Pain Management VS Drug Addiction

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Pain Management VS Drug Addiction

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  1. Pain Management VS Drug Addiction An Ethical Decision to Treat or Not

    Slide 1 - Pain Management VS Drug Addiction An Ethical Decision to Treat or Not

    • BY
    • Talisa
    • Burris
  2. Pain

    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."
    • Source: 
    • 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
  3. What is Pain Management?

    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
  4. Current Issues with Pain Management

    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)
  5. Drug Addiction Verses Drug Dependence

    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)
  6. “Unmitigated pain and suffering are often thought to rob people of their dignity”

    Slide 6 - “Unmitigated pain and suffering are often thought to rob people of their dignity”

  7. Legal Standards

    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.
  8. Ethical Principals

    Slide 8 - Ethical Principals

    • Beneficence
    • 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
  9. Ethical Principals

    Slide 9 - Ethical Principals

    • Autonomy
    • Patients has the right to Autonomy
    • The right to voice their preference of treatment of pain
    • Pharmalogical Meditation
    • Natural Remedies Prayer
    • Physical Therapies CBT
  10. Ethical Principal

    Slide 10 - Ethical Principal

    • Advocacy
    • Nurses have the Moral and
    • Ethical duty to advocate for their
    • patients comfort and pain relief
  11. Fallacies of Reasoning: Pain Management

    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”.
  12. Nursing Roles

    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
  13. Reference

    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