 400,000 Americans die annually as a direct result of smoking cigarettes; 100,000 die prematurely from drinking alcohol; some 20,000 die from abusing legal prescription drugs like Oxycontin, Valium, Percodan, and other drugs prescribed by physicians; 2,000 die from the effects of consuming too much caffeine, mainly from heart failure, while the number of Americans who die from smoking marijuana currently stands at zero, an indication that smoking marijuana does not directly cause any known fatal and debilitating disease ("The Legalization of Marijuana," Internet).
Therefore, considering the number of Americans who die prematurely from consuming alcohol which has been legal since the end of Prohibition in the early 1930's, there is no logical reason not…
Franklin, Michael J. The Pros and Cons of Marijuana Legalization in the United
States. New York: Random House, 2006.
"The Legalization of Marijuana." 2009. Internet. Accessed November 24, 2009
from http://www.legalizationofmarijuana.com .
Nurses expressed empathy when I complained of pain or discomfort and promptly advocated for me when the need arose.
While hospitalized in an acute care setting, I feel that because I am a nurse, I did not receive the same degree of scrutiny a non-clinician patients or physician may have been given.
While hospitalized in an acute care setting, I feel that because I am a nurse, I received more consideration than a non-clinician patient may have been given.
While hospitalized in an acute care setting, I feel that because I am a nurse, I received less consideration than a physician may have been given.
I feel that the type, quality, and consistency of care I received while acutely hospitalized did not differ from treatment any other person would have been given.
My experience as a patient contributed to shaping my perception as nurse of the health care environment.
Bennett, Leeann RN. (2007). "When a Nurse Becomes a Patient." American Nurses Credentialing Center. Retrieved October 23, 2008, at http://www.medscape.com/viewarticle/564685
Bowers, Len RMN PhD., McFarlane, Linda BSc, Kiyimba, Frank RMN, Clark, Nicola MA MSc, Alexander, Jane. "Factors underlying and maintaining nurses' attitudes to patients with severe personality disorder." Department of Mental Health Nursing, City University' August 2000, p. 6. Retrieved October 23, 2008, at http://www.city.ac.uk/sonm/dps/research/research_reports/bowers_l/sdp.pdf
Growing question in hospitals: Como esta?," Post and Courier (Charleston, SC). July 24, 2006. Retrieved October 23, 2008, at http://www.highbeam.com/doc/1G1=148588515.html
Hample, Henry. "When Doctors and Nurses Become Patients. Inside MS, June 22, 2000. Retrieved October 23, 2008, at http://www.highbeam.com/doc/1G163690617.html
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…
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.
Sixteen American states currently allow doctors to prescribe an herbal remedy to their patients: cannabis. Herbal remedies are not typically viewed with suspicion, but cannabis has been illegal in the United States for several decades. Still technically an illegal drug, cannabis is not being sold legally in select medical dispensaries in the states that allow for its controlled use. The organization Pain Management of America outlines some of the most common conditions for which doctors prescribe cannabis. Those conditions range from seizures to muscle spasms to cancer and chronic pain (Pain Management of America). Although medical cannabis is a step in the right direction, ultimately the herb should be removed from its Schedule I classification in the Controlled Substances Act. Cannabis should be completely legal, giving American citizens the freedom to use, grow, and sell the plant.
"Dozens of peer-reviewed studies, prominent medical organizations, major government reports, and the use…
Havel, Vaclav. The Power of the Powerless. Palach, 1995.
Joy, Janet E., Watson, Stanley J. And Benson, John A. "Marijuana and Medicine: Assessing the Science Base." Institute of Medicine. National Academy Press, 1999. Retrieved online:
Teen Drug Abuse - Prescription or Not
Differences between nonalcoholic offspring of alcoholics (family history positive, FHP) and matched offspring of nonalcoholics (family history negative, FHN) have been identified on a variety of behavioral, cognitive, and neurological measures. Compared to FHN teens, FHP adolescents and young adults demonstrate more disturbed school careers, impulsivity, rebelliousness, and nonconformity (National Survey on Drug Use and Health, 2006); poorer neuropsychological performance (Worden & Slater, 2009); and significantly lower amplitude in P300 brain waves, which are believed to measure selective attention (Cicero, et al. 2005). Further, following ingestion of alcohol, sons of alcoholics report less body sway and less subjective intoxication (Grant, et al., 2005), higher levels of flushing (McBride, 2011), and decreased P300 amplitudes when performing difficult tasks (Foster, et al., 2009).
Not all individuals with a family history of alcohol dependence become alcohol and/or drug abusers, however, and genetics alone cannot account for…
Ajzen, I. (2010). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.
Centers for Disease Control and Prevention [CDC]. (2006). Youth risk behavior surveillance -- United States, 2005. MMWR 2006, 55.
Cicero, T.J., Inciardi, J.A., & Munoz, A. (2005). Trends in abuse of OxyContin and other opioid analgesics in the United States: 2002-2004. The Journal of Pain, 6, 662-672.
Drug Enforcement Administration. (2005). Prescription pain medications: Frequently asked questions and answers for health care professionals and law enforcement personnel. Journal of Pain and Palliative Care Pharmacotherapy, 19(1), 71-104.
" In fact that showdown with labor "produced a cultural shift, a new sense of what can be appropriate in business management." The entire Reagan era, according to ill, a well-known conservative commentator - who wrote this piece at the time of Reagan's passing - is remembered "more for the tax-cutting and deregulating that helped, with the information technologies, to shift the economy into a hitherto unknown overdrive."
Another event that made Reagan a hero at a time when America needed heroes occurred in the spring of 1981, when Reagan was shot in an attempted assassination. The New York Times (Silk, 1981) reported that Reagan's "unruffled demeanor" immediately after being seriously wounded, along with his "jokes to his wife and the medics" all helped to "turn fear into rising respect for Mr. Reagan himself," journalist Leonard Silk reports. A "growing number of Americans decided that they had elected themselves a…
Arnett, Robert. (2007). Eighties Noir: The Dissenting Voice in Reagan's America. Journal of Popular Film & Television, 34(3), 123-129.
Brant, John. (1983). Duel in the Sun. Runner's World.
Clines, Francis X. (1982). White House Winces at Economist's Words. The New York Times.
Retrieved May 9, 2007, at http://query.nytimes.com.gst/fullpage.html.
Financial and Economic Impact of Worker's Compensation egulations And Compliance
The program and concept of Workers' Compensation might appear to be a product of a civilized society and the modern era, but nothing could be further from the truth. In fact, Workers' Compensation has essentially been around for as long as people have been completing task for payment of some form of another, because people have always been getting hurt in some way, on the job. "The history of compensation for bodily injury begins shortly after the advent of written history itself1. The Nippur Tablet No. 3191 from ancient Sumeria in the Fertile Crescent outlines the law of Ur-Nammu, king of the city-state of Ur. It dates to approximately 2050 B.C.2. The law of Ur provided monetary compensation for specific injury to workers' body parts, including fractures. The code of Hammurabi from 1750 B.C. provided a similar set of rewards…
Benyamin, R., Buenaventura,, . R., Datta, S., & Adlaka, R. (2008). Opioid Complications and Side Effects. Pain Physician, S106-S111.
Boggs, C. (2008, July 29). Workers' Compensation History: The Great Tradeoff! Retrieved from mynewmarkets.com: http://www.mynewmarkets.com/articles/91833/workers-compensation-history-the-great-tradeoff
Ceniceros, R. (2012, December 12). State reduces workers comp opioid prescriptions. Retrieved from Businessinsurance.com: http://www.businessinsurance.com/article/99999999/NEWS080102/399999826
Eley, L. (n.d.). FEDERAL AGENCY HELPS COAL MINERS DETECT BLACK LUNG DISEASE. Retrieved from Denversworkerscompensationattorney.com: http://www.denverworkerscompensationattorney.com/2011/03/federal-agency-helps-coal-miners-detect-black-lung-disease.shtml
21). Non-training and development-related actions should be required (Schraeder & Jordan, 2011, p. 6) and should include MMPI testing specifically for XX and generally for all RNs. Employee-development actions will include employee seminars and workshops around developing greater awareness, compassion and acceptance of personal accountability. Based on XX's very low score, I anticipate XX's only slight improvement due to imposed consequences for failing to learn proper policy and procedure; however, those gains will be only slight and probably insufficient (Schraeder & Jordan, 2011, p. 9). Given the hospital's very low score and static categorization, its ability to implement the development action plan will probably be signficantly hampered by the hospital's static approach to health care (Silverman, Pogson, & Cober, 2005, pp. 143-4). The collective effect of XX's well-deserved "unaware" categorization and the hospital's "static" categorization will probably result in small, inadequate changes on XX's part over a long period of…
Brocato, R. (2003). Coaching for improvement: An essential role for team leaders and managers. Journal for Quality and Participation, 26(1), 17-22. Retrieved August 11, 2013, from the TUI Library.
Schraeder, M., & Jordan, M. (2011). Managing performance: A practical perspective on managing employee performance. Journal for Quality and Participation, 34(2), 4-10. Retrieved August 11, 2013, from the TUI Library.
Silverman, S.B., Pogson, C.E., & Cober, A.B. (2005). When employees at work don't get it: A model for enhancing individual employee change in response to performance feedback. Academy of Management Executive (1993-2005), 135-147. Retrieved August 11, 2013, from the TUI Library.
Besides, America already is a drug culture. Coffee and cigarettes in the morning to get going, antidepressants to feel good, booze to feel good and slow down… (He goes on and on describing drug use).
Me: Do any particular movies stand out in your mind relating to the drug culture?
Melvin: There are lots of movies where drugs are glamorized. Movies targeted at the young crowd glorify drugs. I can think of several offhand such as Rules of Attraction, Flight, Savages, Prozac Nation, all those stupid teenage movies…. It seems like every movie
Me: Is the drug culture of concern to you?
Melvin: Of course. My concern is that we are raising a generation of addicts. Who knows what the long-term effects of using drugs like Ritalin or Prozac are? Don't get me wrong, drugs have their uses, but I think depending on them for handling the issues of daily…
Addictive Nature of Vicodin
According to statistics provided by the Department of Health and Human Services, an estimated one and one-half million people in the United States started taking prescription painkillers for "non-medical" purposes in 1998, three times as many as in 1990. One of the most heavily abused painkillers is Vicodin.
Properly used, Vicodin is one of the most commonly prescribed pain medications, especially for those suffering from lower back pain, arthritis, post-operative distress, malignant cancer or sports injuries. It is not time-released, and therefore provides almost instant relief. Vicodin is a compound of two drugs: acetaminophen (found in Tylenol) and hydrocodone bitartrate. Both are painkillers, but together they are far more effective than either one individually.
Twenty tons of Vicodin are produced annually, and it is marketed under a plethora of brand names including Anexsia, Bancap-HC, Ceta-Plus, Co-Gesic, Dolacet, Hydrocet, Hydrogesic, Hy-Phen, Lorcet, Lortab, Margesic-H, Maxidone, Norco and…
Addicted to Vicodin." Extra, The Waismann Institute in the News #08. March 15, 2001. http://www.methadone-detox.com/vicodin_addiction_extra.html[November 10, 2002].
Associated Press article, Naples News, Wednesday, Nov. 21, 2001. "Deaths from abuse of OxyContin, hydrocodone skyrocketing. http://www.naplesnews.come/01/11/florida/d713145a.htm[November 10, 2002].
Costello, Daniel. "Clean and Sober in 48 Hours?." LA Times, October 28, 2002.
Indiana Prevention Resource Center at Indiana University, findings reported in Time article, March 19, 2001. http://www.jointogether.org/plugin.jtml?siteID=iprc&p=1&Tab=News&Object_ID=266437 .[November 10, 2002].
Alcohol Prohibition from 1920 to 1933 did not work. There are many parallels from this failed effort and the current laws prohibiting drugs in the United States. Alcohol prohibition was undertaken to reduce crime and corruption, solve social problems, reduce the tax burden created by prisons and poorhouses, and improve the health of Americans. According to research, alcohol consumption of alcohol fell at the beginning of Prohibition, but then it subsequently increased. "Alcohol became more dangerous to consume; crime increased and became "organized"; the court and prison systems were stretched to the breaking point; and corruption of public officials was rampant." Instead of measurable gains in productivity or reduced absenteeism, Prohibition removed a significant source of tax revenue and greatly increased government spending. It led many drinkers to switch to more dangerous substances such as opium, marijuana, patent medicines and cocaine that they would have been unlikely to encounter in…
Harm Reduction in the U.S.: A Movement for Change." Canadian HIV / AIDS Policy & Law Newsletter. Vol 3 No 4 & Vol 4 No 1, Winter 1997/98. Canadian HIV / AIDS Legal Network, 11 May 2004. http://www.aidslaw.ca/Maincontent/otherdocs/Newsletter/Winter9798/20GREIGE.html
McDougall, Steven. "The War on Drugs." 03 June 2001. 10 May 2004. http://world.std.com/~swmcd/steven/rants/war.html
Overview of drug use in the United States. Retrieved May 10, 2004 from Web site: http://www.infoplease.com/ipa/A0880105.html
Nadelmann, Ethan, Cohen, Peter, Drucker, Ernest, Locher, Ueli, Stimson, Gerry, and Wodak, Alex. "The Harm Reduction Approach to Drug Control: International Progress." Apr. 1994. Lycaeum Drug Archives. 11 May 2004. http://paranoia.lycaeum.org/war.on.drugs/debate/harm-reduction.html
Pharmaceutical Gray Market on Operations and Strategies
The safety, security and prices of pharmaceuticals in the United States represent a fundamental national security interest. When essential drugs are unavailable or priced too high, the public's health is threatened and this is what is happening because of the pharmaceutical gray market. This paper reviews the relevant literature to determine how the pharmaceutical "gray market" affects the operations of pharmaceutical companies operating in the U.S. pharmaceutical market as well as strategies used by pharmaceutical companies to combat this issue. A summary of the research and important findings concerning these issues are provided in the conclusion.
eview and Discussion
Generally speaking, pharmaceuticals are enormously expensive to develop and bring to market (Kelly, 1999). According to Kelly, "The development of prescription pharmaceuticals requires costly and time-consuming research. After a product has been developed, it must undergo the rigorous approval process of the Food and…
Bender, A.D. (2004, Winter). The coming of the baby boomers: Implications for the pharmaceutical industry. Generations, 28(4), 26-30.
Chen, H.L. (2002, June). Gray marketing and unfair competition. Atlantic Economic Journal,
Chercici, C., McGinnis, P. & Russell, W. (2011, August). Buyer beware: drug shortages and the gray market. Premier, 3-11.
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 and…
Delaware fact sheet. (2014). Friends of Narconon, International. Retrieved from http://www.friendsof narconon.org/drug_distribution_in_the_united_states/delaware_drug_facts/delaware_fact
Drug threats in Wilmington. (2014). Drug Enforcement Edu.org. Retrieved from http://www.
Hydrocodone: An overview of a highly addictive drug
If you have ever had a cough and taken over-the-counter medications, you know sometimes Tylenol and gargling with salt water is not enough to alleviate the discomfort and the nagging unpleasantness of a lingering cough. Hydrocodone is often prescribed as a temporary pain remedy for relief in combination with other drugs to reduce pain and coughing. The drug is present in a number of medications, almost inevitably compounded with other drugs to relieve pain. Hydrocodone is classified as an opiate as well as an antitussive which inhibits cough. "Hydrocodone relieves pain by changing the way the brain and nervous system respond to pain. Hydrocodone relieves cough by decreasing activity in the part of the brain that causes coughing" ("Hydrocodone Combination Products," Medline Plus). However, despite its potential benefits the drug also has an addictive potential which cannot be disregarded. The potential palliative…
"The Effects of Hydrocodone Use." Coalition Against Drug Abuse. Web. 29 Dec 2014.
"Hydrocodone Combination Products." Medline Plus. Oct 2014. Web. 29 Dec 2014.
Liebelson, Dana. "Defying Medical Board, FDA Approves Painkiller That Could Be the Next
OxyContin." Mother Jones. 13 Nov 2013. Web. 29 Dec 2014.
The author of this report has been asked to analyze and expand upon a particular issue or matter within the law as it exists in the United States. The author of this report has chosen to look at the use of medical and/or recreational marijuana. The laws that exist as it relates to marijuana are quite different from jurisdiction. It is quite intriguing as marijuana is completely illegal in some states, legal only for medicinal applications in other states and legal for any use in states like Washington and Colorado. While it does not make sense from a law standpoint, there does seem to be a so-called method to the madness thus far even if some laws are obviously being ignored or at least relaxed.
Even more intriguing is that marijuana is technically still illegal at the federal level but enforcement of banking regulations surrounding marijuana-related commerce where…
Economist. (2014). The difference between legalisation and decriminalisation. The Economist. Retrieved 23 April 2016, from http://www.economist.com/blogs/economist-explains/2014/06/economist-explains-10
Roberts, M. (2016). Kansas Attempting to Prove Colorado Marijuana is Wreaking Havoc on State.
Westword. Retrieved 23 April 2016, from http://www.westword.com/news/kansas-attempting -
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 to…
Prison Substance Abuse
If there are two things that plague prisons the most other than violence, they would obviously be drug dependency and mental illness. Quite often, there is a combination of the two in the same prisoners. However, there is also the problem of active drug use and dealing in prison and that shall be the focus of this brief research report. Within this report, there will be a statement of purpose, a description of the research design, the overall research findings, a discussion section and then a conclusion with a resolution. eferences to scholarly literature will pervade this report. While prisons and their personnel due to their best to curb or even stop substance abuse in prison, the influx of drugs is never-ending and the importation thereof is done in many different ways.
Statement of Purpose
The purpose of this study is fairly easy. The amount of literature…
Forsyth, Simon J., et al. "Striking Subgroup Differences In Substance-Related Mortality After Release From Prison." Addiction 109.10 (2014): 1676-1683. SocINDEX with Full Text. Web. 6 Dec. 2015.
Obstbaum, Yaira, and Sasu Tyni. "Who Receives Substance Abuse Treatment In The 'Real World' Of The Prison? A Register-Based Study Of Finnish Inmates." Journal Of Scandinavian Studies In Criminology & Crime Prevention 16.1 (2015): 76-96. Legal Collection. Web. 6 Dec. 2015.
Wood, Steven R., and Anthony, Jr. Buttaro. "Co-Occurring Severe Mental Illnesses And Substance Abuse Disorders As Predictors Of State Prison Inmate Assaults." Crime & Delinquency 59.4 (2013): 510-535. ERIC. Web. 6 Dec. 2015.
Zarkin, Gary A.1, et al. "Lifetime Benefits And Costs Of Diverting Substance-Abusing Offenders From State Prison." Crime & Delinquency 61.6 (2015): 829-850. Education Abstracts (H.W. Wilson). Web. 6 Dec. 2015.
Drug Abuse in Long Island, New York
With more than seven and a half million residents, Long Island, New York is a major center of commerce and education, but like many other densely populated large urban centers, this city also has a significant drug abuse problem. To determine the facts about the problem, this paper reviews the relevant literature to provide epidemiological evidence concerning the incidence of drug abuse in Long Island, and what community-based resources are available to its resident. Finally, a review of a recent research study article concerning these issues is followed by a summary of the research and important findings concerning drug abuse in Long Island in the conclusion.
eview and Analysis
Epidemiological evidence concerning drug abuse in Long Island
Like many other major American urban centers, all types of drugs are abuse in Long Island, but heroin abuse in particular has become a serious problem…
About Long Island Addiction Resources. (2017). Long Island Addiction Resources. Retrieved from http://liaddictionresources.com/.
About Long Island Center for Recovery. (2017). Long Island Center for Recovery. Retrieved from http://www.longislandcenterrecovery.com/ .
About Outreach House. (2017). Outreach House. Retrieved from http://www.opiny.org/ outreach-treatment/adolescent-residential-svcs/brentwood-long-island.
About Seafield Center Alcohol and Substance Abuse Treatment. (2017). Seafield Center Alcohol and Substance Abuse Treatment. Retrieved from http://www.seafieldcenter.com/ about_us.
In 2012, there were nearly 800 million doses of opioids prescribed in Ohio alone -- a figure which equates to roughly 70 pills for every individual in the state. The prescriptions were for 20% of the state's populace (Semuels, 2017). What's more is that these prescriptions are not helping people; on the contrary, as Katz (2017) reports, "drug overdoses are now the leading cause of death among Americans under 50." It is so bad that the country is now essentially addicted to pills and it is literally killing us.
The causes of the opioid crisis are directly related to the Sackler brothers who pioneered the art of Big Pharma's role in advertising and making relationships with physicians in prescribing drugs to patients (Mariani, 2015). The Sacklers pushed OxyContin onto the market and turned the country into a drug-dependent nation. This was purely a profit before people type of…
Binder, L. (2013). Stunning news on preventable deaths in hospitals. Forbes. Retrieved from https://www.forbes.com/sites/leahbinder/2013/09/23/stunning-news-on-preventable-deaths-in-hospitals/#6df8e1284f69
Goldhill, D. (2009). How American health care killed my father. The Atlantic.
Retrieved from https://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/307617/
Katz, J. (2017). Drug deaths in America are rising faster than ever. The New York
The author of this report has been asked to review the legal and ethical considerations in play given the test case scenario surrounding Pharmacare and Compcare. As is quickly apparent while reading the case study, the company engaged in a long and extensive list of ethical and/or legal violations as a means to maximize profit and minimize the legal and other red tape that seems to bother them even though it is there for a very good reason. The ethical issues involved will be touched upon and analyzed. There will also be an exploration and analysis of direct-to-consumer marketing of drugs, whether John is the "investor" of AD23, the arguments about John being a whistleblower and the associated protections he would have if he is and examples of intellectual property theft that have occurred in the last two years or so. While bad things do incidentally happen and…
Define the Problem
The defined and existing problem is going to vary in scope and definition depending on who is doing the defining. However, there are some clear and obvious problems with the “three strikes” law. The policy itself was meant to address a problem. However, that policy has created a new set of problems. Indeed, there are situations where three-time violent felons are justifiably put away for twenty-five years to life. However, the major problem with the policy are the human and budgetary costs that are created by people being thrown in jail for life for minor offenses (“Ewing v. California”, 2017). There is also the concern that some people are being thrown in jail even though they will soon “age out” of criminal behavior. Indeed, men in their 60’s are not able to crawl through windows, run and jump fences like someone in their 20’s or 30’s (Besemer,…
When the nation was founded, hemp was a regular crop that the Founding Fathers all harvested. Cannabis was literally part of the fabric of the American Way: hemp was used for a variety of functions, from tea to textiles. As Robert Deitch notes, “we know colonial Americans were aware of the medicinal properties of cannabis. It was one of the few medicines they had, and they used it as commonly as we use aspirin today” (25). If cannabis was good enough for the first Americans, surely it stands some much warranted consideration—particularly in the light of the recent opioid epidemic that has claimed the lives of so many young in today’s day and age (Nelson, Juurlink, Perrone). People looking for a little relief are chasing after dangerous drugs that can kill. Marijuana, however, has never really been associated with overdosing and death. Just as the early Americans found, cannabis…
therapy is usually applied in cases such as the one exhibited by Kong, following the loss of a loved one. The procedure is outlined below:
The Semi-Structured Clinical Interview
The informal assessment of individuals faced with the effects of the loss of a loved one such as Kong's case is the semi structured interview. This approach allows the therapist to classify victims according to the symptoms that they exhibit. The approach allows for the recording of changes in profile symptoms demonstrated over time. The information below should be collected from a client.
The mental illness history of the family
Ones medical history
Any past visits or interactions with a psychiatrist
One's social history
Varying aspects of one's specific information should be collected regarding the loss of a loved one
There is need to focus the interview details on the secondary and primary…