Abuse of prescription of narcotics in primary care Dissertation

Abuse of prescription(prenominal) of narcotics in principal(a) maintenance - talk ExampleChronic non cancer nuisance in the neck in primary c are and use of opioids (Nicholson & Pasik, 2007).In the the States estimates suggest that 50 million people suffer from chronic non cancer pain, with 41% dissatisfied with the outcomes of their pain treatment. The frequent site at which these patients seek health care is from primary care. In the primary care environment prevalence of chronic non cancer pain ranges from 5% to 33% (Nicholson & Pasik, 2007).3) Extent of opioid misuse in primary care and causes (Von Korff et al, 2011). True estimates of the extent to which prescription opioids are misused among primary care patients are not available, but the limited evidence from surveys conducted suggest that the prevalence of prescription opioid misuse in primary care could range from 4% to 26% (Von Korff et al, 2011)4) Primary care givers need to have adequate companionship on preventin g opioid misuse Salloum, 2010). Though the true prevalence of prescription opioid misuse remains elusive the indications of laid-back abuse of prescription opioids raises the relevance of prevention practices at the point of misuse (Ruiz & Strain, 2010).B.Establish a running(a) definition of prescription opioid abuse and identification of the characteristics of prescription opioid abuse 1) According to Friedman et al p, 454, NUPM in a wide perspective may be taken to mean the use of a scheduled prescription medication without the prescribing clinicians knowledge (Friedman et al, 2009).2) Characteristics of abuse of prescription narcotics (Liebschutz et al, 2010)... ry care patients diagnosed with chronic pain and prescribed opioids shows that the characteristics for PDUD in such patients include cigarette smoking, high severity of pain, personal and family history of substance abuse, post-traumatic stress disorder, and sustain of a jail sentence (Liebschutz et al, 2010). 3) Care giver knowledge and attitudes in the prescribing of narcotics for non cancer chronic pain (Srivatsava, 2007). demonstrate coming from surveys conducted on care givers points to knowledge deficits in care givers and attitudinal issues acting as barriers to efficient trouble of pain. Quite often fear of addiction and misuse of prescribed narcotics is the basis of unsatisfactory management of pain (Srivatsava, 2007). 4) Patient perspective on prescribing of narcotics for non cancer chronic pain (Srivatsava, 2007). From the perspective of patients it is the care providers in the body-build of medical and nursing professionals that are knowledgeable on issues pertaining to employing narcotics in the treatment of pain, and they expect that these professionals provide them with the permit information on narcotics in the treatment of non cancer chronic pain, to make it a useful develop in their treatment (Srivatsava, 2007). II Theoretical Considerations (Not done as no guidelines recei ved and not requisite for the annotated outline) III Review of Literature A lit review matrix has been generated for effectively developing the literature review. 15 peer reviewed primary research articles relevant to the topic of the dissertation were selected. The inclusion criterion was that these articles were promulgated on or later than 2006. The rationale behind such an inclusion criteria was to make the literature deport the currently relevant body of knowledge on the