Can Stronger Ethics Solve the Opioid Crisis?
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As opioid misuse remains one of the most significant public health problems nowadays, health officials and people alike keep search for solutions . The impact of the opioid crisis in America cannot be denied: Of the more than 70, 000 overdose deaths in 2017, about 68% included opioid use , based on the Centers for Disease Control and Prevention (CDC).
But overdose fatalities are just one of the negative repercussions of opioid addiction. Substance abuse can impact workplace performance, individual relationships, and the economy in general. In 2017 alone, total direct costs associated with opioid addiction came to $115 billion. Direct costs include such factors as emergency room visits, long lasting addiction treatment, and lost wages.
As opioid addiction is so detrimental to society on a number of ranges, it’s clear that we need a viable solution — and fast. It’s time for healthcare experts at all levels of care to think about the ethical implications associated with prescribing opioids and look for options in chronic pain management.
Healthcare and Ethics
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Ethical considerations are a cornerstone of patient care, no matter the diagnosis or treatment plans. Doctors and nurses must weigh factors such as insurance plan, patient age, medical history, and much more when determining the best choice associated with treatment. And when it comes to persistent pain, healthcare providers have got other ethical considerations to ruminate over.
Probably most notable of these is the risk of opioid addiction. Opioids, which typically produce a euphoric effect and inhibit discomfort receptors, comprise the majority of the most addictive prescription medications on the market . Synthetic opioids that are commonly prescribed to deal with chronic pain include fentanyl, meperidine, and oxycodone, that is semi-synthetic. Healthcare professionals must weigh the benefits and the possible risks and side effects related to any medication before making their own final prescribing decision. Thinking of side effects is also an important factor in treating opioid addiction with medications such as Suboxone and Dolophine.
Ethical issues also exist at the administrative level of the healthcare market. According to Ohio University, balancing ethics along with quality patient care and the needs of a healthcare facility can be challenging. Healthcare administrators also face the possibility of legal action in case of medical malpractice, and they should put safeguards against possible litigation in place. In some cases, that may equate increased prescriptions associated with opioids so that patients can manage their pain effectively without the need for follow-up trips or legal action.
Alternative Ways to Manage Chronic Pain
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Often , the feeling of pain itself is only a small part of the symptoms involved in a persistent pain case. Mitigating symptoms associated with chronic pain — including exhaustion, mood changes, and reduced appetite — can be the key in order to providing effective relief.
Fortunately, opioids are not the only option when it comes to chronic pain relief — a combination of strategies may be helpful. Many persistent pain patients have been in a position to effectively manage their symptoms with a combination of prescription medication and other treatment methods, such as physical treatment. Physical therapists typically work in a healthy, controlled environment and use guided exercises plus relaxation in order to encourage the body to heal naturally.
There’s also option medications to consider. Marijuana, for instance , has become much more accepted within medical settings in recent years, plus medical marijuana is now legal in 33 states plus Washington, D. C. While time will tell if marijuana can help solve the opioid problems , one of the substance’s active components, CBD, has shown guarantee in treating chronic pain and reducing inflammation in many sufferers.
Potential Solutions to the Opioid Epidemic
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For many years, opioid addiction was seen as associated with a problem involving illicit medications, especially heroin, rather than a product of rampant opioid painkiller prescriptions. During the 1960s and 1970s, the drug methadone was commonly used for heroin detoxification. The country’s first methadone centers were set up in the early 1970s, in response to public concerns over Vietnam veterans returning from battle with a heroin addiction.
As opioid addiction became more widespread, other detox drugs were launched, including Suboxone. Comprised of buprenorphine and naloxone, Suboxone is really a Schedule III drug that is available in four distinct talents to accommodate various levels of improper use. While the drug does have feasible side effects, such as nausea, anxiety, and headache, it has shown promise in treating opioid dependence.
Opioid detoxification can be dangerous and should just be attempted under healthcare supervision. But treating the underlying addiction may not be enough in order to effectively curb the opioid crisis. We can’t rely solely on medication with regards to addiction treatment.
While we still have a considerable ways to go, the CDC reports that the opioid prescribing rate hit a 10-year low in 2017 , with 58. 7 opioid prescriptions per 100 people. The low rate is motivating, but that still results in 191 opioid prescriptions in one year. It’s time to give the opioid epidemic the attention it deserves and address it at the source. Reducing the frequency of opioid prescriptions and ethically advocating pertaining to alternative forms of chronic discomfort treatment are required to solve the particular opioid epidemic.
Could Stronger Ethics Solve the particular Opioid Crisis? was originally published within Healthcare in the usa on Moderate, where people are continuing the particular conversation by highlighting and responding to this story.