what is a thesis statement on opioid abuse disorder?
Ans) Early universal screening, brief intervention (such as
engaging the patient in a short conversation, providing feedback
and advice), and referral for treatment of pregnant women with
opioid use and opioid use disorder improve maternal and infant
outcomes.
• Screening for substance use should be part of comprehensive
obstetric care and should be done at the first prenatal visit in
partnership with the pregnant woman. Screening based only on
factors, such as poor adherence to prenatal care or prior adverse
pregnancy outcome, can lead to missed cases, and may add to
stereotyping and stigma. Therefore, it is essential that screening
be universal.
• Routine screening should rely on validated screening tools, such
as questionnaires, including 4Ps, NIDA Quick Screen, and CRAFFT
(for women 26 years or younger).
• For chronic pain, practice goals include strategies to avoid or
minimize the use of opioids for pain management, highlighting
alternative pain therapies such as nonpharmacologic (eg, exercise,
physical therapy, behavioral approaches), and nonopioid
pharmacologic treatments.
• For pregnant women with an opioid use disorder, opioid agonist
pharmacotherapy is the recommended therapy and is preferable to
medically supervised withdrawal because withdrawal is associated
with high relapse rates, which lead to worse outcomes. More
research is needed to assess the safety (particularly regarding
maternal relapse), efficacy, and long-term outcomes of medically
supervised withdrawal.
Infants born to women who used opioids during pregnancy should be
monitored by a pediatric care provider for neonatal abstinence
syndrome, a drug withdrawal syndrome that opioid-exposed neonates
may experience shortly after birth.
- Given the unique needs of pregnant women with an opioid use
disorder, health care providers will need to consider modifying
some elements of prenatal care (such as expanded sexually
transmitted infection [STI] testing, additional ultrasound
examinations to assess fetal weight if there is concern for fetal
growth abnormalities, and consultations with various types of
health care providers) in order to meet the clinical needs of the
patient’s particular situation.
- Before prescribing opioids for their patients,
obstetrician–gynecologists and other health care providers should
ensure that opioids are appropriately indicated; discuss the risks
and benefits of opioid use and review treatment goals; and take a
thorough history of substance use and review the Prescription
Drug
- Monitoring Program to determine whether patients have received prior opioid prescriptions.
- Breastfeeding should be encouraged in women who are stable on their opioid agonists, who are not using illicit drugs, and who have no other contraindications, such as human immunodeficiency virus (HIV) infection. Women should be counseled about the need to suspend breastfeeding in the event of a relapse.
- Access to adequate postpartum psychosocial support services, including substance use disorder treatment and relapse prevention programs, should be made available.
- Contraceptive counseling and access to contraceptive services should be a routine part of substance use disorder treatment among women of reproductive age to minimize the risk of unplanned pregnancy.
PICOT question on opioid abuse disorder.
picot project paper on suboxone use in opioid abuse disorder.
Prevention methods to avoid opioid substance abuse while prescribed to opioids
Opioid Abuse/ Withdrawl Address patient/family education and health promotion topics
Read the following Toronto Star story providing an overview of the current opioid abuse epidemic in Canada: https://www.thestar.com/news/canada/2017/04/25/an-epidemic-within-an-epidemic-why-opioid-use-in-canada-keeps-rising.html Consider this information from the perspective of either: A) Neuman’s Systems Model . Respond to the following questions: Newman System’s Theory Application From the information that is provided and from any additional research you may find necessary to undertake, identify what factors might be involved in and impacting our: flexible lines of defense normal lines of defense lines of resistance basic structure...
Opioid substance abuse/ withdrawl Describe an evidence-based treatment or solution to prevent and/or treat the problem
Substance abuse disorder: JS is a 27-year-old male patient who you are seeing for the first time. His past medical history is significant for his history of heroin and prescription opioid abuse. His substance use disorder started four years ago with prescription pain pills that were originally prescribed for injuries sustained in an automobile accident. For three years after the accident, he was able to readily obtain prescription opioids, but that changed when his prescribing physician was arrested for running...
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