Pain Management VS Drug Addiction
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Slide 1 - Pain Management VS Drug Addiction An Ethical Decision to Treat or Not
Slide 2 - Pain
- "Pain is a significant public health problem.
- Chronic pain alone affects approximately 100 million U.S. adults.
- Pain reduces quality of life, affects specific population groups disparately,
- Costs society at least $560-635 billion annually."
- Institute of Medicine, "Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research" (Washington, DC: National Academy of Sciences, 2011), p. 5.http://www.nap.edu/openbook.php?record_id=13172
Slide 3 - What is Pain Management?
- “Pain Management also known as Algatry: a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain” (Pain Community Center Organization, 20014).
- Pain Management Video Clip
Slide 4 - Current Issues with Pain Management
- DEA- Cracking down on doctors prescribing controlled pain medications
- Family doctors are now referring patients to Pain Management Clinics instead of treating pain themselves- Delay in care
- Pain Management Clinics have long intake waiting list
- No Prescription Pain Medication for the First 30 Days.
- Patients go through withdraw
- Patients in constant pain
- Patients self-medicate with Tobacco, Alcohol, and Illicit Street Drugs
- Patients fail mandatory urine test and get discharged from pain management clinics.
- Patients become regular illicit drug users
- (Medline Plus, 2014)
Slide 5 - Drug Addiction Verses Drug Dependence
- Drug Addiction
- Strong urge to use substance
- Inability to stop using substance
- Inability to perform normal daily functions without substance use
- Performing illegal activities to use and access substance
- Compulsive use of a substance, despite its negative or dangerous effects
- (Mayo Clinic, 2014)
- Drug Dependence
- Need of a drug to function normally
- (University of Maryland Medical Center, 2004)
Slide 6 - “Unmitigated pain and suffering are often thought to rob people of their dignity”
Slide 7 - Legal Standards
- Nurses are held accountable by their state Nurse Practice Act to effectively manage their patient’s pain through assessments, interventions, and advocacy.
Slide 8 - Ethical Principals
- Medical Care Professionals have the duty to provide care that benefits the patient
- Proper Assessment of Pain
- Appropriate Administration and Treatment of Pain Relief
- Proper Evaluation of Pain Relief and Comfort
Slide 9 - Ethical Principals
- Patients has the right to Autonomy
- The right to voice their preference of treatment of pain
- Pharmalogical Meditation
- Natural Remedies Prayer
- Physical Therapies CBT
Slide 10 - Ethical Principal
- Nurses have the Moral and
- Ethical duty to advocate for their
- patients comfort and pain relief
Slide 11 - Fallacies of Reasoning: Pain Management
- “I have severe pain in my hip, but if I take this pain medication, I will become addicted”.
- “I’m not prescribing anything else for pain, their not in pain, it’s their addiction. The DEA won’t take my professional license”.
Slide 12 - Nursing Roles
- Nurses have a role in competency and must be knowledgeable
- Knowledgeable of personal pain experience
- Knowledgeable of the different types of pain
- Knowledgeable of the different treatments of pain
- Knowledgeable of the different side effects of pain management
- Knowledgeable of the administration of pain management treatments
- Knowledgeable of the different type of pain assessment tools
- Nurses have a role as an Advocator and must advocate for their patients
Slide 13 - Reference
- Mayo Clinic. (2014). Drug Addiction. Retrieved from Mayo Clinic Web site.
- Medline Plus. (2014, December 3). Substance Use Disorder. Retrieved from Medline Plus Web site: http://www.nlm.nih.gov/medlineplus/ency/article/001522.htm
- Pain Community Center Organization. (20014, December 7). Pain Management. Retrieved from Pain Community Center Web site: http://www.paincommunitycentre.org/article/ethics-pain-management
- University of Maryland Medical Center. (2004). Drug dependence. Retrieved from University of Maryland Medical Center Web site: http://umm.edu/health/medical/ency/articles/drug-dependence
- Wikipedia Organization. (2014, October 14). Pain Management. Retrieved from Wikipedia Web site: http://en.wikipedia.org/wiki/Pain_management