Nobody downloaded yet

Abuse of prescription of narcotics in primary care and its prevention - Dissertation Example

Comments (1) Cite this document
n 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 …
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER92.6% of users find it useful
Abuse of prescription of narcotics in primary care and its prevention
Read TextPreview

Extract of sample
"Abuse of prescription of narcotics in primary care and its prevention"

Download file to see previous pages The prescription of opioids to assist the patients with malignant cancers has proven to be beneficial, but the increasing misuse and abuse of these medications by patients suffering from non-chronic pain has served to overshadow the benefits of opioids, despite the wide variety of medications available to treat non-cancer associated pain (Potter et al, 2001). While theoretically, the constant prescription of opioids is necessary and effective only in the treatment of malignant cancer-related, significantly more serious pain (Becker et al, 2011), health practitioners seem to have favored the prescription of these drugs in cases of all chronic pain (Potter et al, 2011). The supposition is therefore that this more widespread prescription has led to NUPM and PUPD. But it is not only the increase in prescription of opioids that can explain the ballooning of the incidence of NUPM. It seems that the failure of health professionals to monitor their patients’ use of drugs may also be a significant factor arguing for restraint, and even the cessation of the practice of widely prescribing opioids (Liebschutz et al, 2010). What are the conditions, consequently, that should accompany the distribution if opioids to patients? Is the only available, effective option to ban these medications outright, or would it be possible to formulate and implement policies that would effectively prevent abuse and misuse of these narcotics? A. Trends in the prescription of narcotics The findings of studies suggested that the varied barriers to the use of opioids must be addressed before any mandates or guidelines regulating the prescription of opioids can be implemented. Primary caregivers are more likely to be frustrated by the barriers, than by conforming to sets of guidelines. Therefore the prescription of opioids for the treatment of chronic pain in older patients is widespread. Spitz et al. (2011) found that the majority of the participants in their quantitative study were prescribing opioids to older patients, but only as a second or subsequent line of treatment. This initial reluctance may be due to the possibility of causing harm; the subjective nature of pain; deficient education regarding the effectiveness and consequences of using opioids; and the stigma attached to opioid use. Family members and the patients themselves were reluctant to try opioid treatment due to concerns regarding possible opioid abuse or misuse. In the findings of other studies, it was clear that significant attention had been given to the probability of substance abuse in patients prescribed opioids on a regular and ongoing basis. The clinical significance of the association between opioid use and common mental disorders is often overlooked. The evident lacunae resulting from the overemphasis on substance abuse, and the underemphasized incidence of mental disorders must be addressed. The prevalence of high-risk patients, in the prescription of opioid treatments, is a vital consideration. Patients on opioid treatment were found to be two to three times more likely to seek mental health assistance by Sullivan et al. (2006) despite their not reporting a higher requirement for substance abuse treatment. In this cross-sectional study, it was found that continued use of opioids in participants, over the period 1988-2001, posed an increased risk for common mental disorders. This study illustrates the link between common mental disorders, as well as substance abuse, with the continuous use of prescribed opioids based on evidence from a large prospective population based data study. Furthermore, a lack of confidence among physicians relating to the prescription of narcotics can be discerned. Nonetheless, urine toxicology screening was rarely carried out either ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Abuse of prescription of narcotics in primary care and its prevention Dissertation - 1”, n.d.)
Retrieved de
(Abuse of Prescription of Narcotics in Primary Care and Its Prevention Dissertation - 1)
“Abuse of Prescription of Narcotics in Primary Care and Its Prevention Dissertation - 1”, n.d.
  • Cited: 0 times
Comments (1)
Click to create a comment or rate a document
lenore42 added comment 4 months ago
Student rated this paper as
At first, I thought 8 of pages is too much for such a question. But now I see it could not be done better. As the author starts you see the difficulty of the question. I’ve read all at once. Perfect paper
Abuse of prescription of narcotics in primary care and its prevention
...?"Abuse of prescription of narcotics in primary care and its prevention" Theme 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. 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...
13 Pages(3250 words)Dissertation
Preventive Service Mandate of Affordable Care Act: Is it A Burden or Boon to the Health Care System
...cost effective? How will the PPACA mandates be integrated into the current insurance delivery system? What are the legal and policy issues associated with the preventive services mandate of the ACA? Significance of the study Profound consequences of the preventive services mandate implementation will occur to the primary health care system. This Affordable Care Act is going to determine the future of the health care system of the United States and ultimately the health of the people of the United States. The act has both good and bad effects in terms of the workload on the primary health care system,...
36 Pages(9000 words)Dissertation
Prescription Drug Costs in Primary and Secondary Care UK
...?Prescription Drug Costs in Primary and Secondary Care UK Cognizant of the alarming rate by which medicine prices increase everywhere in theworld, this study examined prescription drug costs in primary and secondary care in the United Kingdom with the goal of proposing measures to directly cut on drug costs without compromising the quality of health care provided by primary and secondary care services. The study adopted desk research as its main method, supplemented by document analysis and quantitative statistical techniques. A random sampling of 325 drugs in common use was...
33 Pages(8250 words)Dissertation
Abuse of prescription of narcotics in primary care
...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...
22 Pages(5500 words)Dissertation
Cyber Network Security, Threats, Risk and Its Prevention
... a number of softwares have been designed to perform special security task. The concerns in this regard arise with the effectiveness, reliability and safety of these softwares. There also arises the need to understand the relation of networking to the security of data transfer and whether there are alternatives available for the protection of data. The present study focuses on the negative side of the information technology and its use through the computer and other communication systems, reflecting on the cyber attacks and crimes, the issues of security, risks, and measures of prevention. Aims and Objectives: The aim of the study is to focus on the negative side of the use of information technology reflecting on the effects of cyber crimes... is not...
32 Pages(8000 words)Dissertation
An Exploration of UK Policy on Elderly Abuse and why it appears to be ineffective
...: p. 1263–72 McBride, K 2011, ‘Elder abuse’, InnovAit: The RCGP Journal for Associates in Training, vol. 4 no. 6, pp.353 – 359. Megret, F 2010, ‘The Human Rights of the Elderly: An Emerging Challenge’, Retrieved at SSRN: Accessed on 7 January 2013. Nerenberg, L 2008, Elder abuse prevention: Emerging trends and promising strategies, New York: Springer publishing Company, LLC. Perel-Levin, S. 2005, ‘World Health Organization (WHO): discussing screening for elder abuse at primary care level’, Retrieved at Accessed on 8 January 2013. Williams, J 2002, ‘Public...
9 Pages(2250 words)Dissertation
Prevalence and impact of alcohol misuse in the American, British and Canadian Armed Forces
...-medication treatments offered by VA include motivating victims for change and improving veterans’ skills of identifying and dealing with the triggers of relapse risks. Counseling of couples on recovery from alcohol abuse and on the improvement of relationships destroyed by alcohol misuse and its effects is the other non-medication treatment therapy offered by VA. Outside support programs such as Alcohol Anonymous has also proved an effective technique of solving veterans’ alcohol misuse problems. The other types of care a veteran victim of alcohol abuse may get at VA include first-time screening for alcohol misuse, outpatient counseling, outpatient treatment, residential...
50 Pages(12500 words)Dissertation
The Need for a Workplace Violence Prevention Plan
...of a violent act of grave proportions. There are many types of businesses that have a propensity towards violence occurring in the workplace. Consider any business that has its primary function being various interactions with the public. By the sheer nature of having unsecured people entering the office or place of business on a daily basis, all employees and an unsuspecting public are put at risk. To not have some type of prevention effort in place to ward off possible attacks, management and owners are simply doing a disservice to the very employees that have devoted their working lives to the company. This is not to mention the customers who have a basic assumption that they are safe during the...
9 Pages(2250 words)Dissertation
Abuse of Drugs Prescription in a Primary Care and Its Prevention
12 Pages(3000 words)Research Paper
Percocet Abuse
10 Pages(2500 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Let us find you another Dissertation on topic Abuse of prescription of narcotics in primary care and its prevention for FREE!
logo footer
Contact us:
Contact Us Now
FREE Mobile Apps:
  • StudentShare App Store
  • StudentShare Google play
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • Miscellaneous
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us