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Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic
  • Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse
  • Publisher :Unknown
  • Release Date :2017-09-28
  • Total pages :482
  • ISBN : 9780309459570
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Summary : Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic
  • Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse
  • Publisher :Unknown
  • Release Date :2017-10-28
  • Total pages :482
  • ISBN : 9780309459549
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Summary : Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic

Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic
  • Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Board on Health Care Services,Roundtable on Quality Care for People with Serious Illness
  • Publisher :Unknown
  • Release Date :2019-07-01
  • Total pages :104
  • ISBN : 9780309492263
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Summary : The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their pain, coupled with a widespread misunderstanding of the addictive properties of opioids. This increase in prescribing of opioids also saw a parallel increase in addiction and overdose. In an effort to address this ongoing epidemic of opioid misuse, policy and regulatory changes have been enacted that have served to limit the availability of prescription opioids for pain management. Overlooked amid the intense focus on efforts to end the opioid use disorder epidemic is the perspective of clinicians who are experiencing a significant amount of daily tension as opioid regulations and restrictions have limited their ability to treat the pain of their patients facing serious illness. Increased public and clinician scrutiny of opioid use has resulted in patients with serious illness facing stigma and other challenges when filling prescriptions for their pain medications or obtaining the prescription in the first place. Thus clinicians, patients, and their families are caught between the responses to the opioid use disorder epidemic and the need to manage pain related to serious illness. The National Academies of Sciences, Engineering, and Medicine sponsored a workshop on November 29, 2018, to examine these unintended consequences of the responses to the opioid use disorder epidemic for patients, families, communities, and clinicians, and to consider potential policy opportunities to address them. This publication summarizes the presentations and discussions from the workshop.

In Pain

In Pain
  • Author : Travis Rieder
  • Publisher :Unknown
  • Release Date :2019-06-18
  • Total pages :320
  • ISBN : 9780062854667
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Summary : A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal—a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic. Travis Rieder’s terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician’s orders. Over the course of four excruciating weeks, Rieder learned what it means to be “dope sick”—the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis’s doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself. Rieder’s experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the twenty-first century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America’s opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain—and that anyone can fall victim to this epidemic.

Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic
  • Author : National Academies of Sciences, Engineering, and Medicine (U.S.). Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse
  • Publisher :Unknown
  • Release Date :2017
  • Total pages :393
  • ISBN : 0309462681
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Summary : Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Framing Opioid Prescribing Guidelines for Acute Pain

Framing Opioid Prescribing Guidelines for Acute Pain
  • Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Evidence-Based Clinical Practice Guidelines for Prescribing Opioids for Acute Pain
  • Publisher :Unknown
  • Release Date :2020-03-20
  • Total pages :222
  • ISBN : 9780309496872
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Summary : The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.

Opioid-Free Pain Relief Kit

Opioid-Free Pain Relief Kit
  • Author : Beth Darnall
  • Publisher :Unknown
  • Release Date :2016-09-01
  • Total pages :144
  • ISBN : 9781936693993
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Summary : CONGRATULATIONS! Picking up this book shows you want to help yourself feel better. That's the first step toward having less pain and using less pain medication. You are not alone. About 100 million Americans—one in three people—have ongoing pain. It can be mild or very strong, come in waves or always be present, be simply annoying or make your normal life hard to live. Pain is the most common reason people visit their doctor. Many people mistakenly believe that chronic pain is best treated simply by taking powerful painkillers, also known as opioids. But people who think pills are the only answer are mistaken, because the best treatment for chronic pain includes much more than pills. In fact, the most important part of pain treatment isn't your medication or even your doctor: it's YOU. This book gives you the right road map and skills to help you reduce your own pain, so you need less medication. It is a formula for success—your own personal pain relief kit.

The American Opioid Epidemic

The American Opioid Epidemic
  • Author : Michael T. Compton, M.D., M.P.H.,Marc W. Manseau, M.D., M.P.H.
  • Publisher :Unknown
  • Release Date :2018-12-31
  • Total pages :459
  • ISBN : 9781615371570
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Summary : This book provides an in-depth look at clinical and public health approaches to this epidemic from both psychiatric and medical perspectives and gives mental health professionals the big picture necessary to understand the epidemic.

Relieving Pain in America

Relieving Pain in America
  • Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Advancing Pain Research, Care, and Education
  • Publisher :Unknown
  • Release Date :2011-10-26
  • Total pages :382
  • ISBN : 9780309214841
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Summary : Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

Dopesick

Dopesick
  • Author : Beth Macy
  • Publisher :Unknown
  • Release Date :2018-08-07
  • Total pages :384
  • ISBN : 9780316551281
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Summary : An instant New York Times bestseller, Dopesick is the only book to tell the full story of the opioid crisis, from the boardroom to the courtroom and into the living rooms of Americans struggling to save themselves and their families: "masterfully interlaces stories of communities in crisis with dark histories of corporate greed and regulatory indifference" (New York Times) from a journalist who has lived through it. In this extraordinary work, Beth Macy takes us into the epicenter of a national drama that has unfolded over two decades. From the labs and marketing departments of big pharma to local doctor's offices; wealthy suburbs to distressed small communities in Central Appalachia; from distant cities to once-idyllic farm towns; the spread of opioid addiction follows a tortuous trajectory that illustrates how this crisis has persisted for so long and become so firmly entrenched. Beginning with a single dealer who lands in a small Virginia town and sets about turning high school football stars into heroin overdose statistics, Macy sets out to answer a grieving mother's question-why her only son died-and comes away with a gripping, unputdownable story of greed and need. From the introduction of OxyContin in 1996, Macy investigates the powerful forces that led America's doctors and patients to embrace a medical culture where overtreatment with painkillers became the norm. In some of the same communities featured in her bestselling book Factory Man, the unemployed use painkillers both to numb the pain of joblessness and pay their bills, while privileged teens trade pills in cul-de-sacs, and even high school standouts fall prey to prostitution, jail, and death. Through unsparing, compelling, and unforgettably humane portraits of families and first responders determined to ameliorate this epidemic, each facet of the crisis comes into focus. In these politically fragmented times, Beth Macy shows that one thing uniting Americans across geographic, partisan, and class lines is opioid drug abuse. But even in the midst of twin crises in drug abuse and healthcare, Macy finds reason to hope and ample signs of the spirit and tenacity that are helping the countless ordinary people ensnared by addiction build a better future for themselves, their families, and their communities. "An impressive feat of journalism, monumental in scope and urgent in its implications." - Jennifer Latson, The Boston Globe

The Opioid Fix

The Opioid Fix
  • Author : Barbara Andraka-Christou
  • Publisher :Unknown
  • Release Date :2020-04-21
  • Total pages :288
  • ISBN : 9781421437668
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Summary : Validating the experience of hundreds of thousands of Americans, The Opioid Fix sounds a loud call for policy reforms that will help put lifesaving drugs into the hands of those who need them the most.

Pain Management in Primary Care

Pain Management in Primary Care
  • Author : Yvonne D'Arcy, MS, APN-C, CNS, FAANP,Deborah Kiley, DNP, ANP, NP-C, FNP-BC, FAANP
  • Publisher :Unknown
  • Release Date :2020-10-15
  • Total pages :316
  • ISBN : 9780826147349
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Summary : Covers the entire scope of pain management with evidence-based guidance Written specifically for APRNs and PAs, this evidence-based text delivers practical guidance on how to assess, treat, and manage patients with pain in the primary care and family practice setting. Written by pain management experts well versed in both pharmacologic and non-pharmacologic therapies, the text encompasses the entire scope of pain management. Following an overview of the sources and physiology of pain, Pain Management in Primary Care delineates a multidimensional assessment approach and guides readers in developing a patient care plan. With an emphasis on strategies for safe prescribing, an extensive portion of the book addresses regulatory considerations, special populations, and thorough coverage of how to safely prescribe opioids. This includes risk screening, proper management, and identification and treatment of withdrawal. Woven throughout is a focus on the importance of interprofessional communication and collaboration in effective pain management. The text also provides concise, easy-to-reference information about medications, supplements, and non-opioid therapeutics. Abundant case scenarios and clinical pearls help readers apply knowledge to their own practice. Key Features: Covers the entire scope of pain management with evidence-based guidance on assessment, treatment, and pain management Emphasizes strategies for safely prescribing medications Includes detailed information on non-opioid and over-the counter-medications, opioids, and interventional pain management options Provides risk-screening tools and tips for proper selection, titration, and tapering of medications Describes how to identify and treat opioid withdrawal Illustrates application of knowledge to practice with case scenarios and clinical pearls

Dreamland (YA edition)

Dreamland (YA edition)
  • Author : Sam Quinones
  • Publisher :Unknown
  • Release Date :2019-07-16
  • Total pages :304
  • ISBN : 9781547601417
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Summary : As an adult book, Sam Quinones's Dreamland took the world by storm, winning the NBCC Award for General Nonfiction and hitting at least a dozen Best Book of the Year lists. Now, adapted for the first time for a young adult audience, this compelling reporting explains the roots of the current opiate crisis. In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America. How that happened is the riveting story of Dreamland. Quinones explains how the rise of the prescription drug OxyContin, a miraculous and extremely addictive painkiller pushed by pharmaceutical companies, paralleled the massive influx of black tar heroin--cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel. Introducing a memorable cast of characters--pharmaceutical pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, teens, and parents--Dreamland is a revelatory account of the massive threat facing America and its heartland.

Prescription Drug Diversion and Pain

Prescription Drug Diversion and Pain
  • Author : John F. Peppin,John J. Coleman,Kelly K. Dineen,Adam J. Ruggles
  • Publisher :Unknown
  • Release Date :2018-08-01
  • Total pages :272
  • ISBN : 9780199981830
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Summary : Prescription Drug Diversion and Pain provides an interdisciplinary overview of medications used to treat chronic pain, specifically the benefits and risks that are posed by long-term opioids use. These essential pain-relieving medications must be carefully managed to prevent serious side effects that may include physical dependence, addiction, and even death, which has led in recent years to increased attention on the development of alternative treatments for chronic pain. This book not only offers a single, comprehensive source for understanding the specialized field of the opioid crisis, but also addresses provocative topics including how pain drugs came to be regulated by the U.S. Government and the rarely-discussed aggressive marketing behind the spread of these drugs. Chapters are written by expert contributors from diverse backgrounds in medicine, psychiatry, pharmacy, nursing, health law, and ethics. Prescription Drug Diversion and Pain is a must-read for healthcare professionals, caregivers, policy makers, regulatory officials, law enforcement, and those in the pharmaceutical industry seeking to address the current and future opioid crisis.

Bad Medicine

Bad Medicine
  • Author : Charlotte Bismuth
  • Publisher :Unknown
  • Release Date :2021-01-19
  • Total pages :368
  • ISBN : 9781982116422
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Summary : “Charlotte Bismuth gives us a bold and cinematic true crime story about her work at the intersection of medicine and greed. Bad Medicine is a gripping memoir that toggles deftly between the personal and prosecutorial.” —Beth Macy, New York Times bestselling author of Dopesick “Bismuth has written a brilliant account of prosecuting a doctor who became a drug dealer in a white coat. She is haunted by the voices of the dead and listening closely to the voices of the living.” —Nan Goldin, artist, activist, and founder of P.A.I.N. “Bad Medicine is a taut exploration of America’s deadly battle with opioid addiction—an unnerving and inspirational firecracker of a book.” —Karen Abbott, New York Times bestselling author of The Ghosts of Eden Park For fans of Dopesick and Bad Blood, the shocking story of New York’s most infamous pill-pushing doctor, written by the prosecutor who brought him down. In 2010, a brave whistleblower alerted the police to Dr. Stan Li’s corrupt pain management clinic in Queens, New York. Li spent years supplying more than seventy patients a day with oxycodone and Xanax, trading prescriptions for cash. Emergency room doctors, psychiatrists, and desperate family members warned him that his patients were at risk of death but he would not stop. In Bad Medicine, former prosecutor Charlotte Bismuth meticulously recounts the jaw dropping details of this criminal case that would span four years, culminating in a landmark trial. As a new assistant district attorney and single mother, Bismuth worked tirelessly with her team to bring Dr. Li to justice. Bad Medicine is a chilling story of corruption and greed and an important look at the role individual doctors play in America’s opioid epidemic.

Current Topics in Opioid Research

Current Topics in Opioid Research
  • Author : Lawrence Toll,Kelly M. Standifer,Dominique Massotte
  • Publisher :Unknown
  • Release Date :2019-11-27
  • Total pages :229
  • ISBN : 9782889631803
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Summary :

Pain and Treatment

Pain and Treatment
  • Author : Gabor Racz,Carl E. Noe
  • Publisher :Unknown
  • Release Date :2014-07-10
  • Total pages :344
  • ISBN : 9789535116295
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Summary : This new edition reflects the evolution of the field including new topics for historical relevance regarding the changing attitudes towards opioid prescription and use. The book points out that the realization of liberalizing use is almost uncontrollably linked to unnecessary patient death. Similarly, the evidence is increasingly confirming that interventional pain procedures work. New evidence presents, for example, that Percutaneous Lysis of Adhesions is an effective therapeutic modality that has advantages over other options due to its cost effective nature and long term outcomes reducing the need for additional procedures including surgeries and more and more expensive medications. Awareness about the consequences of bad outcomes leads to medicolegal complications. The inevitable trigger is bad outcome which is often related to knowledge, training, experience, as well as equipment design. Some of the examples and lessons learned from the medicolegal arena may soon prevent such occurrences.

The Treatment of Chronic Pain

The Treatment of Chronic Pain
  • Author : F. Dudley Hart
  • Publisher :Unknown
  • Release Date :1974-04-30
  • Total pages :191
  • ISBN : UOM:39015003771618
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Summary :

Textbook of Palliative Medicine

Textbook of Palliative Medicine
  • Author : Eduardo Bruera,Irene Higginson,Charles F von Gunten
  • Publisher :Unknown
  • Release Date :2009-01-30
  • Total pages :1024
  • ISBN : 9780340966242
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Summary : Textbook of Palliative Medicine provides an alternative, truly international approach to this rapidly growing specialty. This textbook fills a niche with its evidence-based, multi-professional approach and global perspective ensured by the international team of editors and contributing authors. In the absence of an international curriculum for the study of palliative medicine, this textbook provides essential guidance for those both embarking upon a career in palliative medicine or already established in the field, and the structure and content have been constructed very much with this in mind. With an emphasis on providing a service anywhere in the world, including the important issue of palliative care in the developing nations, Textbook of Palliative Medicine offers a genuine alternative to the narrative approach of its competitors, and is an ideal complement to them. It is essential reading for all palliative care physicians in training and in practice, as well as palliative care nurses and other health professionals in the palliative care team

Medications for Opioid Use Disorder Save Lives

Medications for Opioid Use Disorder Save Lives
  • Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Medication-Assisted Treatment for Opioid Use Disorder
  • Publisher :Unknown
  • Release Date :2019-06-16
  • Total pages :174
  • ISBN : 9780309486484
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Summary : The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Everything You Need to Know About the Opioid Epidemic

Everything You Need to Know About the Opioid Epidemic
  • Author : Rajdeep Paulus
  • Publisher :Unknown
  • Release Date :2018-12-15
  • Total pages :64
  • ISBN : 9781508183570
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Summary : When someone visits a doctor because of an injury and walks away with a prescription for pain relief medication, that small piece of paper could lead to a serious addiction. For readers looking for the lowdown on opioids, this book delivers the facts, including how opioids affect the brain and why something as innocent as a painkiller can lead to a heroin addiction. This practical guide includes tips for coping with pain without resorting to opioids, and resources for those who are facing opioid addiction. Readers will also learn about the history of opioids and what led to the national opioid crisis.