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7. Principles of patient clinician communication
Doctor patient communication importance
7. Principles of patient clinician communication
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Tina Webb, a forty year old wife and mother, suffered from chronic migraines and was diagnosed with temporomandibular joint disorder, which is a condition where pain radiates from the jaw. She was prescribed opioids for pain relief and quickly became addicted. Her husband noticed a change in her behavior and started to count her pills to make sure she was taking the prescribed amount. He found that she was taking up to 26 pills a day, she took 296 pills in an 8 day period. Together they tried to get help and Tina Webb quit cold turkey. She experienced the same symptoms that heroin users go through once they quit. She claimed that she couldn’t take it anymore and went back to get another prescription. On September 24, 2007, her husband found her dead at their home. She died from an overdose of prescription opioids (Hyde). Opioids have been a huge problem in Utah and numerous people are affected by it everyday. Angela Stander, who is a Certified Health Education Specialist, CHES said, “in the mid 1990s is when [opioids] became FDA approved and it was under the impression that [they were] non-addictive and there were no dangers with them” (Bringhurst). …show more content…
Health Specialist Angela Stander said, “ studies have shown that in as little as seven days you can become physically dependent on them” (Bringhurst). Pain is difficult to measure and patients need to understand and verbalize their symptoms and needs. Doctors also need to be more thorough about the effects and dangers of opioids. They need to spend more time educating patients and they should have more natural and healthy alternatives. Physicians are usually more inclined to increase patients dosage as time goes on and they become more tolerant to what they have (Lockhart, “Utah Opioid Bills”). Patients are taught to trust their doctors so a lot of the times they won’t question things that their doctors say, even if it doesn’t seem right to
On the typical day, over 90 people will die at the hand of opioid abuse in America alone (National). In fact, as of 2014, nearly 2 million Americans were dependent and abusing opioids. The Opioid Crisis has affected America and its citizens in various ways, including health policy, health care, and the life in populous areas. Due to the mass dependence and mortality, the crisis has become an issue that must be resolved in all aspects.
There are drugs out there that are really dangerous, and I’m sure you know that but there is a type of drug that out there that people we trust are giving it out to people. Those people are our doctors! And they are giving out prescription opioids that are really dangerous and highly addictive.
The documentary states that over 27,000 deaths a year are due to overdose from heroin and other opioids. According to the Center for Disease Control and Prevention in 2015 prescription pain relievers account for 20,101 overdose deaths, and 12,990 overdose deaths are related to heroin (Rudd et al., 2010-2015). The documentary’s investigation gives the history of how the heroin epidemic started, with a great focus on the hospice movement. We are presented with the idea that once someone is addicted to painkillers, the difficulty in obtaining the drug over a long period of time becomes too expensive and too difficult. This often leads people to use heroin. This idea is true as a 2014 survey found that 94% of respondents who were being treated for opioid addiction said they chose to use heroin because prescription opioids were “more expensive and harder to obtain (Cicero et al., 2014).” Four in five heroin users actually started out using prescription painkillers (Johns, 2013). This correlation between heroin and prescription painkiller use supports the idea presented in the documentary that “prescription opiates are heroin prep school.”
Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and abuse is founded greater in the prescription opiate based painkillers.
We are introduced to the story of Matt Schoonover, a young man who had recently obtained his masters degree from Yale. He had grown up “attending a Christian private school, and a prominent church” (2). Matt had begun abusing pills, though he was originally prescribed them by a doctor. Even after undergoing detoxification and then rehab, Matt could not curb his addiction. “Unable to afford street Oxycontin, Matt switched to black tar heroin, brought in from Mexico” (3). We are told how this is unfortunately quite common. People who are prescribed pills often end up abusing them; and once they can no longer afford the high prices of OxyContin they switch to black tar heroin. This transition is often what leads to overdoses, as black tar heroin is extremely deadly and overdoses like Matt’s are common. This is just one story out of tens of thousands of similar stories that all have the same ending. The opiate crisis is a problem that few recognize because it crept up on a majority of Americans. Young people throughout the nation were not using drugs in public, but privately in their own
“The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease” by Thomas A. Edison. Chiropractors use hands-on spinal manipulation and other alternative treatments on the spine which will enable the body to heal itself without surgery or medication. Chiropractic care began in 1895 when its founder, Daniel David Palmer, claimed any and all diseases could be healed by nothing more than just his hands. Dr. Palmer examined a janitor who was deaf for 17 years after the janitor felt his back was out of place, so Dr. Palmer gave an adjustment to what was felt to be a misplaced vertebra in the upper back. The janitor then observed that his hearing improved thanks to Dr. Palmer. Chiropractors use manipulation to restore mobility to joints restricted by tissue injury caused by sitting without proper back support. Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons. About 22 million Americans visit chiropractors annually
Opioid’s chemical composition consist of many highly addictive substances which cause the human body to become quickly tolerant. Many opioid users become addictive to the substance because the doctors have been over prescribing. “In the United States, there were 14,800 annual prescribed opioid (PO) deaths in 2008” with the US having less restrictions (Fischer, Benedikt, et al 178). The United States have implemented more regulations so that “high levels of PO-related harms been associated with highly potent oxycodone formulas” will decrease (Fischer, Benedikt, et al 178). With the regulations, it does not change the fact that opioids are is destructive. The regulations assistance by lessening the probability of patients becoming addictive to opioid. There are numerous generations that are effected and harmed by the detrimental effects of opioids on opioid-dependent patients.
The opioid crisis is Canada’s worst public health crisis since the emergence of HIV in the 1980s. The epidemic is dangerously pervasive, affecting Canadians of all ages and income brackets. The Government of Canada has taken several steps to address the crisis, but many doctors and public health
Opioids are prescribed to help people; prescription opioids can be used to treat moderate-to-severe pain and are often prescribed following surgery or injury, or for health conditions such as cancer (Prescription Opioids). When taken as directed, opioids are safe and effective treatment options for relieving debilitating chronic pain (Highsmith). Doctors have screening protocol they follow before prescribing an opioid. Doctors ask patients about their past to see if any substance abuse was present, to rule out patients with a higher risk of becoming addicted to prescription opioids. Nonetheless, if the medication is used as directed, not only is your risk of addiction minimal, the odds of enjoying a better quality of life will be in your favor (Highsmith). In other words, doctors are doing their part to prevent prescription opioid drug abuse. Actually, dishonest people are the ones at
In the United States, opioid addiction rates have majorly increased . Between 2000-2015 more than half a million individuals have died from Opioid overdose, and nearly 5 million people have an opioid dependence which has become a serious problem. The Center for Disease control reports that there are 91 deaths daily due to opioid abuse. Taking opioids for long periods of time and in
The synthetic Opioid OxyContin has become a drug of abuse, following in the steps of other prescription drugs that contain Oxycodone, the active ingredient in OxyContin. The level of abuse and the number of people who have died because of OxyContin abuse are growing. At first many pain specialist initially believed that the controlled-release oxycondone had a low potential for abuse, boy were they wrong. In recent years, this drug has exploded to the streets. The latest report from the DeA, the Drug enforcement Agency, states that Oxycontins have played a role in over 282 people since the beginning of 2002. (1) The DeA says that it is only a matter of time before every community in this country is confronted with the problem of Oxycontin abuse. No prescription drug in the last twenty years has been so widely abused after it's release. Oxycontin was pain reliever meant to do good, not bad. Oxycontin is prescribed to patients, who are chronic pain, patients who are dying of cancer, recovering from major surgery and or suffering from unbearable headaches. This pain reliever is known for its significant improvement over all other pain relieving medications. The time-release mechanisms allow the right amount of the medication to be released to keep sustained relief for people in severe pain for up to 12 hours. (McHugh) Not only street users become addicts, patients also become very addicted to their own medicine. Many patients go threw heavy withdrawal symptoms when their prescriptions have ended. No longer will insurance pay or doctors write prescriptions. So they too must turn to the black market to fulfill their addiction. In the worst cases some patients turn to heroin because Oxycontins to expensive.
It doesn’t matter if these patients will become addicted, because these doctors are so sure of it that they overprescribe just so the patients won’t come back asking for more in the near future. Due to the inconsideration and selfishness of these doctors “Prescription drug abuse is the fastest growing form of substance abuse”(Hanson). To make matters worse, a majority of these doctors aren't even warning their patients about the type of drug they are dealing with. According to the National Institute on drug abuse, opioids are a class of drugs that include the illegal drug heroin, causing them to be highly addictive(Thomas et al). Not only is it clear to see that these doctors are at fault here for even prescribing a drug they know can be as addicting as heroin, but also because they aren't doing anything to fix their mistakes, much less admit that they are at fault here. Doctors are to blame for these addiction, not the patients. Doctors are also to blame for not giving these unhealthy addictions the attention they deserve. After all, they are required by the FDA to give risk evaluations when the risks of the drug outweigh the benefits(Blake). Yet on the contrary to popular belief these doctors aren’t giving those evaluations out, if they were more deaths could
By the year 2000 opioid medicine containing oxycodone etc., are being abused and misused and more than doubled in 10 years’ time.
TMJ, also known as the Temporomandibular Joint, is the joint between your skull and your jaw. This joint is very important to the jaw because it helps the jaw to move properly. This is considered both a joint disorder and a muscle disorder. It’s considered a muscle disorder due to the pain people get moving their jaw. People who have this syndrome may have
Cartilaginous joints connect bones and are slightly separated by an intervening cartilage. No joint cavity exists and, similar to fibrous joints, little or no motion is possible. Familiar examples include the joints formed by the cartilages that connect the ribs to the sternum (breastbone) and inter-vertebral disks that separate the bodies of vertebrae that comprise the spinal column (Fig on the side).