You Skill to assist Fight the Opioid Epidemic

 

Fighting The Opioid Crisis Without Hurting Patients

Video taken from the channel: Business Insider


 

Fighting the Opioid Crisis

Video taken from the channel: Lippincott NursingCenter.com


 

How Physical Therapy is Helping Fight the Opioid Crisis

Video taken from the channel: ChoosePT


 

How Physical Therapists are Helping Fight the Opioid Crisis

Video taken from the channel: ChoosePT


 

Drs. Rx: What You Can Do in the Opioid Epidemic Fight

Video taken from the channel: The Doctors


 

2018 Demystifying Medicine: The opioid epidemic: how, where, and what can be done?

Video taken from the channel: NIH VideoCast


 

What causes opioid addiction, and why is it so tough to combat? Mike Davis

Video taken from the channel: TED-Ed


There are a number of ways you can get involved in the fight to provide help and hope to others. Get trained on how to use naloxone. Get involved. Learn about volunteering for the Partnership. Host a Fundraiser in your community or make a donation to empower families struggling with substance use.

Educate your community on how they can save lives. WEDNESDAY, Sept. 13, 2017 (HealthDay News) Proper disposal of prescription painkillers and use of safe alternatives to manage pain could help combat America’s opioid abuse epidemic, doctors say. “Today, we are in the midst of an opioid crisis,” said Dr. David Ring, chairman of the American Academy of Orthopaedic Surgeons’ (AAOS) Committee on Patient Safety.

It may include a mix of opioid-based medications and over-the-counter pain medications. Use opioids sparingly. If you’re prescribed opioids after surgery or an injury, take as few as possible and stop as soon as you can. Non-opioid medications such as acetaminophen or ibuprofen (Motrin, Advil) or other treatments may help manage pain.

Prevention begins with having on-going conversations about the risks of substance use, especially opioids (i.e., prescription pain medications like Percocet® and Vicodin®, as well as heroin). Seek non-opioid alternatives to manage your child’s pain from any injuries, dental work or other situations requiring pain management. For example, the Substance Abuse and Mental Health Services Administration (SAMHSA) and Drug Enforcement Administration (DEA) increased flexibility for physicians to provide patients with buprenorphine and methadone for opioid use disorder. The DEA also made changes that help patients with pain get the medications they need.

A key to reducing deaths among these addicted patients was to minimize prescribing narcotic painkillers such as oxycodone (OxyContin, Percocet) and hydrocodone (Vicoprofen) and benzodiazepine. Physicians see people affected by the opioid overdose epidemic on a regular basis. Eliminating this public health epidemic means learning what we can do to deliver compassionate, high-quality and personalized care to those in acute and chronic pain. In adding Key Messaging, WiserTogether joins a growing movement throughout the United States fighting the opioid epidemic through education, awareness, and action. As key players in the movement, U.S. healthcare organizations and government agencies are making an impact by introducing special programs aimed directly at opioid addiction.

Medication-Assisted Treatment (MAT) for Opioid Use Disorders: The most effective form of treatment for opioid use disorders. Includes the use of medication Subutex ® (buprenorphine) and Suboxone ® (buprenorphine and naloxone combination) along. Use opioids sparingly.

If you’re prescribed opioids after surgery or an injury, take as few as possible and stop as soon as you can. Non-opioid medications such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil) or other treatments may.

List of related literature:

Invest in data and research to better characterize the opioid epidemic.

“Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use” by National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse, Jonathan K. Phillips, Morgan A. Ford, Richard J. Bonnie
from Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use
by National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, et. al.
National Academies Press, 2017

• Remove legal barriers and initiate the widespread provision of opioid substitution therapy with the use of methadone and buprenorphine, in accordance with guidance from the World Health Organization (2009).

“Harm Reduction in Substance Use and High-Risk Behaviour” by Richard Pates, Diane Riley
from Harm Reduction in Substance Use and High-Risk Behaviour
by Richard Pates, Diane Riley
Wiley, 2012

reduce opioid requirements and facilitate opioid weaning.

“The Harriet Lane Handbook E-Book” by Johns Hopkins Hospital, Keith Kleinman, Lauren McDaniel, Matthew Molloy
from The Harriet Lane Handbook E-Book
by Johns Hopkins Hospital, Keith Kleinman, et. al.
Elsevier Health Sciences, 2020

increase the opioid dose 25% to 100% if patient is in pain and has tolerable and manageable adverse effects.

“Pain Assessment and Pharmacologic Management E-Book” by Chris Pasero, Margo McCaffery
from Pain Assessment and Pharmacologic Management E-Book
by Chris Pasero, Margo McCaffery
Elsevier Health Sciences, 2010

Clinical strategies to improve opioid responsiveness.

“Evidence-Based Practice of Palliative Medicine E-Book” by Nathan E Goldstein, R. Sean Morrison
from Evidence-Based Practice of Palliative Medicine E-Book
by Nathan E Goldstein, R. Sean Morrison
Elsevier Health Sciences, 2012

• Notify all health care providers about your opioid use.

“Fundamentals of Nursing E-Book” by Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall
from Fundamentals of Nursing E-Book
by Patricia A. Potter, Anne Griffin Perry, et. al.
Elsevier Health Sciences, 2020

Pharmacologic treatments for opioid dependence: Detoxification and maintenance options.

“Introduction to Neuropsychopharmacology” by Leslie Iversen, Susan Iversen, Floyd E. Bloom, Robert H. Roth
from Introduction to Neuropsychopharmacology
by Leslie Iversen, Susan Iversen, et. al.
Oxford University Press, 2008

Stop or reduce opioid.

“Wong's Nursing Care of Infants and Children E-Book” by Marilyn J. Hockenberry, David Wilson
from Wong’s Nursing Care of Infants and Children E-Book
by Marilyn J. Hockenberry, David Wilson
Elsevier Health Sciences, 2018

Strategies to stop abuse of prescribed opioid drugs.

“Basic Skills in Interpreting Laboratory Data” by Mary Lee
from Basic Skills in Interpreting Laboratory Data
by Mary Lee
ASHP, 2009

Opioid prescriptions soar: increase in legitimate use as well as abuse.

“Sleep Deprivation and Disease: Effects on the Body, Brain and Behavior” by Matt T. Bianchi
from Sleep Deprivation and Disease: Effects on the Body, Brain and Behavior
by Matt T. Bianchi
Springer New York, 2013

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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48 comments

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  • Are you obtuse?? Pain causes use. You could sell it in the store and I wouldn’t buy them unless I needed. Still get them just much more expensive. Thanks for misinfo.

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  • There’s many diff factors why an addict gets addicted. but let me let u in something. creating a loving environment around the addict and resisting on enabling them, showing outpouring support makes the recovery progress not so difficult to combat. what people know about addiction is wrong
    the stigma around it would make sense to why it’s extremely taboo to speak on about

  • This happens with quetiapine too i had been on them since i was 8 and i tried to abruptly stop but the with drawls were to strong so i wait another 2 years to try to stop taking them. i dont get withdrawls anymore but i need melatonin by itself because the quetiapine was the thing producing the melatonin and not my own body

  • Opium has been around since the 7th century. If they have not found a reason to stop using. They deserve the consequences addiction and or death. I am sick of the millions of dollars wasted to control and combat drugs.

  • Seems like pharmaceutical companies are just legitimate drug traffickers in lab coats. getting their customers addicted.

    Very good and informative animation a 3 year old can understand.

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  • What the is the opiod crisis. There’s an economic crisis happening at the moment. The government is systematically eradicating the middle and lower classes.
    More People die from the bombs dropped on the afghans who are growing the opiates for the pharmaceutical industrial complex.
    Opiates are necessary for modern medicine to function.. Don’t kid yourself with this crisis nonsense.

  • If you or someone you know is struggling with opioid use in the United States, the Department of Health and Human Services operates a helpline: 800-662-4357, and has a database of treatment facilities and resources: https://www.hhs.gov/opioids/

  • Why else do you thing the USA military is still in Afghanistan? They have the best opium poppy production on the planet. The joint cheif’s of staff have never had a problem killing their own people for profit. They are literally making a killing.

  • im addicted to Tramadol…. started when had surgery in 2016 but can-t stop….. Ive tried…. facking pain killer: ( the problem is that is very easy to get when you live in a border town….. will see what happens… hope I don’t die

  • You give misinformation within this video. Any drug derived from the opium poppy, even if it’s semi-synthetic like hydrocodone or oxycodone is an OPIATE, not an opioid.

    Opioids described like fentanyl methadone and buprenorphine are made without having to use the opium poppy at all and are concocted within a lab. This is what makes them an opioid not having to use the opium poppy to be created. Coffee, immodium, kratom, ketamine, etc. also activate opioid receptors they just don’t do so as intensely as the above synthetic opioids.

  • There is SO much fear mongering and exaggerated “information” surrounding opiates that people have forgotten (or have never been taught) that opiates HAVE a purpose and a very important one. As someone with a lifelong pain condition, opiates keep me able to function. Without them, me and many others would be living in a homeless shelter or on disability. The increasing restrictions spearheaded by the CDC have caused HUGE issues for chronic pain patients. We can no longer get our meds in the quantity we need them, even if the quantity is small. There are SO many obstacles put in our way barring us from getting the meds we need. It is no coincidence that with the new CDC guidelines for prescribing opiates came an IMMEDIATE and drastic uptick in the number of chronic pain sufferers committing suicide. Most people who take opiates long term for a medical condition are HIGHLY educated and aware of how they work and are the LAST people who would ever use them recreationally because our lives depend on them working.

    Although many lives have been lost due to recreational opiate use, remember that everyday there are people living full, functional lives BECAUSE OF opiates. And to cut off their access is cruel and often deadly.

  • The best way to end the opioid crisis is to just sell the opioids over the counter. If people can get the opioids they want, they will not have to go through withdrawal and the black market. We can also offer everyone addiction therapy and rehab.

  • How about looking into why some can live years on opioids and some die? I need my opioids to kill my pain but now because of this CDC mandate I live in my bedroom because of pain!

  • Nalaxone also gets rid of the high your feeling �� so I hope you got your $300 worth durring your episode while the paramedics reverse your high.

  • We should also consider that there are huge problems with treatment methods used for any drug and alcohol abusers in the US as well as around the world.
    First of all, most of them use the number of patients who passed the procedure as the number of success (proving the percentage of patients healed). Secondary, some of them (state rehab centers or private centers) use their patients as a source of free labor calling it rehabilitation and help. Last but not least, they are forced to go through a lot of processes, before, during, and after passing the rehab, which is causing them social problems in their society.

  • I am here to testify how great man called Dr BALI helped me out with herbs and roots which he prepared for me in use of curing my herpes. I takes his product (cure) for (14) days before I am to known I was totally cure out of it, and i promised him that i will testify my healing to the whole world about how he cured me which I am very happy I am doing now, Dr BALI also cure all kinds of diseases, HEPATITIS, A,B,C, CANCER, DIABETICS, FRIBLOD,ALL KINDS OF SPELL CAST,and so much more, please you can get him contacted on his whatsapp or call on +2348120933032 or email [email protected] comHe can also cure following virus(1).Herpes(2).Cancer(3).Hepatitis(4).Hiv/aids(5).Pcos(6).Fibroid.

  • 5:44 Xanax is not an opioid I don’t think it should be shown in the video as it may confuse people into thinking it’s and opioid instead of a benzodiazepine.

  • I feel like schools should actually teach children the reasons drugs aren’t good instead of saying “drugs are bad”. The kids won’t know the risks unless they study them and in this case, not that many kids are interested in this topic. So what about their future? Who’ll remind them of the consequences?
    99% of what schools teach us goes to waste anyway, so let’s benefit the 1% to be useful in life. Things that will help them find their way out of these situations

    ps. when we were learning about drugs in the 4th grade, the teacher was explaining the differences between drugs and medicines and the only thing she said was “drugs are bad and medicines are good”

  • Watching Trainspotting is like catching glimpses into my family. Glimpses only because any of you who are addicts or like me related to them know that movie is not accurate. However, something about it fills me with that warm cozy family gathering feeling. It does not always kill the addict, sometimes it destroys the innocent relatives who have to watch.

  • Btw the opioid crisis was purely made to increase income of the companies which made these drugs. they contacted doctors who can write prescriptions to prescribe the opioid drug more and more in heavy doses even with the most unnecessary times when all you’d have to do is rest

  • He managed to speak for several minutes while saying absolutely NOTHING meaningful. That is some impressive spokesman/buzzword bullshit

  • All the people I know that started abusing opioids started doing it because they thought it was fun. That’s what Phillip Seymour Hoffman did. For me it’s hard to have any sympathy for those kind of people.

  • This is brilliant. I never understood the basic science behind addiction and withdrawal. I understand addiction from a sociological point of view, but this science based explanation is absolutely brilliant.

  • Don’t blame the opioids. People are treated and not get addicted. People who abuse opioids are doing this because they are simply unhappy, lonely or frustrated, and opioids make them forget about it and feel whole again. Its the problem with the world, with our society, not with the poppies and meds.

  • I just had a total knee replacement. Me and 8 other people had no pain meds prescribed. Apparently, the surgeon is no longer allowed to do that. People were crying and begging for pain relief. Nurses had to beg hospitalists for an hour for a single shot that only lasts 20 minutes. The hospital told us we would have a med pump. Explain how that is helping to stop drug abuse?

  • Why not address the underlying issue of why pain is such a problem? Working hourly employees like animals should be addressed primarily. This is only a concern now or consider a crisis because rich white children are being affected. This reminds me of the Bible story of the plagues in Egypt. The arrogance will be detrimental to America.

  • Obama made this problem trump is trying to fix yet another one of the racist liars bad choices and the worst president in history.

  • Here is a simple way to increase endogenous opioid activity in the brain.

    HYPOTHESIS: Dopaminergic activity will stimulate endogenous opioid systems when the latter are in a non-suppressed state.
    EXPLANATION AND ‘PROOF’: Activity that involves continuous positive act/outcome discrepancy or novelty (productive or meaningful behavior) while the covert musculature is inactive (a resting state) will result in heightened feeling of pleasure and arousal, or ‘eudaemonia’, ‘flow’, or ‘peak’ experience. This derives from the observation that neuro-muscular tension (or stress) inhibits endogenous opioid (pleasure) release, while relaxation accentuates it, the latter permitting opioid systems to be further stimulated by dopaminergic activity (arousal) elicited by meaningful behavior.
    The reason this explanation does not appear evident from general observation is that its counterpart as ‘flow’ or ‘peak’ experience is described through literary metaphor and not scientific language and obscures the independent and dependent measures that accurately describe it. The virtue of this explanation is that it is easily testable by anyone. Just get into a relaxed state (mindfulness protocols are the best way to do this) and then exclusively pursue or anticipate pursuing productive activity for periods of a half hour or so, and voila, you will have a flow or eudaemonic experience. It is that simple.
    I offer a more detailed explanation in pp. 47-52, and pp 82-86 of my open source book on the neuroscience of resting states, ‘The Book of Rest’, linked below.
    https://www.scribd.com/doc/284056765/The-Book-of-Rest-The-Odd-Psychology-of-Doing-Nothing

    This above book is based on the research of the distinguished neuroscientist Kent Berridge of the University of Michigan, a preeminent researcher and authority on dopamine, addiction, and motivation, who was kind to vet the work for accuracy and endorse the finished manuscript.
    Berridge’s Site
    https://sites.lsa.umich.edu/berridge-lab/

    also:
    Meditation and Rest
    from the International Journal of Stress Management, by this author
    https://www.scribd.com/doc/121345732/Relaxation-and-Muscular-Tension-A-bio-behavioristic-explanation

  • Why is iboga or ayahuasca not mentioned as a treatment for those addicted to opiods? They are certainly effective. It is even better than methadone, because it does not leave withdrawal symptoms unlike methadone and only one dose can be healing.

  • Addicted to Tramadol. The video’s right, the only reason I take it now is so that I don’t get sick and have to spend a week in bed.

  • We need to start asking our doctors the hard questions. Like, how many people have died from this prescription you want me to take? How many families have been destroyed from this prescription you want me to take? How long will it take to get addicted? Is this a cure or will it just mask the symptoms?

  • if only the US had the National Health…. everyone gets looked after, irrespective of their ability to pay the way it should be

  • “for methadone they require a special license althoght to prescribe opioids in the first place nothing special is required”. I swear to god they want us addicted to these stuff cause there’s just so much profit behind it!!! For real, opioids are veing prescribed everyday but weed is still ilegal!!! We need to open our eyes. The whole system is wrong.

  • Opium is first grown and uses as medical purposes in India…not in Egypt. Please correct your facts before presenting it to the world…����

  • It’s considered hard to combat mainly because most nations in the world have never actually tried to combat it. Instead they simply tried to combat opiod addicts through punishment, which will only worsen the mental and physical state of opiod addicts and result in them being more prone to addictive behaviour in the future.

  • I’m so sick of hearing this bullshit, there’s NO OPIOID/OPIATE EPIDEMIC! Alcohol kills way more people and destroys way more families. How many wives get beat by a husband high on Heroin?Anyone who says there’s an opiate epidemic is a complete liar. Where were all these problems when opium was legal and found in most homes in one form or another? The ruling class CREATED ALL OF OUR PROBLEMS! I looked in the Bible(only warns about ALCOHOL), and I looked at the Constitution, CANNOT FIND where the Government got the power to control what YOU put in YOUR body, that means the Government acted ILLEGALLY when it started the drug war. The W.O.D. is the root of ALL drug problems. It’s all bullshit, just lies, the W.O.D. is what’s destroying America, not the drugs themselves.

  • “Opioid epidemic: How many deaths are too many? What can be done to make a change…” (Pain Management perspective).

    Dr. Leon Margolin Presentation at the Case Western Reserve University Life Learning Program meeting called: ” The Opioid Epidemic: Where are we now?”

    Please find the slides of the presentation in the link attached.
    1) https://www.dropbox.com/s/s99usked5j4u7zk/Leon-Margolin-CW-presentation-2.pdf?dl=0
    2) https://www.dropbox.com/s/o68fz2bu1s4wo69/Opioid-Conference-flyer-FINAL.pdf?dl=0

    We would like to thank Sheryl Hirsh, Case Western Reserve University and Academy of Medicine for organizing and sponsoring this event.

    https://youtu.be/ujAS9UnHbgU

  • There are literally 2-3 pharmacies at every single major street corner… You would think that alone should open some people’s eyes. They are getting everyone on something and making a fortune…

    Don’t think for one min that they don’t want anyone getting addicted.

    I started and progressed like this…

    Vicodin… liked it
    Norcos… loved it
    Morphine… great
    OxyContin… freakin amazing
    Heroin completely shut myself off from the world and should be dead.

    All these medications given to us are only going to put and keep you in SHACKLES..

    It was by grace that I somehow put my foot down and said no more! I now have another chance to live and be free.

    That chances of someone getting off heroin is like 1 person out of 20 ppl.

  • *what do you think will Americans do when it comes to US?
    check out what is ongoing now in other countries.* https://www.bitchute.com/video/49rAlzU7WlY/

  • I know the drug companies lied (and should be found criminally responsible), but I find it hard to be sympathetic towards people credulously accepting the notion that a substance that triggers dopamine release won’t be addictive. Anyone hearing that claim should be thinking, “Ohhh Reeeaaaallly???”, because we’ve seen this before, and it’s a pretty strong pattern. Opioids aren’t the first thing humans have tried that turned out to be addictive and destructive. My baseline position is that if it gives you an artificial sense of pleasure (i.e. pleasure not the resulting from doing something constructive), approach with extreme caution. Present me with extreme overwhelming evidence that it’s safe. To me, this is the moral of the story.

  • This information is vastly oversimplified. Especially when describing how the epidemic began. It’s not that doctors were writing too many prescriptions. It is the fact that in 2008 Obama signed a law to take the vast amount of opioid medicines away from the patients. In a pinch, for relief, these people had to turn to illegal street drugs just to be able to function.

  • im from london, and i drove 7000 miles around the states im november, repeating a journey from 10 years ago.

    your entire country is crawling with drugged up zombies, from the Appalachians, the desolate midwest all the way to sunny california.
    its not like that anywhere in europe.
    some towns feel like episodes of the walking dead.
    anyone been to eeureka recently?
    its absoloutley mental.

  • THE REAL CAUSALITIES OF THE OPIOID CRISIS IS THE INNUMERABLE CHILDREN THAT ARE BORN TO MOTHERS ADDICTED TO THESE SUBSTANCES.
    THE CHEMICALS SPOKEN OF ABOVE ACTUALLY DAMAGE THE IMPULSE CONTROL AREA OF THE BRAIN WHICH,ONCE THESE CHILDREN ARE OLDER MEANS A GREATER TENDENCY FOR ADDICTION & EMOTIONAL PAROXYSM.
    THE END RESULT ARE ADULTS BREAKING LAWS & EVENTUALLY GOING TO PRISON.

  • The animation shown for dopamine at 2:40 is beyond perfect! Along with the rest of the video. So important!

    Side note: I wish Addison Anderson would narrate my life.

  • Why is it so tough to combat? I would say it has more to do with just how backwards the United States of America truly is. Portugal solved it’s opioid epidemic. Here’s a video explaining how that happened, and why it won’t happen in the USA.
    https://www.youtube.com/watch?v=vVMN3DgcRYk

  • My godmother’s husband just died. She’s cleaning out the house. The husband was retired USAF and had been sick and obese and dying for 20 years.

    She brought a one-gallon Ziploc bag to my parents’ house. They’re going to take it back to the doctor on the base on Tuesday when they go for a hearing aid fitting.

    It’s a return of medication from the deceased. The bag is full to capacity.

    You know what’s in it?!

    Probably about $40k in opiate pain pills.

    I Googled the markings on the pills. It’s tons of sedatives and pain killers and muscle relaxers and sleeping pills. Jesus.

    I told my dad to lock it in the safe, tell the doctor to expect the odd delivery, and make sure the doors and windows are locked at night with the alarm set and the panic buttons left unobstructed.

    My 85-year-old parents are sitting on a huge stash of killer narcotics because 20/20 or 60 Minutes once told them to stop flushing drugs… I’m afraid for their lives for a few days.

    Thank God my druggie nephew is locked up for armed robbery for another two or three years…