I attended a hearing on your behalf in the above matter before Judge Burke in Hudson, New York on 07/18/17. The claimant was not present. His attorney, Paul Lahey, appeared by phone. As you know, this case is established for an injury to the back injury with an average weekly wage of $1,241.00. The claimant has been out of work since 2006.…
Dr. Gregory House is a 55-year-old single man; he lives in an apartment by himself and is the head of Diagnostic Medicine at Princeton-Plainsboro Teaching Hospital. Dr. Houses’ father was abusive in some instances he would make House take a cold bath and sleep outside thus leading to a very strained relationship between the two. Additionally, Dr. Houses ' relationship with his mother was tainted by her cheating on his father. In his mid-30’s, Dr. House suffered an infarction in his leg (necrosis of the muscle in his leg caused by obstruction of circulation). In order to treat him, doctors removed the dead muscle in his leg.…
Methadone is the second choice of pain relieving medication in the comfort kit (see comfort kit). This medication is used when a person has an allergy to morphine. We use it in hospice care as a pain reliever. The medication prolongs the QT interval and poses a risk to dysrhythmias. It should be monitored closes to patients who have cardiac issues.…
Medication Scenario My client, John, is a single 59-year-old white male. John was recently diagnosed with Major Depressive Disorder and was prescribed Cymbalta. John earns approximately $22,000 per year and says he cannot afford to fill the medication. As John’s social worker, I have been asked to help him find a prescription assistance program.…
Consequences that have resulted from this opioid crisis essentially consists of multiple deaths…
The article "The Role of Traumatic Event History in Non-medical Use of Prescription Drugs among a Nationally Representative Sample of U.S. Adolescents" hopes to address the problem of non-medical use of prescription drugs among teens and reduce risk. The purpose of the study was to identify risk factors to aid prevention of NMUPD in adolescents. In particular, the study seeks to use previous demographic and other substance use risk factors that correlate with lifetime non-medical prescription drug abuse in teens. The survey added to this by trying to see if mental health and a history of trauma could also be risk factors associated with NMUPD in teens (McCauley et al., 2009). The conclusion of the telephone survey in this study showed that…
More fatalities occur when more opioids are prescribed. These excessive opioid prescriptions are making it less difficult for someone to abuse the drug. The amount of prescriptions given for opioids is absurd and in 2015 alone, “249 million opioid prescriptions [were] filled…, almost one for every American adult” (Stop). Another view comes from Charles Lane who blames the companies producing opioids, specifically Purdue Pharma and Dr. Richard Sackler. Purdue Pharma created OxyContin and it “has earned an estimated $34 billion in revenue since it came on the market in 1995, an event many consider the trigger of the opioid epidemic”…
Diagnosis The client, Gwen Cummings, comes to the inpatient substance use treatment facility presenting with apparent symptoms of severe substance use disorder and potentially childhood trauma. According to the criteria from the DSM-5 on Substance Use Disorder, the “substance is often taken in larger amounts or over a longer period than was intended” (American Psychiatric Association, 2013). Gwen shared that she and her boyfriend recently woke up late prior to their attendance at their friend’s wedding, unable to remember the details leading up to the end of the night. This, and other shared accounts from the client indicate that she met the first criteria for substance use disorder.…
Opiates have been commonly used in the United States for several decades. Since then, the use and abuse of opiates has been a serious epidemic that has been growing at a fast pace in the United States for many years now. Every day roughly forty-one people die from overdoses which are related to prescription painkilling drugs in the United States (Clark, 2014, p. 1). In addition, opioid drug related overdoses has been an ongoing issue that has be occurring within the United States since the early 1990’s (Okie, 2010, p. 1982).…
According to the “Opioid Crisis” article, the current crisis began with the over-prescription of painkillers, between 1991 and 2011 prescriptions nearly tripled, “by 2016, “only” 215 million opioid prescriptions were dispensed” (Rothstein). As prescriptions increased, so did potency. This made them even more addicting. In addition, “The National Institute on Drug Abuse estimates that 91.5 million Americans are taking opioids” (Rothstein). This large scale of prescriptions has now taken its toll on America, out of millions of people, the risk of addiction, overdose, and Death is higher than ever.…
The opioid epidemic is the deadliest drug crisis in US history, killing thousands of people through disease and overdose. Recently, President Trump declared the growing crisis a “public health emergency.” Opioids are part of a drug class that includes the illegal drug heroin as well as powerful pain relievers, such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and many others. Every day in the United States thousands of people are treated in emergency departments for not using prescription opioids as directed. Drug overdose is now the leading cause of accidental death in the U.S., and opioid addiction is driving this epidemic.…
In recent years, we have heard much talk about the Opioid abuse problems in America. According to Anonymous (2015), as of 2010, opioid-related deaths accounted for 60% of all overdoses and drug overdose deaths outnumbered motor vehicle deaths in 2009. Programs are being started to get naloxone kits into the hands of lay people to help prevent death due to an opioid overdose. The providers in the state of Virginia, where I live and practice, are starting to search national registries before prescribing opioids to patients. However, this is long overdue.…
In the year of 2013, it was estimated that the cost for opioid abuse was at $78.5 billion US dollars. (Williams and Wilkins, 2016) This cost is contributed to the healthcare costs, treatment, lost of productivity, and overdoses that can be fatal. If many close calls for fatal overdoses occur, the amount of money spent in the emergency department could potentially sky rocket healthcare bills if not covered by insurance. The impact from opioid use can directly affect the abuser as well as the family of the abusers.…
“The opioid epidemic has recently been described as the largest public health crisis to hit the U.S. since the AIDS epidemic.” (Dyjack 3) This quote by executive director of the National Association of County and City Health Officials, David Dyjack, in an article for the Journal of Environmental Health, explains the extreme magnitude of the opioid epidemic currently oppressing the United States. Additionally, an article published by the Centers for Disease Control and Prevention (CDC) explained that approximately 27,000 deaths happen annually in the U.S. alone due to unintentional overdose of prescription drugs, and an overwhelming percentage are due to opioid analgesics. (CDC 2) Similar to the AIDS epidemic, it is a constant struggle in the…
Opioid abuse can lead to severe overdose and death. Opioids are highly addictive due to its use as a pain reliever while also depressing emotions. Increased abuse of prescription opioids has correlated to an increase in the use of harder street drugs in areas that you wouldn’t except. Heroin use is among one of the most prevalent of these, “Heroin-related deaths increased 439% from 1999 to 2014” (Christensen, Hernandez).…