Other Resources The misuse of antipsychotic drugs as chemical restraints is one of the most common and longstanding, but preventable, practices causing serious harm to nursing home residents today. But what is even more shocking is that this problem is not new.
More people suffer from chronic pain in the U.
Unfortunately, prescription opioid abuse has become a major public health issue, affecting approximately 35 million Americans who have used an opioid pain reliever non-medically at least once in their lifetime — an percent increase over an eight-year period. New Mexico has the highest rate of opioid drug overdose death in the U.
Almost every county in New Mexico has a higher drug overdose death rate than the rate for the entire U. While many states imposed new regulations governing specific prescribing practices, New Mexico chose to adopt continuing medical education, or CME, requirements and develop chronic pain treatment and opioid addiction training.
With support from New Mexico Gov. We needed an immediate response focused on practitioner education. To assess educational intervention success in improving clinical practice, UNM HSC faculty conducted a research study to determine whether the CME course would result in improved knowledge, self-efficacy, and attitudes when treating patients with pain and addiction.
Longer-term objectives were to determine whether education and regulation efforts were achieving a reduction in prescription opioid deaths in the state.
Survey results demonstrate a significant positive change in knowledge, self-efficacy and attitudes — with respondents improving their knowledge scores alone by more than 17 percent. Equally promising are reductions in the total morphine milligram equivalents MME of opioids dispensed in New Mexico since its peak in December Moreover, the amount of opioid MME per prescription has declined.
This decline was accompanied by a shift in prescribing patterns with a significant reduction in high-dose opioid prescriptions. Duringthere also was a decline in the total drug overdose death rate from Study results indicate that an innovative coalition of an academic medical center, the state department of health, the medical and pharmacy licensing boards, the Project ECHO Institute, and the state legislature can develop a mandated CME requirement that significantly impacts the knowledge, attitudes and self- efficacy of practitioners with regard to best practices in pain management and opioid prescribing.
Finally, New Mexico Board of Pharmacy data suggest that New Mexico clinicians are adopting the best practices of prescribing lower doses of opioids, because higher doses of opioids are associated with increased morbidity and overdose deaths, especially in chronic pain patients.
New Mexico has attained these public health goals without the restriction of physician autonomy seen in other states. New Mexico prescribing data thus far suggest that clinicians are not refusing to prescribe opioids for chronic pain, but instead are prescribing them more safely and responsibly.
New Mexico innovation The authors highlight five unique aspects of the New Mexico policy and educational initiative that account for these positive outcomes: The statutory requirement that pain CME include education on addiction.
There is insufficient communication and coordination between the pain and addiction communities, and that failure to provide clear and consistent guidance on the management of the co-occurring disorders of pain and addiction leaves clinicians with mixed messages; Physicians are not the only practitioners who prescribe opioids that are misused and abused.The American Academy of Nursing serves the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge.
The Academy’s more than 2, fellows are nursing’s most accomplished leaders in education, management, practice, and research. Clinical documentation addressing the use of prescription drugs, illegal substances, alcohol, and tobacco provides insight as does a family history of substance abuse or psychiatric disorders or a history of sexual abuse.
Nursing CEU on prescription or prescribed drugs abuse. Opioid diversion, risk factors and prevention strategies for misuse of pain medications for nurses. Prescription Drug Abuse Opioid Diversion and Best-Practice Prescribing Online Continuing Education Course.
Prescription drug abuse: Taking prescription drugs to feel euphoria (i.e. Substance abuse is a pandemic in the United States. From the abuse of seemingly innocent substances such as marijuana and alcohol to the abuse of street drugs like cocaine and heroin, substance abuse costs individuals substantially, and it costs the nation as a whole.
Nursing home abuse and neglect is an issue that continues to haunt the elderly population. One third of the 1, nursing homes in the United States have been cited for abuse (Whitaker, ).
According to Hooyman & Kiyak () neglect is defined as caregiver not providing goods and services necessary to avoid physical harm or mental anguish. The Centers for Disease Control has called prescription painkiller abuse an epidemic. U.S. health care costs attributable to the abuse of prescription painkillers (otherwise known as opioids) totaled an estimated $25 billion in