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Prescription Drug Abuse

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Prescription Drug Abuse

 

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Prescription Drug Abuse

Article #1

Chua, K. P., Brummett, C. M., Conti, R. M., & Bohnert, A. (2020). Association of opioid prescribing patterns with prescription opioid overdose in adolescents and young adults. JAMA Pediatrics174(2), 141-148. Doi:10.1001/jamapediatrics.2019.4878

Year/Location2020Doi:10.1001/jamapediatrics.2019.4878
PurposeThe study aimed to determine the opioid prescribing trends that are linked to prescription opioid overdose in adolescents and young adults.
FindingsThis study examined a cohort of 2,752,612 adolescents and young adults who did not have cancer. The findings revealed that higher daily opioid dosage, concomitant use of benzodiazepines, and the use of extended-release or long-acting opioids were all linked to an elevated risk of overdose.
Factors DiscussedThe study discussed an ethical factor. Opioid is identified as a commonly prescribed drug to both adults and adolescents. Statistics reveal a high misuse of prescribed opioids, including cases of overdose.

 

Areas of Nursing DiscussedThe article discussed nursing practice responsibilities and how nurses can be at the forefront of reducing cases of misuse of prescribed opioids. The findings indicated that healthcare professionals who provide care to teenagers and young adults can reduce the risk of opioid overdose by prescribing the lowest effective daily dose, avoiding the simultaneous prescription of opioids and benzodiazepines, and relying on opioids that have a short duration of action.

 

Impact on the Profession as a wholeThe article provides mitigation strategies that are likely to improve drug usage among adolescents and young adults. Thus, the article identifies potential solutions to prescription drug abuse with the direct responsibilities of nurses.

 

 

Article #2

Jones, C. M., Clayton, H. B., Deputy, N. P., Roehler, D. R., Ko, J. Y., Esser, M. B., … & Hertz, M. F. (2020). Prescription opioid misuse and use of alcohol and other substances among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Supplements69(1), 38. https://doi.org/10.15585%2Fmmwr.su6901a5

 

Year/Location2020https://doi.org/10.15585%2Fmmwr.su6901a5
PurposeThe study aimed to enhance comprehension of adolescents’ drug use patterns, including the abuse of prescription opioids and other substances, and to provide valuable insights for substance use prevention activities.
FindingsThe findings indicated that strengthening the implementation of current drug use policies can also contribute to a decrease in substance use among young individuals. Furthermore, implementing tactics to enhance the availability of scientifically supported pain management methods and enhancing the prescription of prescription opioids through safer prescribing practices can effectively mitigate the abuse and overdose of opioids. Enhancing opioid prescribing practices can provide two-fold advantages by diminishing the accessibility of prescription opioids for diversion and misuse in the environment, as well as mitigating the risk of misuse connected with opioid prescriptions.
Factors DiscussedThe study discussed the ethical concerns regarding teenagers and high school level students to drugs.
Areas of Nursing DiscussedThis was a research paper; thus, it focused on nursing research.
Impact on the Profession as a wholeThis analysis provides valuable insights for public health practitioners, clinicians, and the substance use prevention community. These findings can guide their efforts to enhance the adoption of evidence-based prevention policies, programs, and practices. The ultimate goal is to decrease risk factors and enhance protective factors associated with youth substance use.

 

 

Article #3

Bonar, E. E., Coughlin, L., Roche, J. S., Philyaw-Kotov, M. L., Bixler, E. A., Sinelnikov, S., Kolosh, A., Cihak, M. J., Cunningham, R. M., & Walton, M. A. (2020). Prescription opioid misuse among adolescents and emerging adults in the United States: A scoping review. Preventive Medicine, 132, 105972. https://doi.org/10.1016/j.ypmed.2019.105972

Year/Location2020https://doi.org/10.1016/j.ypmed.2019.105972
PurposeThis review aimed to provide information on prescription opioid misuse prevention initiatives among adolescents and young adults in light of the ongoing opioid pandemic in the United States.
FindingsThe findings indicated that several benefits may be achieved by including community stakeholders, especially young people, through participatory action-based partnerships. These include enhancing cultural relevance, increasing the adoption of treatments and their long-term viability, and ensuring that programs align with current trends and terminology.
Factors DiscussedThe study touches on both ethical and cultural factors. It is ethically improper to misuse prescribed drugs, yet this factor is also contributed culturally.

 

Areas of Nursing DiscussedThe study addresses nursing practice and the role of professionals in reducing the cases of prescription drug misuse.

 

Impact on the Profession as a wholeThe study supposes that due to the complex nature of prescription opioid misuse, prevention strategies for adolescents and young adults should be adaptable to their specific patterns of use, circumstances, and severity. These interventions should address both medical and non-medical reasons for opioid use, as well as address other substance use to prevent overdose. Additionally, considering the link between opioids and suicide, mental health should also be taken into account. Treatments should be guided by behaviour modification theories, such as cognitive behavioural therapy, in line with the encouraging brief interventions mentioned earlier.

 

Synthesize the findings:

The three articles agreed on their findings by revealing that nurses and other healthcare professionals have a stake in minimizing incidences of prescription drug abuse, especially opioids. The articles also agreed that opioids are the most abused drugs among adolescents and school-going children. This factor is associated with mental disorders and, thus, a threat to society.

References

Bhatia, D., Mikulich-Gilbertson, S. K., & Sakai, J. T. (2020). Prescription opioid misuse and risky adolescent behavior. Pediatrics145(2). https://doi.org/10.1542/peds.2019-2470

Bonar, E. E., Coughlin, L., Roche, J. S., Philyaw-Kotov, M. L., Bixler, E. A., Sinelnikov, S., Kolosh, A., Cihak, M. J., Cunningham, R. M., & Walton, M. A. (2020). Prescription opioid misuse among adolescents and emerging adults in the United States: A scoping review. Preventive Medicine, 132, 105972. https://doi.org/10.1016/j.ypmed.2019.105972

Chua, K. P., Brummett, C. M., Conti, R. M., & Bohnert, A. (2020). Association of opioid prescribing patterns with prescription opioid overdose in adolescents and young adults. JAMA Pediatrics174(2), 141-148. Doi:10.1001/jamapediatrics.2019.4878

Jones, C. M., Clayton, H. B., Deputy, N. P., Roehler, D. R., Ko, J. Y., Esser, M. B., … & Hertz, M. F. (2020). Prescription opioid misuse and use of alcohol and other substances among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Supplements69(1), 38. https://doi.org/10.15585%2Fmmwr.su6901a5

Schepis, T. S., Klare, D. L., Ford, J. A., & McCabe, S. E. (2020). Prescription drug misuse: Taking a lifespan perspective. Substance abuse: Research and Treatment14, 1178221820909352. https://doi.org/10.1177/1178221820909352

 

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