Because numerous clinics decline to offer sleeping medication to the individual withdrawing from opiates, many addicts discharge themselves early from the treatment process (Carver). In regard to treatment, Carver notes:
Detoxification technology is being transformed in an increasing number of countries by the introduction of rapid opiate detoxification (OD) techniques. Instead of discontinuing opiates abruptly or over a few days and allowing withdrawal symptoms to develop (a technique which adds the stress of anticipation to the actual pains of withdrawal), an alternative technique is to precipitate acute withdrawal over a space of three to four hours by administering opiate antagonists. These drive all opiates off the opiate receptors but also start the process of normalising the receptors so that the worst symptoms of withdrawal are over in two to three days rather than the two to three weeks which is typical in conventional programmes for most patients (Brewer 1997). Naltrexone…...

mla

References

Anna Nicole killed by accidental overdose, says examiner. (2007). Press and Journal, the Aberdeen (UK). Northcliffe Electronic Publishing. 2007.

A www.questia.com/PM.qst?a=o&d=108000214

Brewer, C. (2004). 5 Psychological and pharmacological components of treatment. In drug treatment: What works?, Bean, P. & Nemitz, T. (Eds.) (pp. 84-109). New York: Routledge.

A www.questia.com/PM.qst?a=o&d=108000214

Female Substance Abusers and Addicts
Heroin is a highly addictive substance which is characterized by a rush of biophysiological symptoms such as a rush or feeling of euphoria, heaviness in one's extremities and a certain element of dry mouth (rehab-international.org). When it comes to heroin and gender, either gender can become addicted to it in a brief amount of time: "Addiction to heroin is characterized by the compulsion to use heroin despite an onset of negative consequences and despite the user's best attempts at stopping via willpower alone" (rehab-international.org). For women, one of the more common traits of heroin abuse is rather detrimental: the acquired tolerance means that greater doses of heroin have to be taken in order to get the original effects of the drug. When women are under the influence of the drug, they may engage in unsafe sexual activity, actions which can lead to STDs, unintended pregnancies and…...

mla

References

Anderson, T. (2000). Drug Use and Gender . udel.edu, 286-292.

Beckerleg, S.'Women heroin users: Exploring the limitations of the structural violence approach,'

International Journal of Drug Policy, vol:16 2005, p183 -190

Cicero, T., Ellis, M., & Surratt, H. (2014). The Changing Face of Heroin Use in the United States. JAMA Psychiatry, 821-826.

14). Soon, Congress passed the Marijuana Tax Act, which was signed into law in 1937. Like the Harrison Act, the Marijuana Tax Act placed marijuana into the same category as the cocaine and opium drugs. It was now illegal to import marijuana into the United States (McWilliams, 1991). However, this law was ineffective in curbing marijuana use (Brecher, 1986, p. 14).
By the early 1940s narcotic addiction had significantly reduced in the United States (Harrison, Backenheimer and Inciardi, 1999). However, this was not the result of legislative initiatives. Instead, it was because World War II was cutting off the "supplies of opium from Asia and interrupt the trafficking routes from Europe" (Inciardi, 1992, p. 24).

Several other legislative efforts in the supply reduction department served to establish more severe penalties for violations of drug laws, and tighten controls and restrictions over legally manufactured narcotic drugs (Harrison, Backenheimer and Inciardi, 1999). The…...

mla

References

1999). Recreational Drug Information. History of Drug Use U.S. Retrieved from the Internet at www.a1b2c3.com/drugs/.

Brecher, E. (1986). Drug Laws and Drug Law Enforcement: A Review and Evaluation Based on 111 Years of Experience,' Drugs and Society 1:1.

Drucker, Ernest. (1999). Harm Reduction: A Public Health Strategy. Current Issues in Public Health, 1: pp. 64-70.

Drug Policy Alliance. (February 17, 2005). Harm Reduction: Options that Work. Retrieved from the Internet at  http://www.drugpolicy.org/news/021705harm.cfm .

Healthcare Quality Management
PDCA Modeling in Healthcare

Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.

X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs or symptoms within…...

mla

Works Cited

Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement:  http://www.cwru.edu/med/epidbio/mphp439/CQI.htm 

i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma:  http://www.isixsigma.com/dictionary/focus-pdca/ 

Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.

Positron Emission Tomography (PET)
PET represents a new step forward in the way scientists and doctors look at the brain and how it functions. An X-ray or a CT scan shows only structural details within the brain. The PET scanner gives us a picture of the brain at work. - What is PET?

The epigraph above is reflective of the enthusiasm being generated among clinicians concerning the advent of positron emission tomography and its potential for imaging the human brain. The introduction of sophisticated neuroimaging techniques such as computerized tomography and magnetic resonance imaging has shifted the emphasis of neuropsychology from lesion localization to diagnosing the etiology of diseases (Maruish & Moses, 1997).

Behavioral neurology also benefited from innovations in neuroimaging techniques. The advent of improvements in the imaging of brain anatomy through computed tomography (CT) and magnetic resonance imaging (MI), as well as functional imaging with single photon emission computed tomography (SPECT),…...

mla

References

Charney, D.S., Hoffer, P.B. & Kosten, T.R. et al. (1995). Opiate Dependence and Withdrawal: Preliminary Assessment Using Single Photo Emission Computerized Tomography. American Journal of Drug and Alcohol Abuse, 21(1), 47.

Imaging Parkinson's. (December 14, 2002). Science News, 162(24), 382.

Jensen, K.B. (1991). Humanistic scholarship as qualitative science: Contributions to mass communication research. In K.B. Jensen & N.W. Jankowski (eds.). A handbook of qualitative methodologies for mass communication research (17-43). New York: Routledge.

Lincoln, Y.S., & Guba, E.G. (1990). Judging the quality of case study reports. Qualitative Studies in Education, 3(1), 53-59.

Target ecommendations
The current opium irradiation program in Afghanistan is failing to address the long-term challenges impacting the country (i.e. poverty, a lack of economic opportunities and corruption). This is resulting in the Taliban and organized crime utilizing it as an avenue to create greater amounts of instability. In the ten years, seizures of opium and heroin have declined by 57 and 77% respectively. This is problematic, as it is making it difficult for the country to move forward beyond the decades of civil war. (Ackerman, 2014)

To address these issues, a new approach must be used that are showing the way forward. This will be accomplished by providing policy recommendations and suggesting a future course of action which can reverse key trends. Together, these insights will enhance stability and decrease the influence of the Taliban / organized crime elements.

Policy ecommendations

The opium trade and poverty are directly related to each other. This…...

mla

References

Drug War? American Troops are Protecting Afghan Opium. (2014) Global Research. Retrieved from:  opium-u-s-occupation-leads-to-all-time-high-heroin-production/5358053http://www.globalresearch.ca/drug-war-american-troops-are-protecting-afghan -

The Most Addictive Drugs. (2014). Rehabs. Retrieved from:  http://luxury.rehabs.com/drug-addiction/most-addictive/ 

National Drug Policy. (2001). Canadian Parliament. Retrieved from:  http://www.parl.gc.ca/content/sen/committee/371/ille/library/dolin1-e.htm#3 .

Ackerman, S. (2014). Afghan Opium Production Explodes. The Guardian. Retrieved from:   billions-spent-us-reporthttp://www.theguardian.com/world/2014/apr/30/afghan-opium-production-explodes -

Mexico faces an array of drug-related problems ranging from production and transshipment of illicit drugs to corruption, violence, and increased internal drug abuse. Powerful and well-organized Mexican organizations control drug production and trafficking in and through Mexico, as well as the laundering of drug proceeds. These organizations also have made a concerted effort to corrupt and intimidate Mexican law enforcement and public officials. In addition, the geographic proximity of Mexico to the United States and the voluminous cross-border traffic between the countries provide ample opportunities for drug smugglers to deliver their illicit products to U.S. markets. The purpose of this study was to develop informed and timely answers to the following research questions: (a) How serious is the trade in illicit drugs between Mexico and the United States today and what have been recent trends? (b) How does drug trafficking fund terrorist organizations in general and trade between Mexico…...

mla

References

Delaware fact sheet. (2014). Friends of Narconon, International. Retrieved from narconon.org/drug_distribution_in_the_united_states/delaware_drug_facts/delaware_facthttp://www.friendsof

sheet/.

Drug threats in Wilmington. (2014). Drug Enforcement Edu.org. Retrieved from http://www.

drugenforcementedu.org/delaware/wilmington/.

" (1995)
The authors state: "The amphetamines occasioned dose-related increases in d- amphetamine-appropriate responding, whereas hydromorphone did not. Amphetamines also occasioned dose-related increases in reports of the drug being most like "speed," whereas hydromorphone did not. However, both amphetamines and hydromorphone occasioned dose-related increases in reports of drug liking and in three scales of the ARCI. Thus, some self-report measures were well correlated with responding on the drug-appropriate lever and some were not. Lamb and Henningfield (1994) suggest that self-reports are complexly controlled by both the private event and the subject's history of experience with the drug. Some of the self-reports they observed (e.g., feels like speed) are probably occasioned by a relatively narrow range of stimuli because in the subject's experience with drug administration, these reports have been more selectively reinforced by the verbal community relative to other reports (e.g., drug liking). They also suggest that these results imply that…...

mla

Bibliography

Budney, Alan J. et al. (2006) Clinical Trial of Abstinence-Based Vouchers and Cognitive-Behavioral Therapy for Cannabis Dependence. Journal of Consulting and Clinical Psychology 2006. Vol.. 74 No. 2. 2006 American Psychological Association.

McRae, a.; Budney, a.; & Brady, K. (2002) Treatment of Marijuana Dependence: A Review of the Literature. Journal of Substance Abuse Treatment 24 (2003)

Pathways of Addiction: Opportunities in Drug Abuse Research (1996) Institute of Medicine (IOM)

Kamon, J; Budney, a. & Stanger, C. (2005)a Contingency Management Intervention for Adolescent Marijuana Abuse and Conduct Problems. Journal of the American Academy of Child & Adolescent Psychiatry. 44(6):513-521, June 2005.

ILIOGRAPHY

NLM (2012). Substance abuse treatment of women. Chapter 4. National Library of Medicine: National Institutes of Health. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/books/NK83257

- Screening and assessment. http://www.ncbi.nlm.nih.gov/books.NK83253

rauser, D (2010), Sublingual buprenorphine relieves symptoms of neonatal opioid abstinence syndrome, Medscape: Medscape LLC. Retrieved on December 9, 2012

from http://www.medscape.com/viewarticle/730366

Fisher, P.A. et al. (2011). The combined effects of prenatal drug exposure and early adversity on neurobehavioral dis-inhibition in childhood and adolescence,

Developmental Psychopathology. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335443

Hamdan, a.H. (2012). Neonatal abstinence syndrome, Medscape: Medscape LLC.

Retrieved on December 9, 2012 from http://www.emedicine.medscape.com/article/978763-clinical

Johnson, K et al. (2003). Treatment of neonatal abstinence syndrome, Archive of Disease

in Childhood. Retrieved on December 9, 2012 from http://www.bmj.com/content/88/1/F.2.2.ful

Johnson, K and Leff, M (1999). Children of substance abusers. Pediatrics. American Academy of Pediatrics. Retrieved on December 9, 2012 from http://www.pediatrics.aappublications.org/content/103/Supplement_2/1085.long

Kraft, W.K. et al. (2010). Future trends in the treatment of the neonatal abstinence syndrome. Jefferson Medical College University…...

mla

BIBLIOGRAPHY

NLM (2012). Substance abuse treatment of women. Chapter 4. National Library of Medicine: National Institutes of Health. Retrieved on December 9, 2012 from  http://www.ncbi.nlm.nih.gov/books/NBK83257 

- Screening and assessment.  http://www.ncbi.nlm.nih.gov/books.NBK83253 

Brauser, D (2010), Sublingual buprenorphine relieves symptoms of neonatal opioid abstinence syndrome, Medscape: Medscape LLC. Retrieved on December 9, 2012

from  http://www.medscape.com/viewarticle/730366

legislation on PA SB 1299
The General Assembly of Pennsylvania

Senate Bill No. 1299

Session of 2014

Introduced by: Ward, Pileggi, Erickson, Schwank, Washington, White and Baker.

The significance of PA SB 1299 Bill

Preamble

The deaths from overdose on opioids have been a common occurrence across the nation with many of the people falling victims to either ignorance or intentional negligence by the people around then when they suffer the overdose symptoms to death. Initially, there were rampant incidences of the arrest and prosecution of the volunteers who called the law enforcement and the first responders to the scene since they too were often found to have used the drugs. The first responders were also not allowed to administer opioid antagonist at the scene to the person suffering obvious signs of overdose on the opioids hence the death rates from the overdose kept increasing even amidst the knowledge that such deaths could be eradicated in…...

mla

References

Incorvaia M., (2015). Lawmaker: Allow more first responders to give antidote to opiate overdoses. Retrieved February 20, 2014 from http://cronkitenewsonline.com/2015/01/lawmaker-wants-more-first-responders-allows-to-deliver-antidote-to-opiate-overdoses/

Wenner D., (2014). Pa. expands use of heroin overdose antidote, provides 'good Samaritan' protection in overdose cases. Retrieved February 20, 2014 from  http://www.pennlive.com/midstate/index.ssf/2014/09/pennsylvania_heroin_good_samar.html 

EMS1, (2015). 85,000 Emergency Responders Reduce Response Time with IamResponding.com. Retrieved February 20, 2014 from  http://www.ems1.com/ems-products/communications/press-releases/1033418-85-000-Emergency-Responders-Reduce-Response-Time-with-IamResponding-com/ 

Heightman A.J., (2014). Should Naloxone Be Available to All First Responders? Retrieved February 20, 2014 from  http://www.jems.com/article/administration-and-leadership/should-naloxone-be-available-all-first-r

drives under the influence of alcohol, it is a criminal offense abbreviated as driving under the influence (DUI). However alcohol is but one of the many substances that can interfere with one's driving capability. DUI charges can also be pressed against individuals who are driving under the influence of other kinds of drugs, including illegal drugs and even prescription medication. Taking drugs and driving at the same time, whether the drugs are just prescription muscle relaxers or medicinal marijuana is illegal and a DUI offense. The argument that one took drugs because of doctor's orders is not a defense to DUI charges. Various drugs have different effects on drivers. The drugs that impair concentration, judgment, alertness and/or motor skills are regarded as dangerous and in several cases even more dangerous than alcohol. Driving while having a blood alcohol concentration (BAC) of more than 0.08% or higher is illegal in…...

mla

References

African-Americans, Substance Abuse and Spirituality - Minority Nurse. (2013, March 29). Retrieved from  http://minoritynurse.com/african-americans-substance-abuse-and-spirituality/ 

Cohagan, A., Worthington, R., & Krause, R. (2013, July 3). Alcohol and Substance Abuse Evaluation . Retrieved from  http://emedicine.medscape.com/article/805084-overview#aw2aab6b3 

FindLaw. (n.d.). Driving Under the Influence of Drugs - FindLaw. Retrieved from   drugs.htmlhttp://dui.findlaw.com/dui-charges/driving-under-the-influence-of -

MedlinePlus. (n.d.). Steroids: MedlinePlus. Retrieved from  http://www.nlm.nih.gov/medlineplus/steroids.html

Heroin Impact on Caucasian Family?
A large number of Caucasian families are plagued with the issue of heroin use, mostly consumed via injections. This is a major public health issue. Viral hepatitis, HIV and other dangers associated with heroin dependence, as well as social harm resulting from accompanying poverty and crime, exceed those of almost all other drugs used. A majority of Caucasian households are indirectly as well as directly impacted by the aforementioned diseases.

Increased pureness and decreased drug costs are potential factors contributing to the trend of decreased age of first-time consumption and increased initiation into habitual consumption in the Caucasian population. As heroin dependence can be successfully cured, primary care providers need to check their patients for this problem.

This paper serves two purposes. Firstly, it attempts to study substance abuse's socio-economic effects on Caucasian people. Secondly, depending on this analysis, it attempts to provide recommendations on how drug dependence…...

Financial and Economic Impact of Worker's Compensation egulations And Compliance
The program and concept of Workers' Compensation might appear to be a product of a civilized society and the modern era, but nothing could be further from the truth. In fact, Workers' Compensation has essentially been around for as long as people have been completing task for payment of some form of another, because people have always been getting hurt in some way, on the job. "The history of compensation for bodily injury begins shortly after the advent of written history itself1. The Nippur Tablet No. 3191 from ancient Sumeria in the Fertile Crescent outlines the law of Ur-Nammu, king of the city-state of Ur. It dates to approximately 2050 B.C.2. The law of Ur provided monetary compensation for specific injury to workers' body parts, including fractures. The code of Hammurabi from 1750 B.C. provided a similar set of rewards for…...

mla

References

Benyamin, R., Buenaventura,, . R., Datta, S., & Adlaka, R. (2008). Opioid Complications and Side Effects. Pain Physician, S106-S111.

Boggs, C. (2008, July 29). Workers' Compensation History: The Great Tradeoff! Retrieved from mynewmarkets.com:  http://www.mynewmarkets.com/articles/91833/workers-compensation-history-the-great-tradeoff 

Ceniceros, R. (2012, December 12). State reduces workers comp opioid prescriptions. Retrieved from Businessinsurance.com:  http://www.businessinsurance.com/article/99999999/NEWS080102/399999826 

Eley, L. (n.d.). FEDERAL AGENCY HELPS COAL MINERS DETECT BLACK LUNG DISEASE. Retrieved from Denversworkerscompensationattorney.com:  http://www.denverworkerscompensationattorney.com/2011/03/federal-agency-helps-coal-miners-detect-black-lung-disease.shtml

American Academy Pediatrics publication a critique a media portrayal substance, links made AAP statement material. The password EBook: apusstudent I uploaded rest material.
American Academy of Pediatrics' Policy Statement concerning media portrayal of substance abuse touches upon several important issues that arise along with the media products' influence on America's young population at large. The article's targeted list of open-access channels associated with messages of noxious substance use include advertisements, television shows, motion pictures, social websites and music. Attention is directed specifically towards the findings of broadly conducted research in the matter of harm inflicted on children and adolescents as a result of the entertainment industry's depictions of legal and illegal substances, such as alcohol, tobacco, marijuana and heroin. Based on these findings, Pediatrics proposes a set of familial, institutional and legislative measures designed to minimize or abolish the destructive influence that media effects on a child's and teenager's development…...

mla

References

American Academy of Pediatrics. (2010, October). Policy Statement -- Children, Adolescents, Substance Abuse and the Media. Pediatrics, Vol. 126, No. 4, pp. 791-799.

Levinthal, C.F. (2012). Drugs, Behavior, and Modern Society, Seventh Edition. New York: Allyn & Bacon.

Macdonald, A. (Producer), & Boyle, D. (Director). (1996). Trainspotting [Motion picture]. United Kingdom: Channel Four Films.

Roberts, D.F. et al. (1999). Substance Use in Popular Movies and Music. Office of National Drug Control Policy, Center for Substance Abuse Prevention (U.S.). Retrieved from www.ncjrs.gov

Government Regulations and Hospice
Government Regulations Affecting Health Care in Hospice

Hospice

Regulations Affecting Health Care in Hospice

Impact of rules on Hospice services

Annotated Bibliography

This paper focuses on how government regulations impact hospice. The paper starts off with an introduction to the hospice system that was revived by a nurse, Cecily Saunders, who then went on to become a physician, establishing one of the first modern hospices. The concept of total pain is explained in some detail. The body of the paper then includes the studies that have been conducted on patients and caregivers in hospice systems as well as on people who died after they were diagnosed with terminal illness resulting in death in six months following the prognosis. The overall conclusion that can be drawn here is that while in Japan there is a marked need for improving the Day hospice system, the American hospice industry is acting as a mature competing…...

mla

Works Cited

American Medical Directors Association. (n.d.). White Paper on Palliative Care And Hospice In Long-Term Care. Retrieved March 10, 2012, from American Medical Directors Association: http://www.amda.com/governance/whitepapers/palliative_care.cfm

Carlson, M.D., Morrison, R.S., Holford, T.R., & Bradley, E.H. (2007). Hospice Care: What Services Do Patients and Their Families Receive? Health Services Research, 42(4), 1672-1690.

Centers for Medicare & Medicaid Services. (2008). Medicare and Medicaid Programs: Hospice Conditions of Participation; Final Rule. Federal Register, 73(109), 32088-32220.

Christakis, N.A., & Escarce, J. j. (1996). Survival of Medicare patients after enrollment In hospice programs . The New England Journal of Medicine, 172-179.