Prescription Drug Abuse: a Growing Epidemic in the United States

Prescription Drug Abuse: A Growing Epidemic in the United States Prescription drug abuse and related overdoses are a major public health issue that continues to grow each year. The National Institute on Drug Abuse explains prescription drug abuse as â€Å"the intentional use of a medication without a prescription. † (U. S. Health and Human Services, 2011) Since prescription drugs are legal and readily prescribed to alleviate pain and suffering, it poses a big challenge to control them. Many people, especially younger adults, feel that they are safer than illicit drugs because they can be found in their family medicine cabinet.Over the years, the number of people abusing these drugs has increased significantly. According to the Center of Disease Control (CDC), in 2007 there were â€Å"approximately 27,000 unintentional drug overdose deaths† in the United States. (Centers for Disease Control and Prevention, 2012) The use of prescription drugs continues to be the number on e cause of these overdoses, more than heroin and cocaine combined. As part of the CDC’s study, they reported that over a ten-year period, between 1997 and 2007, the number of milligrams of prescription opioids prescribed per a person increased from 74 milligrams to 369 milligrams.In 2000, pharmacies dispensed 174-million opioid prescriptions and in 2009, it increased to 257 million prescriptions. These are both major contributors to prescription drug abuse and overdoses due to the fact that prescription drugs are so easily available. As a result of this study, the CDC has classified prescription drug abuse as an epidemic. (Executive Office of the President of the United States, 2011) Prescription drug abuse spans across a wide range of populations. The prevalence of prescription drug abuse is higher among men, individuals between the ages of 18-64, non-Hispanic whites, service members, and poor, rural populations.The highest rate of prescription drug abuse is by young adults between the ages of 18-25. (U. S. Health and Human Services, 2011)) Of the individuals who reported non-medical prescription drug abuse, 70 percent reported getting the prescription drugs from a friend or relative, 18 percent reported getting it from one doctor, and less than 5 percent reported buying it from a drug dealer or stranger. (Executive Office of the President of the United States, 2011) Younger adults are at higher risk for overdose because they have a higher tendency to mix prescription drugs with alcohol or other illicit drugs. Multiple studies have revealed associations between prescription drug abuse and higher rates of cigarette smoking, heavy episodic drinking, and marijuana, cocaine, and other illicit drug use among adolescents, young adults, and college students in the United States. † (U. S. Health and Human Services, 2011) This results in numerous emergency room visits for this particular population. Between 2004 and 2009, the number of emergency room visi ts related to non-medical use of prescription drugs nearly doubled. Executive Office of the President of the United States, 2011) Young adults are not the only population of prescription drug abusers that has continued to increase over the years. In 2008, the Department of Defense reported that one in nine active-duty service members reported prescription drug abuse. (Executive Office of the President of the United States, 2011) A study done by the Office of National Drug Control Policy found that â€Å"approximately two million adults age 50 and older used prescription-type drugs non-medically in the past year. (Executive Office of the President of the United States, 2011) As you can see, the prescription drug abuse problem is not limited to a specific population. It effects people throughout their lifetime. Newspaper Article A recent article in the Boston Globe called â€Å"Antidote offers addicts’ families sliver of comfort: Nasal spray credited with reversing more than 1,800 drug overdoses†, talked about the distribution of Naloxone in the community as a way to prevent an overdose. Naloxone is an opiate antidote that can be given to someone who you suspect has overdosed.It can be administered intranasally or by injection. Massachusetts is one of the few states that have implemented a Naloxone distribution program. Beginning in 2006, Massachusetts’s health officials have been distributing Naloxone to individuals who are most likely to witness an overdose such as outreach workers, homeless shelter employees, active drug users and family members. (Canaboy, 2013) The article goes on to talk about the effect the Naloxone programs have had in Massachusetts. In 2010, overdoses were responsible for 738 deaths in Massachusetts, which was twice the number of motor-vehicle deaths. Canaboy, 2013) Studies have showed that the Naloxone programs have had a positive effect in the communities where it is distributed. There were also positive results f ound in a study done in California by two agencies that implemented Overdose Prevention Programs using Naloxone. The rate of overdose deaths was reduced between 27 percent and 46 percent in the communities where Naloxone was distributed in 2009. (Canaboy, 2013) As shown by this article, drug overdoses continue to be a major public health issue in communities throughout Massachusetts.With the help of programs like the Naloxone discussed in this article, there is hope that health officials and communities can work together to fight against it using harm reduction programs in conjunction with other treatment programs. Healthy People 2020 One of the topics for Healthy People 2020 is substance abuse. The goal of this topic is to â€Å"reduce substance abuse to protect the health, safety, and quality of life for all, especially children. † (Healthy People 2020, 2012) Healthy People 2020 reported that 22 million Americans had drug or alcohol problems in 2005 and 95 percent of them w ere not even aware of their problem. Healthy People 2020, 2012) They also reported that 273,000 people who recognized they had a problem with drugs or alcohol were unsuccessful in obtaining treatment. It’s reasons like this that Healthy People 2020 felt that substance abuse was an important topic to focus on for the future. Under the substance abuse topic in Healthy People 2020 there are two specific objectives directly related to prescription drug use. They state the following: â€Å"objective SA-12 reduce drug-induced deaths† and â€Å"SA-19 reduce the past-year nonmedical use of prescription drugs. (Healthy People 2020, 2012) Both these objectives are directly related to the issues discussed in the Boston Globe article and other initiatives that the Federal Government has outlined as part of their plan. Nursing Diagnosis One of the NANDA diagnoses that relates to prescription drug abuse and overdoses is Ineffective Community Self-Health Management. Carpenito-Moyet describes this diagnosis as â€Å"a pattern in which the community experiences or is at high risk to experience difficulty integrating a program for prevention/treatment of illness and the sequelae of illness and reduction of risk situations. † (p. 28) This can be related to the Naloxone program discussed in the Boston Globe article and other treatment services in general. The article talks about how there are only a few states that have been willing to implement the Naloxone program. The Center for Disease Control (CDC) released a report on â€Å"Prescription Drug Overdoses – a U. S. Epidemic† which talked about the National agenda to combat prescription drug abuse. In the report, it talked about how the public health approach needs to include both secondary and tertiary prevention programs such as the Naloxone program discussed in the Boston Globe article. Executive Office of the President of the United States, 2011) There are current programs out there but in dividuals are not successful in accessing them for one reason or another. The CDC’s report discussed the need to remove barriers to make treatment programs more accessible in the communities. The report stated, â€Å"Office-based care can be less stigmatizing and more accessible to all patients, especially those residing in rural areas. † (Centers for Disease Control and Prevention, 2012) Another NANDA diagnosis that is related to prescription drug abuse and overdose is deficient knowledge.This is defined by Carpenito-Moyet as, â€Å"the state in which an individual or group experiences a deficiency in cognitive knowledge or psychomotor skills concerning the condition or treatment plan. † (p. 269) This is directly related to the prescription drug abuse and overdose problem in a number of ways. It applies to the individuals who are actively using drugs, the prescribers who are prescribing the drugs to individuals, and the community in general. The Office of Natio nal Drug Control Policy developed a plan to combat the prescription drug problem.In their report, Epidemic: Responding to America’s Prescription Drug Abuse Crisis, they developed four major areas of focus, the first being education. The report stated that â€Å"A crucial first step in tackling the problem of prescription drug abuse is to education parents, youth, and patients about the dangers of abusing prescription drugs while requiring prescribers to receive training in the safe and appropriate use of these drugs. † (Executive Office of the President of the United States, 2011)Educating individuals about the dangers of prescription drugs is just as important or even more important than illicit drugs. People feel that prescription drugs aren’t as bad because a doctor prescribes them. Education is also required for family members and community members to be able to recognize the signs and symptoms of drug abuse or an overdose. The Boston Globe article talks abo ut how part of the Naloxone program is to educate whomever it is getting the Naloxone how to recognize an overdose. It’s important for them to know what signs to look for. ConclusionAs evidence by the Boston Globe article and multiple reports put out by the federal government and different state agencies, prescription drug abuse is a major public health issue that needs to be addressed. It needs to be addressed at all levels, starting with the federal government’s drug policies and working down to the individuals who are abusing drugs. The population of individuals abusing prescription drugs varies for different reasons. There needs to be more treatment and prevention programs available to the different populations that address the specific needs of each.There are current programs established, like the Naloxone, that are shown to work. We need to keep moving in the right direction to implement and grow these types of programs in order to succeed in reducing the prescri ption drug abuse problem in the United States. Works Cited Canaboy, C. (2013, March 2). Antidote offers addicts' families sliver of comfort: Nasal spray credited with reversing more than 1,800 drug overdoses. Boston Globe , p. A. 1. Carpenito-Moyet, L. (2008). Handbook of Nursing Diagnosis (12th ed. ).Philadelphia, PA: Lippincott Williams & Wilkins. Centers for Disease Control and Prevention. (2012, January 13). CDC Grand Rounds: Prescription Drug Overdoses — a U. S. Epidemic:. Retrieved March 3, 2013, from Centers for Disease Control and Prevention: http://www. cdc. gov/mmwr/preview/mmwrhtml/mm6101a3. htm Executive Office of the President of the United States. (2011, April). Prescription Drug Abuse | The White House:. Retrieved March 3, 2013, from The White House: http://www. whitehouse. gov/ondcp/prescription-drug-abuse Healthy People 2020. 2012, September 6). Substance Abuse – Healthy People:. (U. S. Health and Human Services) Retrieved March 3, 2013, from Healthy P eople 2020: http://www. healthypeople. gov/2020/topicsobjectives2020/overview. aspx? topicid=40 Lankenau, S. E. , Wagner, K. D. , Silva, K. , Kecojevic, A. , Iverson, E. , McNeely, M. , et al. (2012). Injection Drug Users Trained by Overdose Prevention Programs: Responses to Witnessed Overdoses. Journal of Community Health , 38, 133-141. Stanhope, RN, DSN, FAAN, M. , & Lancaster, RN, Ph. D, FAAN, J. (2012).Public Health Nursing: Population-Centered Health Care in the Community (8th ed. ). Maryland Heights, MS: Elsevier, Inc. U. S. Health and Human Services. (2011, December). Prescription Drug Abuse. Retrieved March 3, 2013, from National Institute on Drug Abuse: http://www. drugabuse. gov/publications/topics-in-brief/prescription-drug-abuse U. S. Health and Human Services. (2011, October). Prescription Drugs: Abuse and Addiction. Retrieved March 3, 2013, from National Institute of Health: http://www. drugabuse. gov/publications/research-reports/prescription-drugs